Datt Rameshwar, Jain Gunjar, Nag Hira Lal
Orthopaedics, All India Institute of Medical Sciences, New Delhi, IND.
Cureus. 2021 Mar 12;13(3):e13843. doi: 10.7759/cureus.13843.
There is a paucity of literature regarding a neglected shoulder dislocation, as it is unusual to miss it clinically due to the apparent deformity. Nevertheless, in some cases, particularly those who received the primary treatment from a local bonesetter, present with neglected dislocation. No high-level studies comparing different treatment modalities in such a situation are available. Therefore, most of the treatment recommendations are based on level four studies and the literature for recurrent dislocation of the shoulder. We herewith describe two cases of neglected anterior dislocation of the shoulder, which we have managed by open reduction and Latarjet procedure in one and Bankart surgery in the other patient. Both of our patients after one-year follow-up had a painless joint with improved yet limited range of motion. This case discussion helps in learning the approach towards the treatment of these patients. It also suggests a sub-optimal functional outcome in them.
关于被忽视的肩关节脱位的文献较少，因为临床上因明显畸形而漏诊这种情况并不常见。然而，在某些情况下，特别是那些最初由当地接骨师治疗的患者，会出现被忽视的脱位。目前尚无在这种情况下比较不同治疗方式的高水平研究。因此，大多数治疗建议基于四级研究以及关于复发性肩关节脱位的文献。我们在此描述两例被忽视的肩关节前脱位病例，其中一例我们采用切开复位和Latarjet手术治疗，另一例患者采用Bankart手术治疗。我们的两名患者在随访一年后关节无痛，活动范围有所改善但仍有限。该病例讨论有助于了解这些患者的治疗方法。这也表明他们的功能结果欠佳。
