Sadeghi Nasrat, Haen Pieter Stijn, Onstenk Ron
Groene Hart Ziekenhuis, Bleulandweg 10, 2803 HH Gouda, Netherlands.
Case Rep Orthop. 2017;2017:8450538. doi: 10.1155/2017/8450538. Epub 2017 Apr 5.
Acromioclavicular dislocation (AC dislocation) is a common injury of the shoulder. In contrast to a traumatic cause, nontraumatic dislocation is very rare. We report on a 17-year-old female that presented with voluntary recurrent dislocation of the right AC joint followed by recurrent pain without instability of the ipsilateral shoulder. Clinical examination showed crepitation as well as palpitation pain and dislocation of the AC joint. There were no symptoms of Marfan or Ehlers-Danlos syndrome as other joint examinations were also negative for hypermobility. Considering age as well as minor complaints, nonoperative treatment by postural therapy without taping was recommended. After one year, the patient experienced fewer symptoms and she was able to participate in daily activities.
肩锁关节脱位(AC脱位)是肩部常见的损伤。与创伤性病因不同,非创伤性脱位非常罕见。我们报告一例17岁女性,其右肩锁关节出现反复的自愿性脱位,随后同侧肩部反复疼痛但无不稳定症状。临床检查显示有摩擦音以及肩锁关节压痛和脱位。没有马凡综合征或埃勒斯-当洛综合征的症状,因为其他关节检查也未发现关节活动过度的情况。考虑到患者年龄以及症状较轻,建议采用不使用绷带的姿势疗法进行非手术治疗。一年后,患者症状减轻,能够参与日常活动。