双侧肩关节前脱位伴双侧大结节骨折：一例报告。
Bilateral anterior shoulder dislocation with bilateral fractures of the greater tuberosity: A case report.
作者信息
Dlimi F, Mahfoud M, Lahlou A, El Bardouni A, Berrada M S, El Yaacoubi M
机构信息
Department of Orthopaedic Surgery and Traumatology, University Hospital Center Ibn Sina, Rabat, Morocco.
出版信息
J Clin Orthop Trauma. 2012 Dec;3(2):122-5. doi: 10.1016/j.jcot.2011.04.001. Epub 2012 Dec 10.
Bilateral anterior dislocation of the shoulders with fractures of both greater tuberosities is very rare. A 76-year-old woman sustained a bilateral anterior dislocation of her shoulders with fractures of the greater tuberosity on both sides after a fall on stairs. Her arms were abducted and externally rotated. Radiological examination revealed the bilateral anterior dislocation and also the bilateral fractures of the greater tuberosity. Prompt closed reduction followed by a 3 weeks immobilization and subsequent rehabilitation allows a good outcome. Results at one-year follow-up were satisfactory with normal range of motion and no redislocations occurring. To our knowledge, this is the first reported case of bilateral anterior shoulder dislocation associated with fractures of both greater tuberosities in elderly woman.
双侧肩关节前脱位合并双侧大结节骨折非常罕见。一名76岁女性在楼梯上摔倒后，双侧肩关节前脱位并伴有双侧大结节骨折。她的双臂外展并外旋。影像学检查显示双侧肩关节前脱位以及双侧大结节骨折。及时进行闭合复位，随后固定3周并进行康复治疗，可取得良好效果。1年随访结果令人满意，活动范围正常，未发生再脱位。据我们所知，这是首例报道的老年女性双侧肩关节前脱位合并双侧大结节骨折的病例。
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