Gurzì Michele Dario, De Meo Daniele, Pugliese Mattia, Di Giorgio Luigi, Persiani Pietro, Villani Ciro
Orthopaedics & Traumatology Department, La Sapienza University, Rome, Italy.
Trauma Case Rep. 2017 Dec 28;13:35-41. doi: 10.1016/j.tcr.2017.11.006. eCollection 2018 Feb.
We present a case of a 61 year-old woman who suffered a bilateral posterior fracture-dislocation of the shoulder after an isolated episode of epileptic seizure. The patient was diagnosed at our Emergency department with x-rays and CT scans after being found unconscious. An indication for bilateral shoulder hemiprosthesis implant was initially given. However, given the peculiar pattern of the fracture, the hemiprosthesis was implanted on one side only, while the other side was treated with ORIF with four cannulated screws. After the one year, the patient had resumed her previous activities and had no complaints. We performed a review of similar cases in literature and provided a rationale for our choice of treatment and the reasons for its success.
我们报告一例61岁女性病例，该患者在一次孤立的癫痫发作后双侧肩关节后脱位骨折。患者在被发现昏迷后于我院急诊科通过X线和CT扫描确诊。最初考虑双侧肩关节半关节置换植入术。然而，鉴于骨折的特殊类型，仅在一侧植入了半关节置换假体，另一侧采用四枚空心螺钉切开复位内固定术进行治疗。一年后，患者恢复了之前的活动，且无任何不适主诉。我们对文献中类似病例进行了回顾，并阐述了我们选择治疗方法的依据及其成功的原因。
