Schoenfeld Andrew J, Lippitt Steven B
Department of Orthopaedic Surgery, Northeastern Ohio Universities, College of Medicine, Akron General Medical Center, Akron, OH 44307, USA.
J Orthop Trauma. 2007 Feb;21(2):150-2. doi: 10.1097/BOT.0b013e318032c4a9.
Posterior glenohumeral dislocations are rare, and an accurate diagnosis is often difficult to make. Although rotator cuff tears are a known risk in the common traumatic anterior glenohumeral dislocation, they are an extremely rare event in association with posterior glenohumeral dislocation, regardless of patient age. There have only been 2 documented cases of rotator cuff tear following posterior shoulder dislocation previously reported in the literature. We report the case of a rotator cuff tear associated with a closed traumatic posterior dislocation of the shoulder in a 22-year-old male involved in a motorcycle accident. This is only the second report of an isolated rotator cuff tear occurring as a result of a posterior shoulder dislocation. Furthermore, this case concerns the youngest patient ever to sustain such an injury in the orthopaedic literature.
肩后脱位很少见，准确诊断往往很难。虽然肩袖撕裂是常见创伤性肩前脱位已知的风险，但无论患者年龄如何，肩袖撕裂与肩后脱位相关的情况极为罕见。此前文献中仅报道过2例肩后脱位后肩袖撕裂的病例。我们报告了1例22岁男性摩托车事故导致的闭合性创伤性肩后脱位合并肩袖撕裂的病例。这是肩后脱位导致孤立性肩袖撕裂的第二例报道。此外，该病例是骨科文献中遭受此类损伤的最年轻患者。
