Doctor of Healing

Chapter 321 Looks Like a Clown

After explaining for a few minutes, Zhao Tianjiao was sweating from exhaustion.

He was a little guilty, because in Zhao Tianjiao's view, the operation just now had no possibility of failure.

However, the patient screamed after the reset, 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 reset failure.

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

Zhao Tianjiao asked the patient to lie on his back after explaining, and he stood on the affected side of the patient.

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

Pull your upper arms in, exerting a slight force.At the same time, Zhao Tianjiao pricked up his ears and listened carefully.

The reset sound of "click ~" did not appear, but the wailing sound of the patient was still heard.

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

Dare not to continue, Zhao Tianjiao's family background, and after a period of clinical baptism, he knows that no matter what the clinical operation is, it must be standardized. damage.

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

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

It was really embarrassing now, and he was helpless.

It's really weird, the problem that is usually solved with a click, can't be turned over and over again.

Zhao Tianjiao's face was a little red, but he did not persist or be stubborn, but lowered his head to make up for himself, "There must be other problems, I will go to Mr. Xu."

After finishing speaking, 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 carefully looked at the patient's condition.

It's not about Zhao Tianjiao's skill level or technique, but because he saw a ghost after walking too much at night, and encountered a rare situation.

Jixiang held his breath and entered the operating room of the system.

Ten seconds later, Xu Leyu frowned and walked back with Zhao Tianjiao.

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

"I tried both the pull-down method and the foot push-up method, but it didn't work." Zhao Tianjiao said.

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

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

Because his right arm couldn't move, his body moved to the inside, as if a little girl met an old hooligan with a frightened expression on her face.

Mr. Xu can't laugh or cry, but he understands what happened to patients who failed to reset twice in a row.Not only is he handsome, but he is also very empathetic.

"Let me take a look, don't hide." Xu Leyu said gently.

The patient is relieved, although he is still very scared, but the problem must be solved.

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

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

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

He is handsome and soft-spoken, and the patient is a little more stable.But the thought of doing it like just now made me shiver.

"Mr. Xu."

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

"Well, what's the matter, Doctor Xiaoji?" Xu Leyu asked.

"When you asked about the medical history just now, I heard that the patient was like this."

Xu Leyu was startled, and turned to look at Ji Xiang, who opened his arms and made a falling posture.

"..."

Mr. Xu was stunned and sighed inwardly.

"What are you doing, acting? Do you know that you look like a clown?" Zhao Tianjiao was upset, and his words were very aggressive, very unpleasant.

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

"Is that so?"

"Seems to be."

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

I did ask about the medical history, but no matter whether my question or the patient's answer, the point is not here.

Does it matter how you fell?
unimportant!
The focus is on the result of the patient's fall - a shoulder dislocation.

Why did Jixiang learn so vividly?
Xu Leyu had a delicate mind, pondered carefully, and suddenly thought of a point - Ji Xiang just stretched out his arms to the extreme, so that he looked a little weird.

The shoulder joint is a ball-and-socket joint composed of the humeral head and the glenoid of the scapula. The glenoid is small and shallow, and the joint capsule is thin and loose. Extension, Abduction, Rotation and Circulation.

These anatomical characteristics also determine that the shoulder joint is the joint most likely to be dislocated (followed by the elbow joint). The incidence of shoulder joint dislocation accounts for 50% of the total joint dislocation, which is three times that of the elbow joint dislocation.

brush!
Countless images appeared in Mr. Xu's mind.

There is a relatively rare condition in shoulder dislocation-posterior dislocation.

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

An animation frame by frame flashed in Mr. Xu's mind. The humeral head was completely protruded and locked under the glenoid fossa.

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

No wonder it looks so familiar. When I was in school, the teacher talked about shoulder dislocation and did similar movements!
"Doctor Xiaoji... just wait a moment." Xu Leyu explained to the patient, and hurriedly dragged Ji Xiang out of the treatment room.

Zhao Tianjiao was taken aback, Ji Xiang seemed to be making a fool of himself, why did Mr. Xu drag him out?

Feeling a little puzzled, Zhao Tianjiao followed him out.

"Dr. Xiaoji, do you mean that the patient may have a vertical dislocation among the rare posterior dislocations?"

"It's possible." Ji Xiang didn't give Mr. Xu an affirmative answer, "I saw that the reset failed twice. I don't think it's a problem with the technique, but it may be the cause of the patient's own illness."

Although Ji Xiang didn't speak ill of him behind his back, and even helped him to 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 sarcasm.

"It's possible." Xu Leyu didn't have as many emotions as Zhao Tianjiao, he pondered, and then said, "Do an MRI!"

"Mr. Xu, nuclear magnetic resonance is not convenient at night." Zhao Tianjiao reminded.

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

Jixiang's posture just now has given enough reminders, but because it is too rare, an MRI must be done to confirm.

As for the MRI side, orthopedic patients do a lot. As the chief resident, he is very familiar with the doctors in the MRI room.

Xu Leyu hurried back, and looked back at Ji Xiang the moment he entered the door.

(End of this chapter)