肩膀脱臼后疼痛的原因是什么?

IF 0.4 Q4 EMERGENCY MEDICINE Emergency Care Journal Pub Date : 2022-09-27 DOI:10.4081/ecj.2022.10691
Erika Poggiali, Elisa V. Biancalana
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引用次数: 0

摘要

一名38岁的男子在工作中遭受了严重的钝性创伤,他带着严重的疼痛和无法活动的右肩关节来到了我们的急诊室。肱骨头在前方可触及,三角肌和肩峰的正常轮廓在后方和外侧突出,如发生在肩前脱位中。在急诊室第一次尝试使用1.5 mg/kg静脉芬太尼和0.5 mg/kg静脉咪唑安定镇静时,肩部很容易减轻。手术后,他抱怨右肱骨头疼痛,所以我们做了X光检查。
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What lies behind the pain after shoulder dislocation?
A 38-year-old man presented to our emergency room with severe pain and inability to mobilize his right shoulder joint after a violent blunt trauma during his work. The humeral head was palpable anteriorly, with the loss of normal contour of the deltoid and acromion prominent posteriorly and laterally, as it occurs in the anterior shoulder dislocation. The shoulder was easily reduced on 1st attempt using 1.5 mg/kg intravenous fentanyl and 0.5 mg/Kg intravenous midazolam sedation in the emergency room. After the procedure, he complained of pain at the right humeral head, so we performed an X-Ray.
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来源期刊
Emergency Care Journal
Emergency Care Journal EMERGENCY MEDICINE-
CiteScore
0.10
自引率
60.00%
发文量
29
审稿时长
10 weeks
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