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肩关节前脱位:一例游泳损伤报告及损伤机制与文献中相关损伤分析

Luxatio erecta humeri: Report of a swimming injury with analysis of the mechanism of the injury and associated injuries in literature.

作者信息

Gökkuş Kemal, Sagtas Ergin, Saylik Murat, Aydın Ahmet Turan, Atmaca Halil

机构信息

Department of Orthopaedics and Trauma, Antalya Memorial Hospital, Antalya, Turkey.

Department of Radiodiagnostic, Antalya Memorial Hospital, Antalya, Turkey.

出版信息

J Emerg Trauma Shock. 2015 Jan-Mar;8(1):43-8. doi: 10.4103/0974-2700.150397.

DOI:10.4103/0974-2700.150397
PMID:25709253
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4335157/
Abstract

Inferior shoulder dislocation also referred to as luxatio erecta is an unusual and rare type of shoulder dislocation. Its incidence is about 0.5% among all shoulder dislocations. After an exhaustive search of all the available literature we were unable to find a swimming accident case that did not have other associated injuries and an uneventful reduction. The mechanism of the injury was mostly related to direct axial loading and indirect hyperabduction lever arm. We would like to emphasize the importance of this being a swimming accident, a type of accident that requires awareness of the possibility of dangerous asphyxia injuries caused by panic in the water (swimming pool, river, lake, sea, etc.). We described the nature of the injury and review the literature concerning the mechanism of the injury and associated neurovascular impairment at admission time. We also presented a supplemental video to contribute to the education of young residents and orthopedic surgeons.

摘要

肩关节下脱位也称为肩关节垂直脱位,是一种不常见且罕见的肩关节脱位类型。在所有肩关节脱位中,其发生率约为0.5%。在全面检索了所有可得文献后,我们未能找到没有其他相关损伤且复位顺利的游泳事故病例。损伤机制主要与直接轴向负荷和间接过度外展杠杆臂有关。我们想强调这是一起游泳事故的重要性,这种事故需要意识到在水中(游泳池、河流、湖泊、大海等)因恐慌导致危险窒息性损伤的可能性。我们描述了损伤的性质,并回顾了有关损伤机制及入院时相关神经血管损伤的文献。我们还提供了一段补充视频,以助力年轻住院医师和骨科医生的教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e078/4335157/327248166212/JETS-8-43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e078/4335157/b05057100b18/JETS-8-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e078/4335157/327248166212/JETS-8-43-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e078/4335157/b05057100b18/JETS-8-43-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e078/4335157/327248166212/JETS-8-43-g004.jpg

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引用本文的文献

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本文引用的文献

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Ann Vasc Surg. 2014 Jul;28(5):1321.e13-8. doi: 10.1016/j.avsg.2014.01.006. Epub 2014 Feb 5.
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Bilateral luxatio erecta humeri with a unilateral brachial plexus injury.双侧肩关节脱位伴单侧臂丛神经损伤。
J Emerg Trauma Shock. 2013 Oct;6(4):308-10. doi: 10.4103/0974-2700.120396.
3
Luxatio erecta: Utilisation of the two-step reduction technique without intravenous sedation by an emergency nurse practitioner.
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Case Rep Orthop. 2016;2016:6910945. doi: 10.1155/2016/6910945. Epub 2016 Dec 19.
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Luxatio erecta humeri in the swimmer's shoulder: A combination of ligamentous laxity and motion dyskinesis.游泳者肩部的肩关节前脱位:韧带松弛与运动障碍的结合。
J Emerg Trauma Shock. 2016 Jan-Mar;9(1):39-40. doi: 10.4103/0974-2700.167665.
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J Fam Pract. 2013 May;62(5):255-7.
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