Idarrha Fahd, El Khir Yassine Fath, Idoukitar Ahmed, Maskouf Mehdi, Achkoun Abdesslam, Benhima Mohammed Amine, Abkari Imad, Saidi Halim
Service de Traumatologie et d´Orthopédie, Hôpital Arrazi, Centre Hospitalier Universitaire Mohammed VI Marrakech, Marrakech, Maroc.
Service de Traumatologie et d´Orthopédie à la Faculté de Médecine et de Pharmacie, Université Cadi Ayyad, Marrakech, Maroc.
Pan Afr Med J. 2021 Sep 2;40:7. doi: 10.11604/pamj.2021.40.7.26748. eCollection 2021.
Traumatic dislocations of the shoulder joint are generally described as an antero-inferior dislocations. Anterior-superior dislocations are extremely rare. We report a rare case of traumatic dislocation of the anterior-superior shoulder in a 45-year-old patient whose physical examination showed an anterior-superior subcutaneous protrusion of the head filling the subacromial space. The diagnosis was radiologically confirmed. MRI showed total rupture of the supraspinatus and subscapularis tendons. Shoulder instability occurred after reduction of the dislocation. Temporary glenohumeral arthrodesis was subsequently performed with good functional results.
肩关节创伤性脱位通常被描述为前下脱位。前上脱位极为罕见。我们报告了一例45岁患者的罕见前上肩关节创伤性脱位病例，体格检查显示头部前上皮下突出，充满肩峰下间隙。放射学检查确诊了该诊断。MRI显示冈上肌和肩胛下肌腱完全断裂。脱位复位后出现肩关节不稳定。随后进行了临时肱盂关节固定术，功能结果良好。
