Chapter 322: Like a Clown (League Leader Xiao 515 Bonus Chapter x3)

After explaining for several minutes, Zhao Tianjiao was sweating from his forehead.

He felt a bit insecure, because in Zhao Tianjiao's view, there was absolutely no possibility of failure in the maneuver just now.

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

After thinking for a moment, Zhao Tianjiao had an explanation for the failed reduction.

He believed the patient was too muscular, and with the muscle tension and spasms, his own arm strength was insufficient and he had to rely on leg strength.

After finishing his explanation, Zhao Tianjiao had the patient lie on his back, and he stood on the patient's affected side.

He grasped the wrist of the affected limb with both hands, lifted his foot, and placed his heel against the patient's affected axilla; then, Zhao Tianjiao applied steady, continuous traction with both hands, and during the traction, he pushed the humeral head outward with his heel while simultaneously rotating it.

He adducted the upper arm, applying slight force. At the same time, Zhao Tianjiao pricked up his ears, listening carefully.

The "click" sound of reduction did not appear; what came instead was still the patient's wailing.

Damn it... Zhao Tianjiao froze; he had no idea what was going on and felt panicked inside.

Not daring to continue, Zhao Tianjiao, with his family background and after a period of clinical baptism, knew very well that no matter the procedure, clinical work must be standard; once you don't understand it, you must absolutely not force it, otherwise, it would certainly lead to serious secondary injury.

Doing it was worse than not doing it; Zhao Tianjiao was also worried about such an embarrassing thing happening.

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

This was truly embarrassing now; he was at his wit's end.

It's damn weird; a problem that usually gets solved with a single click, why is it that no matter how many times I try, it doesn't work?

Zhao Tianjiao's face was a bit red, but he didn't persist or act stubbornly; instead, he lowered his head and made an excuse for himself, "There must be other problems; I'll go find General Manager Xu."

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

"It's not as impressive as one would think," Lu Kai whispered in Ji Xiang's ear.

Ji Xiang didn't speak, but instead carefully observed the patient's condition.

It wasn't a problem with Zhao Tianjiao's level or technique, but rather that he had walked the night path too often and met a ghost—he had encountered a rare situation.

Ji Xiang held his breath and focused, entering the System Operating Room.

A dozen seconds later, Xu Leyu walked back, frowning, with Zhao Tianjiao.

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

"I tried both the Downward Traction Method and the Foot-Pedal Method, but it was useless," Zhao Tianjiao said.

"Is that so?" Xu Leyu lifted the patient's arm.

But the patient, as if by a conditioned reflex, subconsciously pulled his arm back.

Because his right arm could not move, his body shifted inward, looking like a little girl who had encountered an old pervert, with a face full of terror.

General Manager Xu was caught between laughter and tears, but he understood what the patient had experienced after two consecutive failed reductions. He was not only handsome, but also had strong empathy.

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

The patient regained his composure; although he was still very afraid, the problem had to be solved after all.

He tried hard to suppress his fear and let the General Manager examine the affected limb.

After examining it, Xu Leyu also felt it was a bit strange; it shouldn't be like this. But he thought Zhao Tianjiao's technique was wrong and prepared to try it himself.

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

He was delicate in appearance and gentle in speech, so the patient calmed down slightly. However, at the thought of what had just happened, he couldn't help but shiver.

"General Manager Xu."

Just as Xu Leyu was about to take off his shoes, Ji Xiang suddenly called out softly in his ear.

"Hmm, what is it, Doctor Xiao Ji?" Xu Leyu asked.

"Just now when you were asking about the medical history, I heard it and wondered if the patient was like this."

Xu Leyu was startled and turned his head to look at Ji Xiang, seeing Ji Xiang spread his arms and perform a falling posture.

"..."

The General Manager froze and sighed inwardly.

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

However, Ji Xiang ignored Zhao Tianjiao and, after performing the previous action, looked at the patient.

"Is it like this?"

"It seems so."

Xu Leyu felt helpless and amused; he was just about to shoo Ji Xiang away, but he immediately realized something was wrong.

He had indeed asked about the medical history, but regardless of his questioning or the patient's answers, the point wasn't there.

Was how he fell important?

It wasn't important!

The point was the result after the patient fell—a shoulder dislocation.

Then why did Ji Xiang imitate it so vividly?

Xu Leyu was meticulous and pondered carefully, suddenly thinking of a point—Ji Xiang had just abducted his arm to the Extreme Point, to the extent that it looked a bit strange.

The shoulder joint is a ball-and-socket joint composed of the humeral head and the glenoid cavity of the scapula; the glenoid cavity is small and shallow, and the joint capsule is thin and loose, making it the joint with the widest range of motion, capable of actively performing abduction, adduction, forward flexion, backward extension, abduction, rotation, and circumduction.

These anatomical characteristics also determine that the shoulder joint is the most easily dislocated joint (followed by the elbow joint); the incidence of shoulder dislocation accounts for 50% of all joint dislocations, which is 3 times the incidence of elbow dislocation.

Swoosh!

Countless images appeared in the General Manager's mind.

Among shoulder dislocations, there is a relatively rare situation—Posterior Dislocation.

And for posterior dislocation, there is an extremely rare situation: Vertical Dislocation.

Animations flashed frame by frame in the General Manager's mind: the humeral head completely dislocates and locks below the glenoid fossa, with the upper arm raised, unable to perform adduction.

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

No wonder it looked so familiar; when the teacher talked about shoulder joint dislocation back in school, they had performed a similar movement!

"Doctor Xiao Ji... please wait a moment." Xu Leyu gave instructions to the Patient, then hurriedly pulled Ji Xiang out of the Treatment Room.

Zhao Tianjiao was stunned; clearly, Ji Xiang had been acting like a clown, so why was Resident Chief Xu pulling him outside?

Feeling somewhat suspicious, Zhao Tianjiao followed them out.

"Doctor Xiao Ji, do you mean the Patient might have a vertical dislocation, which is a very rare type of posterior dislocation?"

"It's possible." Ji Xiang did not give Resident Chief Xu a definitive answer, "I saw that the reduction failed twice, and I feel it isn't a problem with the technique; it might be due to the Patient's own condition."

Although Ji Xiang hadn't spoken ill of him behind his back and had even helped him make excuses by saying it was the Patient's condition, Zhao Tianjiao couldn't help but feel that Ji Xiang's words were full of mockery.

"It's possible." Xu Leyu didn't have as many emotions as Zhao Tianjiao; he pondered for a moment, then said, "Let's do a Magnetic Resonance Imaging to see!"

"Resident Chief Xu, it's not very convenient to do an MRI at night," Zhao Tianjiao reminded him.

"It's fine, I'll take them there and look at the images directly on the machine," Xu Leyu said.

The posture Ji Xiang had just demonstrated provided enough of a hint, but because it was too rare, it was necessary to perform a Magnetic Resonance Imaging to confirm it.

As for the MRI side, Orthopedics Department patients had it done often, and as the Resident Chief, he was very familiar with the doctors in the Nuclear Magnetic Resonance Room.

Xu Leyu walked back in a hurry, and the moment he entered the door, he turned his head to glance at Ji Xiang.

(End of this chapter)