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肩袖残端的盂肱关节内嵌入:创伤性肩袖撕裂的一种罕见并发症。

Glenohumeral interposition of rotator cuff stumps: a rare complication of traumatic rotator cuff tear.

作者信息

Agnollitto Paulo Moraes, Chu Marcio Wen King, Lorenzato Mario Muller, Zatiti Salomão Chade Assan, Nogueira-Barbosa Marcello Henrique

机构信息

Physician Assistant at Division of Radiology, Hospital das Clínicas - Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brazil.

Volunteer Physician, Fellow of Musculoskeletal Radiology, Division of Radiology at Hospital das Clínicas - Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (HCFMRP-USP), Ribeirão Preto, SP, Brazil.

出版信息

Radiol Bras. 2016 Jan-Feb;49(1):53-5. doi: 10.1590/0100-3984.2013.0011.

Abstract

The present report describes a case where typical findings of traumatic glenohumeral interposition of rotator cuff stumps were surgically confirmed. This condition is a rare complication of shoulder trauma. Generally, it occurs in high-energy trauma, frequently in association with glenohumeral joint dislocation. Radiography demonstrated increased joint space, internal rotation of the humerus and coracoid process fracture. In addition to the mentioned findings, magnetic resonance imaging showed massive rotator cuff tear with interposition of the supraspinatus, infraspinatus and subscapularis stumps within the glenohumeral joint. Surgical treatment was performed confirming the injury and the rotator cuff stumps interposition. It is important that radiologists and orthopedic surgeons become familiar with this entity which, because of its rarity, might be neglected in cases of shoulder trauma.

摘要

本报告描述了一例经手术证实为肩袖残端创伤性盂肱关节嵌入典型表现的病例。这种情况是肩部创伤的一种罕见并发症。一般来说,它发生在高能量创伤中,常与盂肱关节脱位相关。X线片显示关节间隙增宽、肱骨内旋和喙突骨折。除上述表现外,磁共振成像显示肩袖大量撕裂,冈上肌、冈下肌和肩胛下肌残端嵌入盂肱关节内。进行了手术治疗,证实了损伤及肩袖残端嵌入情况。放射科医生和骨科医生熟悉这一实体很重要,因为其罕见性,在肩部创伤病例中可能会被忽视。

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