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[肩关节直立性脱位(肱骨头直立性脱位)。关于10例病例的综述]

[Erect dislocation of the shoulder (luxatio erecta humeri). General review apropos of 10 cases].

作者信息

Féry A, Sommelet J

出版信息

Int Orthop. 1987;11(2):95-103. doi: 10.1007/BF00266693.

Abstract

Subglenoid dislocation of the shoulder is uncommon. The clinical picture is striking and the radiographic appearances are characteristic, with the head of the humerus lying inferior to the glenoid and the shaft directed upwards and internally rotated. Complications such as associated fractures and injury to the brachial plexus or acillary vessels may occur. Fracture of the greater tuberosity or rupture of the rotator cuff is always seen. Post-traumatic frozen shoulder is common and leads to a poor functional result. The authors describe ten cases and review the literature. The mechanism of the injury is discussed and experimental evidence which supports the current concepts of shoulder instability is reviewed.

摘要

肩关节盂下脱位并不常见。其临床表现显著,影像学表现具有特征性,肱骨头位于关节盂下方,肱骨干向上且内旋。可能会发生诸如合并骨折以及臂丛神经或腋血管损伤等并发症。总是会出现大结节骨折或肩袖破裂。创伤后肩周炎很常见,会导致功能恢复不佳。作者描述了10例病例并回顾了相关文献。讨论了损伤机制,并回顾了支持当前肩关节不稳定概念的实验证据。

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