J Am Acad Orthop Surg. 2014 Mar;22(3):145-52. doi: 10.5435/JAAOS-22-03-145.
Posterior shoulder dislocation occurs rarely and is challenging to manage. The mechanisms of trauma are varied, which complicates diagnosis. Missed or delayed diagnosis and treatment can have serious deleterious effects on shoulder function. All cases of suspected posterior shoulder dislocation require a high level of suspicion and appropriate imaging. Identification of associated injuries, such as fractures and rotator cuff tears, is important to guide treatment. In the acute setting, most patients are treated with closed or open reduction with additional soft-tissue or bony procedures. Patients treated in a delayed fashion for persistent instability may require additional procedures, including arthroplasty.
肩关节后脱位较为少见，且处理具有挑战性。创伤机制多种多样，导致诊断困难。漏诊或延迟诊断和治疗可能对肩部功能产生严重的不良影响。所有疑似肩关节后脱位的病例均需要高度怀疑，并进行适当的影像学检查。确定相关损伤，如骨折和肩袖撕裂，对于指导治疗很重要。在急性情况下，大多数患者采用闭合或切开复位，并辅以软组织或骨手术。对于持续性不稳定的延迟治疗患者，可能需要额外的手术，包括关节成形术。
