Chen Kuan-Lin, Liu Sen-Yung, Wei Ta-Sen
Department of Physical Medicine and Rehabilitation, Changhua Christian Hospital, Changhua.
Medicine (Baltimore). 2017 Dec;96(49):e8590. doi: 10.1097/MD.0000000000008590.
Bilateral anterior shoulder dislocation is clinically rare and has been reported to be related to high-speed sports.
A 76-year-old woman presented with bilateral shoulders pain after traditional Chinese manipulation.
She was diagnosed with bilateral anterior dislocations, and a closed reduction was immediately performed.
The patient was referred for rehabilitation 3 days later, and bilateral rotator cuff injuries were identified from musculoskeletal ultrasound. After 4 weeks of physical therapy, the patient's shoulder pain had reduced and the passive ROM was nearly full.
At 1-year follow-up, only mild intermittent shoulder pain was noted, and there was no limitation of shoulder ROM.
This case illustrates that patients with acute shoulder injuries who receive proper diagnosis and treatment can achieve good outcomes. Therefore, patients with musculoskeletal disorders should seek qualified specialists for accurate diagnosis and appropriate management.
双侧肩关节前脱位在临床上较为罕见，据报道与高速运动有关。
一名76岁女性在接受中医手法治疗后出现双侧肩部疼痛。
她被诊断为双侧肩关节前脱位，并立即进行了闭合复位。
3天后患者被转诊进行康复治疗，通过肌肉骨骼超声检查发现双侧肩袖损伤。经过4周的物理治疗，患者肩部疼痛减轻，被动活动范围几乎完全恢复。
在1年的随访中，仅发现轻度间歇性肩部疼痛，且肩关节活动范围无受限。
该病例表明，急性肩部损伤患者若能得到正确的诊断和治疗，可取得良好的治疗效果。因此，肌肉骨骼疾病患者应寻求合格的专科医生进行准确诊断和适当治疗。
