Atlanta Sports Medicine, Atlanta, Georgia, USA.
Arthroscopy. 2011 Sep;27(9):1304-7. doi: 10.1016/j.arthro.2011.04.005. Epub 2011 Jul 31.
We report the case of a 20-year-old male competitive football player who was treated for a midsubstance posterior capsule rupture after a posterior dislocation from falling onto his shoulder. Conservative management for 5 months after the injury failed to improve his subjective symptoms, with the primary symptom being activity-related posterior shoulder pain. Advanced imaging findings and physical examination were consistent with posterior instability, thought to be due to a posterior labral tear. At the time of a diagnostic arthroscopy, the patient was found to have an oval-shaped rupture of the capsule that was neither a reverse humeral avulsion of the glenohumeral ligament lesion nor a posterior labral tear. The capsular tear was repaired through an all-arthroscopic technique with nonabsorbable sutures. The patient returned to his previous competitive function, had no pain, and had full motion at final follow-up without recurrence of instability or pain symptoms.
我们报告了一例 20 岁男性足球运动员的病例，他在肩部后脱位后因中后部后囊破裂而接受治疗。受伤后 5 个月的保守治疗未能改善他的主观症状，主要症状是与活动相关的后肩部疼痛。高级影像学检查结果和体格检查与后不稳定一致，认为是由于后唇撕裂。在诊断性关节镜检查时，发现患者的囊有椭圆形破裂，既不是盂肱韧带的反向肱骨撕脱伤，也不是后唇撕裂。通过全关节镜技术用不可吸收缝线修复了囊撕裂。患者恢复到以前的竞技功能，没有疼痛，在最终随访时活动度完全正常，没有不稳定或疼痛症状复发。
