After explaining for a few minutes, Zhao Tianjiao was tired and sweaty.

He was a little weak-hearted, because the operation just now had no possibility of failure in Zhao Tianjiao's opinion.

However, after reduction, the patient screamed and the shoulder dislocation did not heal, but brought more pain to the patient.

After thinking about it, Zhao Tianjiao had an explanation for the failure of the reset.

He thinks that the patient is too strong, and the strength of his arm is not enough in the case of muscle tension and spasm, and he must rely on the strength of his legs.

After Zhao Tianjiao finished explaining, he asked the patient to lie on his back, and he stood on the patient's affected side.

Hold the wrist of the affected limb with both hands, lift the foot, and put the heel against the armpit of the affected side, and then Zhao Tianjiao pulls with steady and continuous force with both hands, and pushes the humeral head outward with the middle heel of the traction, and rotates at the same time.

Adduct the upper arm and apply slight pressure. At the same time, Zhao Tianjiao pricked up his ears and listened carefully.

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

I'll go...... Zhao Tianjiao was stunned, he didn't know what was going on at all, and he panicked.

Don't dare to get it any further, Zhao Tianjiao's family history, plus after a period of clinical baptism, he knows very well that no matter what operation is clinical, it must be standard, once you don't understand it, you must not overlord the bow, otherwise it will definitely lead to serious secondary injury.

It's better not to do it, this kind of embarrassing thing Zhao Tianjiao is also worried about happening.

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

It's really embarrassing now, and he can't do anything about it.

It's really weird, the problem that usually solves it with a click, no matter how you turn it over and over.

Zhao Tianjiao's face was a little red, but he didn't insist or be stubborn, but lowered his head to make up for himself, "There must be other problems, I'll go find Mr. Xu." ”

After saying that, he hurriedly ran out to find 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 speak, but looked at the patient's situation carefully.

It's not a matter of Zhao Tianjiao's level and technique, but that he has seen ghosts after walking too much at night, and he has encountered rare situations.

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

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

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

"I've tried both the pulldown and the pedal, but it didn't work." Zhao Tianjiao said.

"Really?" Xu Leyu lifted the patient's arm.

But the patient subconsciously retracted his arm as if reflexed.

Because his right arm could not be moved, his body moved inward, as if a little girl had met an old rascal, with a frightened face.

Mr. Xu couldn't cry or laugh, but he understood what the patient experienced after two consecutive failed reductions. He is not only handsome, but also very empathetic.

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

The patient is relieved, and although he is still scared, he must solve the problem.

He tried to suppress his fear and asked Mr. Xu to examine the affected limb.

After checking it, Xu Leyu also felt a little strange, it shouldn't be. But he thought that Zhao Tianjiao's method was wrong, and he was ready to give it a try himself.

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

He was handsome, soft-spoken, and the patient was slightly more settled. But the thought of being like that just now makes me shudder.

"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 Doctor Koji." Xu Leyu asked.

"When you asked about your medical history just now, I heard that the patient was not like this."

Xu Leyu was stunned, turned his head to look at Ji Xiang, and saw Ji Xiang open his arms and make a falling pose.

“……”

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's mood was not smooth, and his speech was particularly impulsive, which was particularly ugly.

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

"Is that so?"

"Seems to be."

Xu Leyu felt helpless and funny, and was about to kick Ji Xiang out, but he immediately noticed that something was wrong.

I did ask about the medical history, but whether it was my own inquiry or the patient's answer, the point was not here.

Does it matter how you fall?

Unimportant!

The focus is on the outcome of the patient's fall – a dislocation of the shoulder joint.

Why did Ji Xiang learn so vividly?

Xu Leyu was delicate and pondered carefully, and suddenly thought of a point - Ji Xiang's arm had just been abducted to the extreme, so that it looked a little strange.

The shoulder joint is a ball-and-socket joint composed of the glenoid of the humeral head and scapula, the glenoid is small and shallow, the joint capsule is thin and relaxed, and it is the joint with the widest range of motion, which can actively do abduction, adduction, forward flexion, extension, abduction, rotation and circumferential movements.

These anatomical features also determine that the shoulder joint is the most susceptible to dislocation (followed by the elbow joint), and the incidence of shoulder dislocation accounts for 50% of systemic joint dislocations, which is 3 times the incidence of elbow dislocations.

Brush!

Countless images appeared in Mr. Xu's mind.

There is a relatively rare condition of shoulder dislocation – posterior dislocation.

There is also an extremely rare condition of posterior dislocation, vertical dislocation.

Animation flashed in Mr. Xu's mind, and the humeral head was completely out and locked under the glenoid fossa, and the upper arm was raised, unable to adduct movement.

To form a similar dislocation, the upper arm needs to be extremely abducted, just like Ji Xiang's action just now.

No wonder it looks so familiar, when the teacher talked about shoulder dislocation when he was in school, he did a similar action!

"Dr. Koji...... Wait a minute. Xu Leyu explained to the patient, and hurriedly pulled Ji Xiang out of the disposal room.

Zhao Tianjiao was stunned, obviously Jixiang seemed to be a fool, why did Mr. Xu pull him out?

With some doubts in his heart, Zhao Tianjiao followed out.

"Dr. Koji, do you mean that the patient may be a vertical dislocation in a posterior dislocation that is rare?"

"Possibly." Ji Xiang didn't give Mr. Xu a positive answer, "I see that the reduction failed twice, and I don't think it's a problem of technique, it may be the cause of the patient's own condition." ”

Although Ji Xiang didn't say bad things behind his back, he also helped himself excuse himself, saying that it was the cause of the patient's condition, but Zhao Tianjiao felt that Ji Xiang's words were full of ridicule.

"Possibly." Xu Leyu didn't have as many emotions as Zhao Tianjiao, he groaned, and then said, "Do an MRI and take a look!" ”

"Mr. Xu, it's not convenient for MRI at night." Zhao Tianjiao reminded.

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

The posture shown by Ji Xiang just now has given enough reminders, but because it is too rare, it is necessary to do an MRI to confirm it.

As for the MRI side, orthopedic patients do a lot, and as the general inpatient, he is very familiar with the doctors in the MRI room.

Xu Leyu hurriedly walked back, and glanced back at Ji Xiang the moment he entered the door.