前肩关节脱位后腋动脉横断伤与双侧肺栓塞：病例报告
Axillary artery transection and bilateral pulmonary embolism after anterior shoulder dislocation: case report.
作者信息
Leclerc Betty, Loisel François, Ferrier Maxime, Al Sayed Mazen, Rinckenbach Simon, Obert Laurent
机构信息
Vascular Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
Orthopaedic, Traumatology and Hand Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
出版信息
SICOT J. 2017;3:3. doi: 10.1051/sicotj/2016041. Epub 2017 Jan 11.
INTRODUCTION
Anterior shoulder dislocation can be associated with vascular and neurological complications. However, axillary artery injury associated with shoulder dislocation is rare and extremely rare without bone fracture. An early diagnosis of these complications allows predicting long-term functional outcomes.
METHODS
This article reports the case of a 66-year-old patient who presented an anterior shoulder dislocation after a ski fall without any neurological dysfunction or pulse deficit.
RESULTS
The first reduction attempts were unsuccessful and during the new attempt, we observed a hematoma. A CT scan showed a disruption of the axillary artery and a bilateral pulmonary embolism.
CONCLUSION
Neurovascular injury must be systematically sought before and after reduction, and a multidisciplinary approach is always necessary.
引言
肩关节前脱位可能伴有血管和神经并发症。然而，与肩关节脱位相关的腋动脉损伤很少见，而在无骨折的情况下极为罕见。对这些并发症的早期诊断有助于预测长期功能预后。
方法
本文报道了一名66岁患者的病例，该患者在滑雪摔倒后出现肩关节前脱位，无任何神经功能障碍或脉搏缺失。
结果
首次复位尝试未成功，在新的尝试过程中，我们观察到一个血肿。CT扫描显示腋动脉中断和双侧肺栓塞。
结论
复位前后必须系统地排查神经血管损伤，多学科方法总是必要的。
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