CN207136938U - A kind of dislocation of shoulder reduction by continuous traction device - Google Patents
A kind of dislocation of shoulder reduction by continuous traction device Download PDFInfo
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- CN207136938U CN207136938U CN201720045621.0U CN201720045621U CN207136938U CN 207136938 U CN207136938 U CN 207136938U CN 201720045621 U CN201720045621 U CN 201720045621U CN 207136938 U CN207136938 U CN 207136938U
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- support arm
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Abstract
The utility model discloses a kind of dislocation of shoulder reduction by continuous traction device, including determine support arm（1）With dynamic support arm（2）；Determine support arm（1）With dynamic support arm（2）It is tubular structure, moves support arm（2）Support arm is determined in insertion（1）Pore in be slidably connected；Determine support arm（1）The other end supports provided with armpit（3）, move support arm（2）The other end is provided with wrist traction fixing band（4）, along dynamic support arm（2）Length direction is provided with chute（5）；Determine support arm（1）With dynamic support arm（2）Junction be provided with transmission device（6）And locking device（7）.The utility model not only has the advantages of simple in construction, easy to operate, safe and reliable, using effect is good, but also it is gradually increased, the advantages of patient muscle's convergent force can be resisted completely with tractive force is sustainable, in addition, the utility model also has reset after can keep constant tractive force, to reset success rate high, the advantages that can mitigating patient's pain.Using economical, societal benefits caused by the utility model clearly.
Description
Technical field
A kind of dislocation of shoulder reduction by continuous traction device is the utility model is related to, belongs to technical field of medical instruments.
Background technology
Dislocation of shoulder accounts for the 50% of general joint dislocation, is most common abarticulation position.This solution with shoulder joint
Cut open relevant with physilogical characteristics, as the head of humerus is big, glenoid cavity is shallow and small, loosening of articular capsule, and its front lower place tissue is weak, joint motion
Scope is big, by external force chance more than etc..Dislocation of shoulder mostly occurs more in person between twenty and fifty, male.Dislocation of shoulder presses humerus
The position of head is divided into anterior dislocation and backward dislocation.Anterior dislocation of shoulder person much sees, often caused by indirect violence, upper limbs when such as falling
Abduction outward turning, palm or ancon are landed, and external force is impacted along humerus Y, and the head of humerus is thin between subscapular muscle and musculus teres major
Weak portion's avulsion capsular ligament, to front lower abjection, form anterior dislocation.The head of humerus is pushed under processus coracoideus, forms subcoracoid dislocation,
As violence is larger, the head of humerus moves further along to be caused under clavicle, is formed under clavicle and dislocated.Backward dislocation is rarely found, more due to shoulder joint by
Hand when inward turning position is fallen is received to violence effect from the front to the back or in shoulder joint and is landed and is caused.Backward dislocation can be divided into mesoscapula
Dislocated under lower and acromion, dislocation of shoulder such as malpractice in the early stage, habitual dislocation can occur.Clinically often show as：1.
Hinder shoulder swelling, pain, actively and passively limitation of activity.2. suffering limb flexible fastening often suffers from arm, head in slight outer exhibition position with strong hand rest
Tilted with trunk to Ipsilateral.3. shoulder deltoid muscle collapses, in square shoulder deformity, accessible displacement under armpit, processus coracoideus or under clavicle
The head of humerus, glenoid cavity are hollow.4. experiment of helping to shoulder heavy thing is positive, when Ipsilateral hand leans on chest, palm can not ride over offside shoulder.Clinical treatment：
It should as early as possible be resetted after dislocation, select appropriate anesthesia（Brachial plexus anesthesial or general anesthesia）, make of flaccid muscles and make to reset at painless lower progress.
