Department of Orthopedic Surgery, Shoulder and Elbow, Federal University of Paraná-UFPR, Curitiba, Brazil.
JBJS Case Connect. 2020 Jul-Sep;10(3):e19.00231. doi: 10.2106/JBJS.CC.19.00231.
A 69-year-old man fell from a height, resulting in direct axial loading while both shoulders were fully abducted. He was referred to the surgical ward, and both shoulders were reduced by closed reduction using the traction-countertraction maneuver. After little improvement of complaints of pain in the right shoulder over 45 days, magnetic resonance demonstrated traumatic rupture of the supraspinatus.
Inferior dislocation (luxation erecta) is an uncommon event, with bilateral dislocation being even rarer. Treatment should be initiated urgently via closed reduction or, if this is not possible, through open reduction. The long-term prognosis is favorable after appropriate treatment.
一位 69 岁男性从高处坠落,导致双侧肩部完全外展时直接轴向加载。他被转诊至外科病房,通过牵引对抗牵引手法进行闭合复位来复位双肩。右肩部疼痛持续 45 天后,症状改善不明显,磁共振显示肩袖上盂唇从前部撕裂。
下脱位(伸直性脱位)较为少见,双侧脱位更为罕见。应通过闭合复位或如果无法进行闭合复位则通过切开复位来紧急开始治疗。经适当治疗后,长期预后良好。