Treatment of primary traumatic anterior dislocation of the shoulder

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  • 初回外傷性肩関節前方脱臼の治療
  • ショカイ ガイショウセイ ケンカンセツ ゼンポウ ダッキュウ ノ チリョウ

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Abstract

The shoulder joint (glenohumeral) joint is the most common traumatic dislocation in the human body, account for 98 percent of the shoulder dislocation, because of the glenohumeral joint becomes stable by mainly soft tissue and intra-articular negative pressure. It is lesion of antero-inferior stabilizing mechanism of the glenohumeral joint which mainly consists of the humeral head and the inferior glenohumeral ligament (IGHL) and the labrum and the glenoid rim. As for the prognosis of primary traumatic anterior dislocation of the shoulder, repair of the Bankart lesion becomes the most relevant factor. The effect of immobilization after reduction and rehabilitation are a place with many arguments. Then, I performed the questionnaire of traumatic anterior dislocation of the shoulder skiinng and snowboards injury in the ski area of most injury, then the factor which shifts to recurrent dislocation was examined and the treatment was considered. The recurrence rate of the primary traumatic anterior dislocation of the shoulder 128 shoulder was 23.4%, and age and the immobilization period had influenced like the past reports. It is possible to prevent a re-dislocation phenomenon in the short term by controlling the activity of the scapular girdle by the side of injury and the immobilization of external rotation after gently reduction also has a case which repair can expect. The highest recurrence rate is the younger athletes and high level activities of the primary traumatic anterior dislocation of the shoulder. A surgical operation is taken into consideration by continuation of a sport. The results of a surgical operation are stable, and an arthroscopic surgery progressed in recent years, suitable selection of treatment becomes important from things.

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