It is soft to reset gimmick, disables rough gimmick and to avoid the additional injuries such as fracture or injured nerve.The conventional gimmick that resets has three
Kind.First, foot pedals method：Patient lies supine, patient are located at Ipsilateral, and both hands hold suffering limb wrist, and heel is placed in Ipsilateral armpit, and two hands are used
Stablize lasting strength traction, heel pushes out the crowded head of humerus in traction, rotates simultaneously, and medial adduction of the upper arm can reset.During reset
Sound can be heard.Second, this method of Coriolis method it is of flaccid muscles it is lower easily succeeded, be sure not to overexert, prevent humerus neck by
Fractured to excessive twisting resistance.Gimmick step：Proficiency wrist-hold portion, elbow is bent to 90 degree, the bicipital muscle of arm is relaxed, the other hand
Hold ancon, continuous traction, slight abduction, gradually by external rotation of upper arm, then interior receipts make ancon along the nearly center line of the wall of the chest, then interior screw on
Arm, it can now reset.And sound can be heard.Third, traction manipulation, the wounded lie on the back, and an assistant entangles thorax to strong with cloth list
Side pulls, and the second assistant entangles the outside top of suffering limb with cloth single pass-through oxter and pulled, and the 3rd assistant holds suffering limb wrist and led downwards
Draw and outer medial rotation is received, three aspects while slowly continuous traction.Patient, which is pushed out the head of humerus in oxter with hand to return, receives reset.Two
People can also do traction reduction.Shoulder recovers to touch again not under the plentiful normal appearance in blunt garden, armpit, processus coracoideus or under clavicle after reset
To the head of humerus of dislocation, experiment of helping to shoulder heavy thing is changed into negative, and x-ray checks the head of humerus on normal position.Such as merge greater tubercles of humerus to tear
De- fracture, there is periosteum to be connected because between bone fragment and humeral shaft more, as a rule, the big knot of avulsion after dislocation of shoulder resets
Section osteocomma also resets therewith.Conventional reset method shortcoming is：Manipulative reduction operator because in distraction procedure physical demands it is big, lead
Gravitation is gradually reduced, and non-constant or tractive force can not resist patient's muscular strength, and it is high to reset mortality.
Utility model content
The purpose of this utility model is, there is provided a kind of simple in construction, easy to operate, safe and reliable, using effect
Good dislocation of shoulder reduction by continuous traction device, and with solve conventional reset because in distraction procedure physical demands it is big, tractive force by
Gradually decline, and non-constant or tractive force can not resist patient's muscular strength, the problem of mortality is high be resetted, so as to overcome prior art
Deficiency.
What the technical solution of the utility model was realized in：
A kind of dislocation of shoulder reduction by continuous traction device of the present utility model, including determine support arm and dynamic support arm；Determine support arm and
Dynamic support arm is tubular structure, and dynamic support arm insertion is determined to be slidably connected in the pore of support arm；Determine the support arm other end to support provided with armpit,
The dynamic support arm other end is provided with wrist traction fixing band, and rocking handle chute is provided with along arm length direction is determined；Determine support arm and dynamic support arm
Junction is provided with transmission device and locking device.
In foregoing dislocation of shoulder reduction by continuous traction device, the transmission device includes the power transmission shaft through dynamic support arm, passes
End shaft is rotatablely connected with dynamic support arm, and power transmission shaft is provided with gear；Gear is with being arranged on the rack determined on support arm pore inwall
Drive connection, rack are connected with the rack slide on dynamic support arm；Power transmission shaft one end is provided with rocking handle.
In foregoing dislocation of shoulder reduction by continuous traction device, the locking device includes the ratchet being arranged on power transmission shaft,
Ratchet is provided between ratchet on ratchet, ratchet is hinged through pawl axis and pawl base, and pawl base is fixedly connected with dynamic support arm, ratchet
Axle is provided with torsion spring.
By adopting the above-described technical solution, the utility model is compared with prior art, shoulder joint of the present utility model takes off
The position alternative manpower of reduction by continuous traction device carries out traction reduction to dislocation of shoulder patient, and the work for significantly reducing doctor is strong
Degree.Therefore, compared with prior art, the utility model not only has simple in construction, easy to operate, safe to use the utility model
Reliably, the advantages of using effect is good, but also be gradually increased, patient muscle's convergent force can be resisted completely with tractive force is sustainable
The advantages of, in addition, the utility model can keep constant tractive force after also having reset, reset success rate height, patient's pain can be mitigated
The advantages that bitter.Being used through experiment proves, using economical, societal benefits caused by the utility model clearly.
Brief description of the drawings
Fig. 1 is structural representation of the present utility model；
Fig. 2 is the structural representation for determining support arm；
Fig. 3 is the structural representation of support arm.
In figure mark for：1- determine support arm, 2- move support arm, 3- armpits support, 4- wrists traction fixing band, 5- rocking handles chute,
6- transmission devices, 7- locking devices, 8- power transmission shafts, 9- gears, 10- racks, 11- rocking handles, 12- ratchets, 13- ratchets, 14- ratchets
Axle, 15- pawl bases, 16- torsion springs, 17- rack chutes.
Embodiment
The utility model is described in further detail with reference to the accompanying drawings and examples, but not as new to this practicality
Any restrictions of type.
