Seybold Dominik, Schildhauer Thomas A, Muhr Gert
Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Ruhr-Universität Bochum, Germany.
Arch Orthop Trauma Surg. 2009 Mar;129(3):295-8. doi: 10.1007/s00402-007-0546-x. Epub 2007 Dec 19.
Traumatic anterior shoulder dislocation in toddlers and pediatric patients is a very rare injury pattern. The treatment and the recurrence rate are mostly extrapolated from adult and adolescent data. A 2-year-old toddler is presented with a first-time traumatic shoulder dislocation caused by a pull on the abducted arm. The treatment included a gentle closed reduction performing the Milch maneuver and a short-sling immobilization. The 2.5-year-follow-up demonstrated a stable shoulder with free range of motion while still having a Hill-Sachs-lesion. Shoulder dislocation in toddlers maybe addressed less aggressively after closed reduction than in adults due to an unknown recurrence rate.
幼儿和儿童患者的创伤性肩关节前脱位是一种非常罕见的损伤类型。其治疗方法和复发率大多是根据成人和青少年的数据推断而来。本文报告了一名2岁幼儿，因外展手臂受牵拉导致首次创伤性肩关节脱位。治疗方法包括采用米尔奇手法进行轻柔的闭合复位以及短期吊带固定。2.5年的随访结果显示，肩关节稳定，活动范围正常，但仍存在希尔-萨克斯损伤。由于复发率未知，幼儿肩关节脱位在闭合复位后的处理可能不如成人积极。
