After explaining for a few minutes, Zhao Tianjiao was exhausted and sweating.

He felt a little guilty because in Zhao Tianjiao's opinion, the operation just now was completely unsuccessful.

However, after the reduction, the patient screamed and the shoulder dislocation was not cured, but instead brought greater pain to the patient.

After thinking about it, Zhao Tianjiao explained the failure of reset.

He believes that the patient is too strong, his muscles are tense and his arms are not strong enough in the case of spasm, and he must rely on the strength of his legs.

After Zhao Tianjiao finished explaining, he let the patient lie on his back and stood on the affected side of the patient.

Hold the wrist of the affected limb with both hands, raise the foot, and press the heel against the affected armpit. Then Zhao Tianjiao pulled both hands with stable and continuous force, pulling the mid-heel outward to push the humeral head and rotate it at the same time.

He put his upper arm inward and exerted a little force. At the same time, Zhao Tianjiao pricked up his ears and listened carefully.

The reset sound of "Scratch~" did not appear, and the patient's wailing sound was still heard.

I'll go... Zhao Tianjiao was stunned. He didn't know what was going on and was panicked.

I dare not continue to do it anymore. Zhao Tianjiao's family has a lot of knowledge. After a period of clinical baptism, he is very clear that no matter what kind of operation is used in clinical practice, he must not be too arrogant if he doesn't understand it, otherwise it will definitely lead to serious side effects.

damage.

It’s better not to do it after doing it. Zhao Tianjiao is also worried that such an embarrassing thing will happen.

After letting go of the patient's hand, Zhao Tianjiao found that the shoulder joint was still not reduced.

It was really embarrassing now, and he was helpless.

It's so weird. The problem that you usually solves with a stuttering sound cannot be done.

Zhao Tianjiao's face was a little flushed, but he did not persist and was stubborn. Instead, he lowered his head and asked for a supplement to himself, "There must be other problems, I'll go find Mr. Xu."

After saying that, he hurriedly ran out to Xu Leyu to see what was going on.

"It's not as powerful as I thought." Lu Kai whispered in Ji Xiang's ear.

Ji Xiang didn't say anything, but looked at the patient's condition carefully.

It’s not because of Zhao Tianjiao’s level or technique, but because he walks too much at night, he sees ghosts and encounters rare situations.

Ji Xiang held his breath and entered the system operating room.

More than ten seconds later, Xu Leyu frowned and walked back with Zhao Tianjiao.

"What's going on?" Xu Leyu asked.

"I have tried both the pull-down method and the foot-punch method, it's useless." Zhao Tianjiao said.

"Is that right?" Xu Leyu raised the patient's arm.

But the patient subconsciously retracted his arm like a conditioned reflex.

Because his right arm could not move, his body moved inside, as if a little girl had met an old hooligan, looking horrified.

Mr. Xu was amused and crying, but he understood what the patient had experienced when he failed to reset twice in a row. He was not only handsome, but also had strong empathy.

"I'll take a look, don't hide." Xu Leyu said gently.

The patient has recovered from the sensation and is still very scared, but he always has to solve the problem.

He tried hard to suppress his fear and let Mr. Xu check his affected limbs.

After checking, Xu Leyu also felt a little strange, it shouldn't be. But he thought that Zhao Tianjiao's technique was wrong, so he prepared to give it a try on his own.

"Lying down." Xu Leyu said to the patient with a smile.

He is pretty and gentle, and the patient is slightly calmer. However, when he thinks of being like he did just now, he can't help but tremble.

"Mr. Xu."

Just when Xu Leyu was about to take off his shoes, Ji Xiang suddenly shouted softly in his ear.

"Well, what's wrong with Dr. Xiaoji." Xu Leyu asked.

"When you asked about your medical history just now, I heard that I felt like this is the case with the patient."

Xu Leyu was stunned, turned to look at Ji Xiang, and saw Ji Xiang spread his arms and making a fall.

“…”

Mr. Xu was stunned and sighed in his heart.

"What are you doing? Acting? Do you know that you look like a clown?" Zhao Tianjiao was not happy and spoke very aggressively, which was particularly unpleasant.

However, Ji Xiang ignored Zhao Tianjiao and looked at the patient after doing the move just now.

"Is that like this?"

"It seems."

Xu Leyu felt helpless and funny. He was about to drive Ji Xiang out, but he immediately found something was wrong.

I did ask about my medical history, but regardless of my inquiry or the patient's answer, the key point is not here.

Is it important to fall?

unimportant!

The key point is the result of the patient's fall - shoulder dislocation.

Why did Ji Xiang learn it vividly?

Xu Leyu was meticulous and thought about it carefully, and suddenly thought of a point - Ji Xiang's arm had just spread to the extreme, so he looked a little strange.

The shoulder joint is a ball joint composed of the glenoid of the humeral head and scapula. The glenoid is small and shallow, and the joint capsule is thin and loose. It is the joint with the widest range of movement. It can actively perform abduction, adduction, forward flexion, and posterior

Extension, abduction, rotation and rotation movement.

These anatomical characteristics also determine that the shoulder joint is the most likely joint to be dislocated (secondly more common in the elbow joint). The incidence of shoulder joint dislocation accounts for 50% of the systemic joint dislocation, which is three times the incidence of elbow joint dislocation.

brush!

Countless pictures appeared in Mr. Xu's mind.

There is a relatively rare case of shoulder dislocation - posterior dislocation.

Then there is an extremely rare case of dislocation, vertical dislocation.

Animation flashed through Mr. Xu's mind. After the humeral head was completely released, it was locked under the glenoid fossa. The upper arm was raised and unable to be retracted and moved.

To form a similar dislocation, extreme abduction of the upper arm is required, just like Ji Xiang’s movement just now.

No wonder I look so familiar. When I was in school, the teacher also did similar movements when he talked about shoulder dislocation!

"Doctor Xiaoji... wait a moment." Xu Leyu explained to the patient and hurriedly pulled Ji Xiang out of the treatment room.

Zhao Tianjiao was stunned. Ji Xiang seemed to be acting ugly, but why did Mr. Xu pull him out?

Somewhat confused in my heart, Zhao Tianjiao followed him out.

"Doctor Xiaoji, do you mean that patients may be very rare in posterior dislocations?"

"It's possible." Ji Xiang did not give Mr. Xu a positive answer, "I think the reset failed twice. I feel it is not a problem with the technique, but it may be the cause of the patient's own condition."

Although Ji Xiang did not say bad things behind his back and helped him excuse him, saying that it was the cause of the patient's condition, Zhao Tianjiao felt that Ji Xiang's words were full of sarcasm.

"It's possible." Xu Leyu was not as emotional as Zhao Tianjiao. He pondered and then said, "Do a MRI look!"

"Mr. Xu, it's not convenient to be magnetic at night." Zhao Tianjiao reminded.

"It's okay, I'll take it there and watch the movies directly on the machine." Xu Leyu said.

The posture that Ji Xiang just showed has given enough reminders, but because it is too rare, it is necessary to do a nuclear magnetic resonance to confirm it.

As for the side of the MRI, orthopedic patients do a lot. As the hospitalization officer, he is very familiar with the doctor in the MRI.

Xu Leyu hurried back and looked back at Ji Xiang the moment he entered the door.
Chapter completed!