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伴有腋动脉和神经损伤的肩关节前脱位

Anterior shoulder dislocation with axillary artery and nerve injury.

作者信息

Razif M A Mohamed, Rajasingam V

机构信息

Department of Orthopaedic Surgery, University Malaya Medical Centre, Kuala Lumpur 50603.

出版信息

Med J Malaysia. 2002 Dec;57(4):496-8.

Abstract

We report a rare case of left axillary artery injury associated with anterior dislocation of the left shoulder in a 25 yrs old male as a result of a road traffic accident. The shoulder dislocation was reduced. A left upper limb angiogram showed an obstructed left axillary artery. The obstructed segment was surgically reconstructed with a Dacron graft. Six months post operation in follow up, he was found to have good left shoulder function and no neurovascular deficit. This is an injury that could have been easily missed without a simple clinical examination.

摘要

我们报告了一例罕见病例,一名25岁男性因道路交通事故导致左肩前脱位伴左腋动脉损伤。肩部脱位得到了复位。左上肢血管造影显示左腋动脉阻塞。阻塞段通过涤纶补片进行了手术重建。术后6个月随访时,发现他左肩功能良好,无神经血管缺损。如果没有简单的临床检查,这种损伤很容易被漏诊。

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