Agarwal M, Khan Wasim S, Trehan R, Syed A A, Giannoudis P V
Department of Trauma and Orthopaedics, St. James University Hospital, Leeds, United Kingdom.
J Emerg Med. 2008 Oct;35(3):265-8. doi: 10.1016/j.jemermed.2007.02.012. Epub 2007 Aug 29.
Posterior dislocation or fracture-dislocation of the shoulder is a rare entity, and is often missed in the Emergency Department. The causes include a tonic-clonic seizure, electrocution, and major trauma. The clinical presentations are often misleading and thus the correct diagnosis may be delayed. Proper imaging of the shoulder in suspected cases is important in making the correct diagnosis. We report a rare case of bilateral posterior fracture-dislocation of the shoulders, which presented in the Emergency Department with clinical features suggestive of a dissecting aneurysm of the thoracic aorta. A review of the relevant literature is also presented.
肩关节后脱位或骨折脱位是一种罕见的情况，在急诊科常常被漏诊。其病因包括强直阵挛性发作、触电和重大创伤。临床表现常常具有误导性，因此正确诊断可能会延迟。对于疑似病例，对肩部进行恰当的影像学检查对于做出正确诊断很重要。我们报告了一例罕见的双侧肩部后骨折脱位病例，该病例在急诊科就诊时的临床特征提示为胸主动脉夹层动脉瘤。本文还对相关文献进行了综述。
