Department of Orthopedics, Union Memorial Hospital, Baltimore, MD, USA.
J Am Acad Orthop Surg. 2012 Oct;20(10):615-22. doi: 10.5435/JAAOS-20-10-615.
Approximately 20% of all shoulder dislocations occur in patients aged >60 years. Older patients who sustain a primary shoulder dislocation are much less likely than younger patients to suffer from recurrence. However, older patients are more likely than younger patients to sustain injuries to the rotator cuff, axillary nerve, or brachial plexus. Rotator cuff tears are significantly more common than nerve palsies, and rotator cuff tears can be mistaken for nerve palsies. Older patients with persistent shoulder pain and dysfunction after dislocation should be carefully evaluated for rotator cuff pathology. Although dislocation is a common injury in the older population, these concomitant injuries-especially of the rotator cuff-are often missed.
约 20%的肩关节脱位发生在>60 岁的患者中。与年轻患者相比，初次发生肩关节脱位的老年患者再次脱位的可能性小得多。然而，老年患者比年轻患者更易发生肩袖、腋神经或臂丛损伤。肩袖撕裂比神经麻痹更常见，而且肩袖撕裂可能被误诊为神经麻痹。对于脱位后持续存在肩部疼痛和功能障碍的老年患者，应仔细评估肩袖病变。虽然脱位在老年人群中很常见，但这些伴随损伤（尤其是肩袖损伤）常常被漏诊。
