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- Proprioception in Recurrent Dislocated and Surgically Repaired Shoulder
- Inferior Dislocation of the Glenohumeral Joint Combined with the Compartment Syndrome of the Upper Arm: Case Report
- Modified Bankart Procedure for Recurrent Anterior Shoulder Dislocation
- 以改良之Bankart術式治療習慣性肩關節脫臼
- Modified Bankart Reconstruction for Recurrent Anterior Shoulder Dislocation-Using Mitek GII Suture Anchors
- Anterior Dislocation of the Shoulder and Ipsilateral Humeral Shaft Fracture: Case Reports and Literature Review
- 不穩定性肩關節之分類、評估與治療
- 肩關節前位性骨折脫臼--徒手復位的陷阱
- 重覆性肩關節前位脫臼之治療--比較Mcdified Bristow Procedure與Bankart Procedure之治療結果
- A Modified Bristow Procedure for Recurrent Anterior Shoulder Dislocation
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題名 | Proprioception in Recurrent Dislocated and Surgically Repaired Shoulder=習慣性肩關節脫臼之本體自覺 |
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作者 | 李宏滿; 譚傳明; 史瑞田; 侯耀東; Lee, Hung-maan; Tan, Chuan-ming; Shih, Jui-tien; Hou, Yao-tung; |
期刊 | 中華民國外科醫學會雜誌 |
出版日期 | 19981100、19981200 |
卷期 | 31:6 民87.11-12 |
頁次 | 頁368-379 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 肩關節; 脫臼; Proprioception; Shoulder; Instability; Mechanoreceptor; |
中文摘要 | 復發性肩關節脫臼為骨科常見之疾患。造成肩關節之不穩定可能由於喪失肩關節活動之感覺,因而產生周遭神經肌肉控制不良。本研究目的在於探討復發性肩關節脫臼的患者比較手術者與非手術者,兩者本體自覺缺損之情形。研究分成兩組,A組為非手術組共12 例,B組亦有12例,然皆曾接受手術治療且臨床評估肩關節功能達正常。兩組病例分別以本院自行研發之本體自覺測試機,測量正常肩與患肩之關節活動感覺及關節位置感覺。結果顯示非手術者之患肩在前述之兩種感覺與正常肩比較呈有意義之差別(P < 0.05),而手術者之患肩與正常肩兩種感覺無明顯差異(P > 0.05)。 本研究結果得知,當肩關節脫臼時,會造成本體自覺缺損,正確的手術治療能恢復本體自覺機械受體之敏感度,因而改善肩關節之功能而避免復發性脫臼。 |
英文摘要 | Recurrent glenohumeral joint instability is a common orthopaedic problem. One possible cause of this repeated instability is a lack of neuromuscular control and kinesthetic sense of the glenohumeral joint. The purpose of this study was to determine whether there is a deficit in joint proprioception in subjects with recurrent anterior glenohumeral instability as compared with individuals who had surgical reconstruction. There had two groups: group A (n=12), nonoperative subjects; group B (n=12), patients who have received modified Bankart reconstruction. Both goups all were active young soldiers. Kinesthesia and joint position sense were measured with a specially designed proprioception testing apparatus. The results revealed significant difference (P < 0.05) between the unstable and uninvolved shoulder for both kinesthesia and joint position sense. No significant difference (P > 0.05) were revealed between reconstructed shoulder and uninvolved shoulder in TTDPM and RPP tests. This study indicated that proprioceptive deficit occur after glenohumeral dislocation and may result in abnormal neuromuscular coordination and subsequent reinjury of the shoulder. Proper surgical reconstruction for unstable shoulder can restore the sensibility of mechanoreceptors around the joint. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。