Resistance to pry method reset with anterior dislocation of shoulder joint

Huang Zeng bin Guangzhou liwan district orthopedics hospital in guangdong province

China's traditional Chinese medicine to

        Anterior dislocation of shoulder joint dislocation is common in clinical practice, one of the many reduction methods, traditional have stretched into laws, pull traction tuina, holding the foot pedal, etc. The author in recent years the use of fractures in guangdong famous He Zhulin "resistance to pry method" reconstructive anterior dislocation of shoulder joint, curative effect satisfaction. Reset is not satisfied with traditional methods mentioned above, can draw lessons from the method.

        Dislocated shoulder joint dislocation, which is also called the "shoulder", is one of the most common parts of whole body joint dislocation. Shoulder joint consists of humerus head and shoulder joint dishes, is a ball and socket joints, glenoid cavity peripheral fibrous cartilage ring attached. The glenoid cavity small and shallow, only 1/4 ~ 1/3 of the humerus head joint, joint less muscle below before, joint capsule and relaxation, are the weakest part of shoulder joint. This special anatomical structure, and cause the direct or indirect violence violence can cause anterior dislocation of shoulder joint, and indirect violence. Anterior dislocation of shoulder joint often accompanied by rotator cuff injury, humerus avulsion fracture of the greater tuberosity and glenoid cavity lip fracture, etc.

        "Resistance to pry method" operation is as follows: patients are to sit, performer stands one side, the risk of shoulder abduction and elbow flexion, performer puts one hand (left dislocation with his right hand and right dislocation) with his left hand from axillary wear before and after the fingers with the patient's fingers clasped and forearm on the risk of shoulder trend; Another armed with their upper arm or elbow, slowly downward force foreign drawing first, and finally make it to the inside, at the same time in the underarm cubits, and on the humerus head above outward pull, against each other to pry. Performer can feel patients of humeral head gradually under the left clavicle or coracoid, when close to the glenoid cavity, increase the force of resistance to pry, and adduction in rotating the shoulder, now often humerus head can be automatically back into the joint cavity.

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