Pirrallo R G, Bridges T P
Division of Emergency Medicine, Ohio State University, Columbus 43210.
Am J Emerg Med. 1990 Jul;8(4):315-7. doi: 10.1016/0735-6757(90)90083-c.
A case of inferior glenohumeral dislocation (luxatio erecta) is presented. Although the classical presentation of luxatio erecta is considered pathognomonic, this case was initially misdiagnosed. This lead subsequently to the use of inappropriate reduction techniques. Eventually, the patient was taken to the operating room and closed reduction performed under general anesthesia. Follow-up examination demonstrated severe rotator cuff disruption without neurovascular deficit. Inferior shoulder dislocations are discussed and an explanation of the incorrect diagnosis is offered.
本文报告一例下盂肱关节脱位（肩峰下脱位）病例。尽管肩峰下脱位的典型表现被认为具有诊断特异性，但该病例最初被误诊。这随后导致使用了不恰当的复位技术。最终，患者被送往手术室，在全身麻醉下进行了闭合复位。随访检查显示存在严重的肩袖撕裂，但无神经血管缺损。文中对下肩关节脱位进行了讨论，并对误诊原因作出了解释。
