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因轻微创伤导致的双侧肩关节前脱位

Simultaneous bilateral anterior shoulder dislocation as a result of minimal trauma.

作者信息

Antri Ismail El, Benyass Youssef, Zine Ali

机构信息

Department of Orthopedic Surgery, Military Training Hospital Mohamed V, University Mohamed V, Rabat, Morocco.

出版信息

Pan Afr Med J. 2020 Jun 15;36:94. doi: 10.11604/pamj.2020.36.94.23757. eCollection 2020.

DOI:10.11604/pamj.2020.36.94.23757
PMID:32774653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7392871/
Abstract

Simultaneous bilateral anterior shoulder dislocation is rare, it often occurs after high energy trauma, we report a case of a 43-years-old male presented with bilateral anterior shoulder dislocation when he tries to stand up from the floor, shoulders in extension, abduction and external rotation. A closed reduction was performed without complications, and one month later the right shoulder was stabilized by open Laterjet technique. The evolution was favorable for both shoulders with no pain, recuperation of the range motion and no recurrence of dislocation. Through this case we underline the value of early diagnosis and appropriate treatment of bilateral anterior shoulder dislocation, to avoid complications and obtain good result.

摘要

双侧肩关节前脱位同时发生较为罕见,常发生于高能量创伤后。我们报告一例43岁男性病例,当他试图从地面起身时,双肩处于伸展、外展和外旋位,出现双侧肩关节前脱位。进行了闭合复位,无并发症发生,1个月后右侧肩关节通过开放Laterjet技术获得稳定。双肩恢复良好,无疼痛,活动范围恢复,且未再发生脱位。通过本病例,我们强调了双侧肩关节前脱位早期诊断和恰当治疗的价值,以避免并发症并取得良好疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/3f19cb09affb/PAMJ-36-94-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/5fdeb409045e/PAMJ-36-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/de1583c3618e/PAMJ-36-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/ff0c1f477187/PAMJ-36-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/3f19cb09affb/PAMJ-36-94-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/5fdeb409045e/PAMJ-36-94-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/de1583c3618e/PAMJ-36-94-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/ff0c1f477187/PAMJ-36-94-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e7e/7392871/3f19cb09affb/PAMJ-36-94-g004.jpg

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本文引用的文献

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Anterior Shoulder Instability: A Systematic Review of the Quality and Quantity of the Current Literature for Surgical Treatment.前肩不稳:手术治疗当前文献质量和数量的系统评价
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Bilateral Anterior Shoulder Dislocation in the Elderly - A Case Report and Review of the Literature.老年人双侧肩关节前脱位——一例病例报告及文献综述
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关于如何复位肩关节脱位的系统技术指南。
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Functional outcome and risk of recurrent instability after primary traumatic anterior shoulder dislocation in young patients.年轻患者初次创伤性前肩关节脱位后的功能结局及复发性不稳定风险
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