Khan M R, Mirdad T M
Department of Orthopedic Surgery, College of Medicine and Medical Sciences, King Khalid University, Abha, Kingdom of Saudi Arabia.
Saudi Med J. 2001 Nov;22(11):1019-21.
Ipsilateral dislocation of shoulder and elbow joints is a rare injury. Only 2 such cases have been reported in the English literature. We report a case of a 35-year-old man involved in a road traffic accident under the influence of alcohol. He sustained posterior left elbow and anterior left shoulder dislocation with minimally displaced greater tuberosity fracture. He also had partial median nerve palsy. Under intramuscular pethidine and intravenous diazepam, close reduction of elbow followed by shoulder was carried out. At 2 months, median nerve function returned to normal. At 3 months, almost full elbow and shoulder joint movement returned. Although rare and complex, this ipsilateral injury can be treated conservatively.
同侧肩关节和肘关节脱位是一种罕见的损伤。英文文献中仅报道过2例此类病例。我们报告1例35岁男性，其在酒精影响下发生道路交通事故。他左侧肘关节后脱位和左侧肩关节前脱位，伴有大结节骨折且移位极小。他还伴有部分正中神经麻痹。在肌内注射哌替啶和静脉注射地西泮后，先对肘关节进行了闭合复位，随后对肩关节进行复位。2个月时，正中神经功能恢复正常。3个月时，肘关节和肩关节几乎恢复了完全活动。尽管这种同侧损伤罕见且复杂，但可以采用保守治疗。
