Diagnosis Dislokasi Bahu

Oleh :

Alexandra Francesca Chandra

Diagnosis dislokasi bahu dapat dilakukan dengan penunjang pencitraan baik dengan rontgen, CT scan, maupun MRI untuk mengevaluasi adanya fraktur serta menilai keterlibatan jaringan lunak sekitar.[4,5]

Anamnesis

Pasien dislokasi bahu umumnya merasakan sensasi pergerakan sendi atau popping sensation, nyeri pada bahu, keterbatasan gerakan lengan, dan kesemutan atau baal pada lengan. Pada anamnesis perlu ditanyakan mekanisme trauma yang terjadi, serta faktor risiko yang dimiliki pasien, misalnya aktivitas fisik atau riwayat dislokasi bahu sebelumnya.

Referensi

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9. Olds M, Ellis R, Donaldson K, et al. Risk factors which predispose first-time traumatic anterior shoulder dislocations to recurrent instability in adults: a systematic review and meta-analysis. British Journal of Sports Medicine, 2015. 49(14): 913–922. doi:10.1136/bjsports-2014-094342
10. Yang NP, Chen HC, Phan DV, et al. Epidemiological survey of orthopedic joint dislocations based on nationwide insurance data in Taiwan, 2000-2005. BMC Musculoskeletal Disorders, 2011. 12(1). doi:10.1186/1471-2474-12-253
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12. Hohmann E, Tetsworth K, Glatt V. Open versus arthroscopic surgical treatment for anterior shoulder dislocation: a comparative systematic review and meta-analysis over the past 20 years. J Shoulder Elbow Surg. 2017; 10: 1873-80. https://www.ncbi.nlm.nih.gov/pubmed/28688936.
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14. Polyzois I, Dattani R, Gupta R, Levy O, Narvani AA. Traumatic first time shoulder dislocation: surgery vs non-operative treatment. Arch Bone Jt Surg. 2016; 4(2): 104-8. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4852033/.
15. Wasserstein DN, Sheth U, Colbenson K, et al. The True Recurrence Rate and Factors Predicting Recurrent Instability After Nonsurgical Management of Traumatic Primary Anterior Shoulder Dislocation: A Systematic Review. Arthroscopy: The Journal of Arthroscopic & Related Surgery, 2016. 32(12): 2616–2625. doi:10.1016/j.arthro.2016.05.039
16. Shah A, Judge A, Delmestri A, Edwards K, Arden NK, Prieto-Alhambra D, Holt TA, Pinedo-Villanueva RA, Hopewell S, Lamb SE, Rangan A, Carr AJ, Collins GS, Rees JL. Incidence of shoulder dislocations in the UK, 1995-2015: a population-based cohort study. BMJ Open. 2017 Nov 14;7(11):e016112. doi: 10.1136/bmjopen-2017-016112. PMID: 29138197; PMCID: PMC5695490.
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