Maalouly Joseph, Aouad Dany, Tawk Antonios, Dib Nabil, El Rassi Georges
St Georges University Medical Center, Achrafieh, St Georges Street, Beirut, Lebanon.
Trauma Case Rep. 2020 Feb 25;26:100286. doi: 10.1016/j.tcr.2020.100286. eCollection 2020 Apr.
The hypermobility of the glenohumeral joint accounts for its anatomic predisposition for instability and dislocation. The stability of the shoulder joint is dependent on static and dynamic soft tissue structures, among which is the labrum. Circumferential labral tears are a rare pathological entity of shoulder instability that have not been commonly reported in the literature. A detailed history and physical examination are crucial for accurate diagnosis since MRIs have a poor sensitivity. A 40-year-old male patient with a history of atraumatic recurrent left shoulder subluxations for 6 years. On physical examination, there was no evidence of motor or sensory deficit. MR images were suggestive of Hills-Sachs lesion with intact rotator cuffs. Pan-labral tear repair via arthroscopy presents a unique challenge, even for the skilled orthopedic surgeon. Hence, the repair demands accessory portals and percutaneous techniques for the adequate placement of anchors. The purpose of this case is the rare presentation of a pan-labral tear repaired arthroscopically.
盂肱关节的活动度过大是其解剖结构上易于出现不稳定和脱位的原因。肩关节的稳定性取决于静态和动态的软组织结构,其中包括盂唇。环形盂唇撕裂是一种罕见的肩关节不稳定病理情况,在文献中鲜有报道。由于磁共振成像(MRI)的敏感性较差,详细的病史和体格检查对于准确诊断至关重要。一名40岁男性患者,有6年非创伤性复发性左肩半脱位病史。体格检查未发现运动或感觉功能障碍迹象。磁共振图像提示存在希尔-萨克斯损伤,肩袖完整。即使对于技术娴熟的骨科医生而言,通过关节镜进行全盂唇撕裂修复也面临独特挑战。因此,修复需要辅助切口和经皮技术来妥善放置锚钉。本病例的目的是介绍罕见的经关节镜修复全盂唇撕裂的情况。