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Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь»

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Вывихи плеча

https://doi.org/10.23934/2223-9022-2020-9-1-68-84

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Аннотация

РЕЗЮМЕ. Вывихи плеча являются одной из самых распространенных травм и занимают первое место по частоте среди всех вывихов конечностей. В настоящее время сохраняется классический подход к лечению и диагностике данной патологии. После анестезии производят устранение вывиха, конечность иммобилизируют косыночной повязкой. На срок иммобилизации единого взгляда нет. Общепринятыми показаниями к оперативному лечению являются невправляемый, привычный и открытый вывих плеча. Предпочтение отдают операциям с восстановлением анатомии, тогда как в конце прошлого века часто применяли техники, ограничивающие амплитуду движений в плечевом суставе. В настоящее время нефизиологичные способы реконструкции не приветствуются, поскольку они нарушают нормальную биомеханику плечевого сустава и напрямую не влияют на патологический субстрат повреждений. Исходы после артроскопических вариантов операций не уступают таковым после открытых вмешательств. В данной статье представлен обзор клинических и рентгенологических методов обследования пациентов, вариантов лечения данной патологии.

Об авторах

В. Б. Бондарев
Отделение неотложной травматологии опорно-двигательного аппарата, ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»
Россия
Бондарев Василий Бриджевич, научный сотрудник


А. Ю. Ваза
Отделение неотложной травматологии опорно-двигательного аппарата, ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»
Россия
кандидат медицинских наук, ведущий научный сотрудник


А. М. Файн
Отделение неотложной травматологии опорно-двигательного аппарата, ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»
Россия
доктор медицинских наук, заведующий


Р. С. Титов
Отделение неотложной травматологии опорно-двигательного аппарата, ГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского ДЗМ»
Россия
кандидат медицинских наук, старший научный сотрудник


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Для цитирования:


Бондарев В.Б., Ваза А.Ю., Файн А.М., Титов Р.С. Вывихи плеча. Журнал им. Н.В. Склифосовского «Неотложная медицинская помощь». 2020;9(1):68-84. https://doi.org/10.23934/2223-9022-2020-9-1-68-84

For citation:


Bondarev V.B., Vaza A.Yu., Fayn A.M., Titov R.S. Shoulder Dislocations. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(1):68-84. https://doi.org/10.23934/2223-9022-2020-9-1-68-84

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