A kind of dislocation of shoulder reduction by continuous traction device of the present utility model, as Figure 1-3：Including determining support arm 1 and moving
Support arm 2；It is tubular structure to determine support arm 1 and dynamic support arm 2, and the dynamic insertion of support arm 2 is determined to be slidably connected in the pore of support arm 1；Determine support arm 1
The other end is provided with armpit support 3, moves support arm 2 other end and is provided with wrist traction fixing band 4, along determining the length direction of support arm 1 and be provided with to shake
Handle chute 5；The junction for determining support arm 1 and dynamic support arm 2 is provided with transmission device 6 and locking device 7；Transmission device 6 is included through dynamic
The power transmission shaft 8 of support arm 2, the both ends of power transmission shaft 8 are rotatablely connected with dynamic support arm 2, and power transmission shaft 8 is provided with gear 9；Gear 9 is with being arranged on
The rack 10 determined on the pore inwall of support arm 1 is connected, and rack 10 is slidably connected with the rack chute 17 on dynamic support arm 2；Transmission
The one end of axle 8 is provided with rocking handle 11；Locking device 7 includes the ratchet 12 being arranged on power transmission shaft 8, is provided between the ratchet on ratchet 12
Ratchet 13, ratchet 13 is be hinged through pawl axis 14 and pawl base 15, and pawl base 15 is fixedly connected with dynamic support arm 2, is set on pawl axis 14
There is torsion spring 16.
A kind of application method for above-mentioned dislocation of shoulder reduction by continuous traction device is to continue using dislocation of shoulder
When traction restorer carries out shoulder joint reset, make patient lies supine, patient is located at patient side, the dislocation of shoulder is persistently led
Draw restorer according to limbs of patient length adjustment to suitable initial length, and after being added the cushions at the armpit of patient, by armpit
Apex of axillary is close in support 3, and wrist traction fixing band 4 is fixed into suffering limb wrist, slowly rotates forward rocking handle 11, makes branch
Arm 2 slowly outwards skids off, and resets and terminates when hearing and resetting sound, dislocation of shoulder reduction by continuous traction is slowly withdrawn from after reset
Device.
Embodiment
As Figure 1-3, including what is be kept essentially stationary in distraction procedure determine support arm 1 to this example, and it is rectangular tube to determine support arm 1
Shape.Determine to be inserted with dynamic support arm 2 in the pore of support arm 1, move support arm 2 and rectangular tubular, but the outer cross section size of dynamic support arm 2 is with determining branch
The sectional dimension of the pore of arm 1 is corresponding, and dynamic support arm 2 can slide freely after inserting in the pore for determining support arm 1.Determine support arm 1 and dynamic support arm 2
Made using rectangle stainless steel tube.Semi-circular structure, institute can be used provided with armpit support 3, armpit support 3 by determining the other end of support arm 1
There are corner angle to change into fillet, outside can wrap up sponge material, prevent from that patient is pressed against into pain during traction, to mitigate the pain of patient.It is dynamic
The other end of support arm 2 is provided with wrist traction fixing band 4, and wrist traction fixing band 4 can use flexible-belt, and flexible-belt is taken provided with nylon
Button, the wrist for pinioning patient are drawn downwards.Transmission device 6, such as Fig. 2 institutes of transmission device 6 are provided with the other end for determining support arm 1
Show, including gear 9, gear 9 is fixed on by power transmission shaft 8 to be determined on support arm 1, and the one end of power transmission shaft 8 is connected with rocking handle 11, passes through rocking handle
11 can drive power transmission shaft 8 and gear 9 to rotate together.Rack 10 is provided with the pore of dynamic support arm 2, gear 9 engages with rack 10,
When rocking handle 11 rotates with moving gear 9, gear 9 moves linearly with carry-over bar 10, because rack 10 is integrally fixed on dynamic support arm 2
, so when forward direction shakes rocking handle 11, it is protruding from the pore for determining support arm 1 to move support arm 2.Make support arm 2 and determine support arm 1
Total length elongation.Armpit due to determining the one end of support arm 1 supports 3 to withstand at patient's armpit, and the wrist of dynamic one end of support arm 2
Traction fixing band 4 is tied up at patients wrist, therefore the wrist that dynamic support arm 2 can haul patient is drawn downwards, reaches traction
Purpose.
In order to prevent that support arm 2 is moved in distraction procedure is provided with locking device 7 to the contract of support arm 1, this example is determined.Locking device 7
As shown in Fig. 2 including the ratchet 12 being fixed on power transmission shaft 8 and withstanding on the ratchet 13 on ratchet 12 between ratchet, ratchet 13 passes through
Torsion spring 16 is connected with pawl axis 14, ratchet 13 is close to Ratchet slide all the time, it is ensured that ratchet 12 can only be just in distraction procedure
To rotation, it is impossible to reversely rotate, that is to say, that dynamic support arm 2 can only can not bounce back from determining protruding in support arm 1.Ratchet 13 can
To be directly connected by pawl axis 14 with determining support arm 1, can also be fixedly connected by pawl base 15 with determining the pore inwall of support arm 1.
