无肱骨骨折的胸内盂肱关节脱位：1例报告并文献复习
Intrathoracic Glenohumeral Dislocation without Fracture of the Humerus: A Case Report and Review of the Literature.
作者信息
Lin Clifford, Mollon Brent, Scott Caroline, Brady Philip, Axelrod Terry S, Jenkinson Richard J
机构信息
Oregon Health & Science University, Portland, Oregon.
Department of Orthopedic Surgery, University of Toronto, Toronto, Ontario, Canada.
出版信息
JBJS Case Connect. 2016 Jan 27;6(1):e6. doi: 10.2106/JBJS.CC.O.00016.
CASE
A fifty-three-year-old man presented with an intrathoracic glenohumeral dislocation (ITGHD) and associated hemothorax, rib fracture, massive rotator cuff tear, and axillary nerve palsy following an ice hockey injury. Treatment consisted of closed reduction and staged open rotator cuff repair. Despite a substantial injury, the patient recovered nearly normal use of the arm two years postoperatively.
CONCLUSION
ITGHD is an extremely rare entity. This injury should be managed by a multidisciplinary team with anticipation of associated thoracic and vascular injuries. In cases with repairable pathology (e.g., an acute rotator cuff tear), good functional outcomes can be obtained.
病例
一名53岁男性在冰球运动受伤后，出现了胸内盂肱关节脱位（ITGHD）并伴有血胸、肋骨骨折、巨大肩袖撕裂和腋神经麻痹。治疗包括闭合复位和分期开放肩袖修复。尽管损伤严重，但患者术后两年手臂功能几乎恢复正常。
结论
胸内盂肱关节脱位是一种极其罕见的病症。这种损伤应由多学科团队进行处理，同时要预期可能存在的相关胸部和血管损伤。对于存在可修复病变的病例（如急性肩袖撕裂），可以获得良好的功能预后。
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