Rodia Fabio, Ventura Angelo, Touloupakis Georgios, Theodorakis Emmanouil, Ceretti Marco
CTO Trauma and Orthopedic Hospital, Rome, Italy.
Chin J Traumatol. 2012;15(6):376-8.
Posterior shoulder dislocation is a rare event that may occur after a direct trauma, an epileptic seizure, electric shock or electroconvulsive therapy. In more than 50% of the cases, posterior dislocations are missed on initial evaluation and often misdiagnosed as frozen shoulders with unfortunate consequences. We present the case of a missed posterior subluxation and reverse Hill Sachs lesion (McLaughlin lesion) in a 40-year-old woman caused by anelectric shock of 240 V. The patient underwent surgery in our institute two weeks after the injury. The humeral head was reduced and the reverse Hill Sachs lesion was filled by demineralized bone matrix allograft with osteoinductive factors. Tendons were repaired and a temporaneous artrodesis was performed. At the final follow up of 12 months, we obtained a Costant Score of 93 and the patient returned to her previous daily activities.
肩关节后脱位是一种罕见的情况，可能发生在直接创伤、癫痫发作、电击或电休克治疗后。在超过50%的病例中，初次评估时会漏诊后脱位，且常被误诊为肩周炎，从而导致不幸的后果。我们报告一例40岁女性因240伏电击导致漏诊的后脱位半脱位和反Hill-Sachs损伤（麦克劳林损伤）的病例。患者受伤两周后在我院接受手术。肱骨头复位，用含骨诱导因子的脱矿骨基质同种异体骨填充反Hill-Sachs损伤。修复肌腱并进行一期关节固定术。在12个月的最终随访中，我们获得的Constant评分为93分，患者恢复了之前的日常活动。
