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复杂的肩肱关节后向不稳病例管理

Complex Posterior Glenohumeral Instability Case Management.

作者信息

Melhem Rony H, Doumith Eliane K, Soubeyrand Marc

机构信息

Orthopedic Surgery, Dr. Sulaiman Al-Habib Hospital, Riyadh, SAU.

Radiology, Lebanese American University (LAU) Medical Center-Rizk Hospital, Beirut, LBN.

出版信息

Cureus. 2022 Apr 17;14(4):e24198. doi: 10.7759/cureus.24198. eCollection 2022 Apr.

DOI:10.7759/cureus.24198
PMID:35602811
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9117827/
Abstract

A 21-year-old male patient suffering from insidious shoulder instability from neurogenic and structural attenuation of shoulder stabilizer, due to old minor cerebrovascular accident, presented with a two-year history of repetitive shoulder dislocation, operated by fixing the biceps tendon to its insertion on the superior labrum, correction of the glenoid version and reattaching the subscapular tendon along with a new technique for stabilization of the shoulder replicating the coracohumeral ligament with a ligament advanced reinforcement system (LARS) transplant. Following structured physical therapy, our patient returned to normal daily activities at 15 months.

摘要

一名21岁男性患者，因陈旧性轻度脑血管意外导致肩部稳定器神经源性和结构性减弱，出现隐匿性肩部不稳定，有两年反复肩关节脱位病史。手术方式为将肱二头肌肌腱固定于其在上盂唇的附着点，矫正肩胛盂形态，并重新附着肩胛下肌腱，同时采用一种新的肩部稳定技术，即使用韧带推进增强系统（LARS）移植来复制喙肱韧带。经过系统的物理治疗，该患者在15个月时恢复了正常日常活动。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/8c2e673c82ab/cureus-0014-00000024198-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d7c0eecf7e27/cureus-0014-00000024198-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d5937d5958e9/cureus-0014-00000024198-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/2f0e13e2fd06/cureus-0014-00000024198-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/72ef44e353c3/cureus-0014-00000024198-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d0150c9af961/cureus-0014-00000024198-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/c2df5bb5aa8d/cureus-0014-00000024198-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/7c5fea65b7a1/cureus-0014-00000024198-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/8c2e673c82ab/cureus-0014-00000024198-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d7c0eecf7e27/cureus-0014-00000024198-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d5937d5958e9/cureus-0014-00000024198-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/2f0e13e2fd06/cureus-0014-00000024198-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/72ef44e353c3/cureus-0014-00000024198-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/d0150c9af961/cureus-0014-00000024198-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/c2df5bb5aa8d/cureus-0014-00000024198-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/7c5fea65b7a1/cureus-0014-00000024198-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e6b/9117827/8c2e673c82ab/cureus-0014-00000024198-i08.jpg

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本文引用的文献

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Treatment of The Posterior Unstable Shoulder.后不稳定型肩关节的治疗
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