Ifesanya A O, Ogundele O J, Anejukwo A A
Afr J Med Med Sci. 2015 Sep;44(3):277-81.
Bilateral posterior dislocation of the shoulders is rare and may result from a seizure. A 48 year-old HIV-positive man who presented eight weeks after bilateral posterior shoulder dislocation and bilateral fractures of the surgical necks of both humeri is reviewed. He was treated with an algesics and physiotherapy and was able to return to work after 9 months.
The rarity of this lesion, its late presentation, the importance of a high index of suspicion in making the diagnosis and the fair outcome of non-operative treatment informed this report.
双侧肩关节后脱位较为罕见,可能由癫痫发作引起。本文回顾了一名48岁的HIV阳性男性,他在双侧肩关节后脱位及双侧肱骨头外科颈骨折8周后前来就诊。他接受了止痛治疗和物理治疗,并在9个月后恢复工作。
这种损伤的罕见性、其出现较晚、诊断时高度怀疑的重要性以及非手术治疗的良好结果促成了本报告。