In order to ensure dynamic support arm 2 can determined in support arm 1 slidably, the cunning for avoiding power transmission shaft 8 to be provided with dynamic support arm 2
Groove 5 and the ratchet seat slot 17 for avoiding pawl base 15.
Resetting means should be also provided with this example, at the end of traction, ratchet 13 is released to ratchet by resetting means
12 reversion limitation, can make support arm 2 retract and determine in support arm 1.
The device reset stability of this example is reliable, and one can complete to operate, time saving, laborsaving.Mitigate medical work significantly
Person's labor intensity, mitigate patient because of the pain resetted repeatedly.With simple in construction, cost is cheap, basic hospital, outpatient service and rescue
Room is adapted to promote by it, is easy to store after use, has significant social benefit.
Clinical practice example of the present utility model
During clinical practice, patient lies supine, patient is located at patient side, and device of the present utility model is grown according to limbs of patient
Degree is adjusted to suitable initial length, selects appropriate anesthesia（Brachial plexus anesthesial or general anesthesia）, make of flaccid muscles and make to reset at painless
Lower progress.Apex of axillary is close in armpit support after being added the cushions at armpit, and wrist traction fixing band is fixed into suffering limb wrist
Portion, rocking handle is slowly rotated forward, support arm is slowly outwards skidded off, resetted and terminate when hearing and resetting sound, after reset slowly
The present apparatus is withdrawn from, suffering limb is held receipts pronated position, armpit puts cotton pad, then with triangle bandage, bandage or plaster fixing are in chest
Before.Start gradually to make shoulder swing and rotary moveable after three weeks, but to prevent hyper-abduction, outward turning, to prevent dislocating again.Backward dislocation
Opposite position is then fixed on after reset（I.e. abduction, outward turning and after stretch drawing）.
Claims (3)
- A kind of 1. dislocation of shoulder reduction by continuous traction device, it is characterised in that：Including determining support arm（1）With dynamic support arm（2）；Determine support arm （1）With dynamic support arm（2）It is tubular structure, moves support arm（2）Support arm is determined in insertion（1）Pore in be slidably connected；Determine support arm（1）Separately One end supports provided with armpit（3）, move support arm（2）The other end is provided with wrist traction fixing band（4）, along determining support arm（1）Length direction Provided with rocking handle chute（5）；Determine support arm（1）With dynamic support arm（2）Junction be provided with transmission device（6）And locking device（7）.
- 2. dislocation of shoulder reduction by continuous traction device according to claim 1, it is characterised in that：The transmission device（6）Bag Include through dynamic support arm（2）Power transmission shaft（8）, power transmission shaft（8）Both ends and dynamic support arm（2）Rotation connection, power transmission shaft（8）It is provided with tooth Wheel（9）；Gear（9）With installed in determining support arm（1）Rack on pore inwall（10）Drive connection, rack（10）With dynamic support arm （2）On rack chute（17）It is slidably connected；Power transmission shaft（8）One end is provided with rocking handle（11）.
- 3. dislocation of shoulder reduction by continuous traction device according to claim 1, it is characterised in that：The locking device（7）Bag Include and be arranged on power transmission shaft（8）On ratchet（12）, ratchet（12）On ratchet between be provided with ratchet（13）, ratchet（13）Through ratchet Axle（14）With pawl base（15）It is be hinged, pawl base（15）With dynamic support arm（2）It is fixedly connected, pawl axis（14）It is provided with torsion spring （16）.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720045621.0U CN207136938U (en) | 2017-01-13 | 2017-01-13 | A kind of dislocation of shoulder reduction by continuous traction device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201720045621.0U CN207136938U (en) | 2017-01-13 | 2017-01-13 | A kind of dislocation of shoulder reduction by continuous traction device |
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| Publication Number | Publication Date |
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| CN207136938U true CN207136938U (en) | 2018-03-27 |
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| CN201720045621.0U Active CN207136938U (en) | 2017-01-13 | 2017-01-13 | A kind of dislocation of shoulder reduction by continuous traction device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106667642A (en) * | 2017-01-13 | 2017-05-17 | 遵义医学院附属医院 | Shoulder dislocation continuous traction reposition apparatus and utilization method thereof |
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2017
- 2017-01-13 CN CN201720045621.0U patent/CN207136938U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106667642A (en) * | 2017-01-13 | 2017-05-17 | 遵义医学院附属医院 | Shoulder dislocation continuous traction reposition apparatus and utilization method thereof |
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