Iosifidis Michael I, Giannoulis Ioannis, Traios Stavros, Giantsis Georgios
Orthopaedic Department, Naoussa General Hospital, Naoussa, Greece.
Knee Surg Sports Traumatol Arthrosc. 2006 Aug;14(8):766-70. doi: 10.1007/s00167-006-0066-1. Epub 2006 Feb 24.
We present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction of both shoulder dislocations was done. Posterior dislocation of the shoulder-especially the bilateral one-is very rare. When the history describes an electric shock or convulsive seizure, any shoulder injury demands a careful clinical and radiological evaluation. It is usually associated with reverse Hill-Sachs lesion (an impression defect of the anteromedial aspect of the humeral head), in which the size determines the treatment options.
我们报告一例患者，其在可能发生癫痫发作后同时出现双侧肩关节后脱位。临床怀疑后，仅通过计算机断层扫描（CT）才确诊。在全身麻醉下，对双侧肩关节脱位进行了闭合复位。肩关节后脱位——尤其是双侧后脱位——非常罕见。当病史描述有电击或惊厥发作时，任何肩部损伤都需要仔细的临床和影像学评估。它通常与反Hill-Sachs损伤（肱骨头前内侧的压痕缺损）相关，其大小决定治疗方案。
