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由于印度2019年冠状病毒病封锁,被忽视的肩关节脱位及手术治疗延迟的情况激增。

A surge in neglected shoulder dislocations and delayed surgical management due to the coronavirus disease 2019 lockdown in India.

作者信息

Sahu Dipit, Gupta Arun, Bansal Samarjit S

机构信息

Mumbai Shoulder Institute, Mumbai, India.

Department of Orthopaedics, Sir H. N. Reliance Foundation Hospital, Mumbai, India.

出版信息

Clin Shoulder Elb. 2021 Dec;24(4):265-271. doi: 10.5397/cise.2021.00255. Epub 2021 Nov 26.

Abstract

Four patients with shoulder problems that were traumatic in etiology presented to us with delays in seeking care ranging from 6 to 12 weeks due to the coronavirus disease 2019 (COVID-19) lockdown. The care of three cases (a 3-month-old neglected anterior shoulder dislocation with a greater tuberosity fracture in a 30-year old man, a 3-month-old neglected anterior shoulder dislocation in a 17-year old boy, and a 2-month-old neglected greater tuberosity fracture in a 31-year old man) was delayed due to the lockdown and the ensuing travel restrictions, while that of one case (a 6-week-old fracture-dislocation of the proximal humerus in a 55-year-old woman) was delayed because the patient was undergoing treatment for COVID-19 at the time of injury. This report intends to present the exceptional circumstances around these cases. The unique treatment challenges and their outcomes are also described to advise the surgeons of the nuances and difficulties in treating these injuries.

摘要

4例病因外伤性肩部问题患者因2019冠状病毒病(COVID-19)封锁,延迟6至12周前来就诊。3例患者(1例30岁男性3个月大的被忽视的前肩关节脱位合并大结节骨折、1例17岁男孩3个月大的被忽视的前肩关节脱位、1例31岁男性2个月大的被忽视的大结节骨折)的治疗因封锁及随之而来的出行限制而延迟,而1例患者(1例55岁女性6周大的肱骨近端骨折脱位)的治疗延迟是因为患者受伤时正在接受COVID-19治疗。本报告旨在介绍这些病例周围的特殊情况。还描述了独特的治疗挑战及其结果,以告知外科医生治疗这些损伤的细微差别和困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/77c7/8651592/4f5d45f4592d/cise-2021-00255f1.jpg

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