Yamamoto Tetsuji, Yoshiya Shinichi, Kurosaka Masahiro, Nagira Keiko, Nabeshima Yuji
Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan.
Am J Orthop (Belle Mead NJ). 2003 Dec;32(12):601-3.
Luxatio erecta (inferior dislocation of the glenohumeral joint) is an unusual type of shoulder dislocation. The authors present 5 new cases of luxatio erecta. All cases were hyperabduction injuries. In all cases, closed reduction was accomplished by a traction-countertraction maneuver. Three of the 5 subjects sustained concomitant fractures of the greater tuberosity. One underwent open reduction and internal fixation of the greater tuberosity. One suffered axillary nerve injuries. No vascular injuries were noted in our series. The mechanism of the injury is discussed.
肩关节下脱位是一种不常见的肩关节脱位类型。作者报告了5例新的肩关节下脱位病例。所有病例均为过度外展损伤。所有病例均通过牵引-对抗牵引手法完成了闭合复位。5例患者中有3例合并大结节骨折。其中1例接受了大结节切开复位内固定术。1例出现腋神经损伤。在我们的病例系列中未发现血管损伤。本文讨论了损伤机制。
