Nie J B, Jin M C, Fang T S, Li J Y
Department of Orthopedics, Affiliated Huzhou Hospital, Zhejiang University School of Medicine, Huzhou 313000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Jul 20;40(7):527-529. doi: 10.3760/cma.j.cn121094-20210311-00137.
After workers suffer electric shock, the ankylosis and contraction of muscle groups around the shoulder joint are more likely to lead to posterior dislocation and fracture, of which 80% are complicated with reverse Hill-Sachs injury of humeral head. This paper reports a case of bilateral posterior dislocation of shoulder joint combined with Hill-Sachs injury caused by electric shock in the Department of Orthopedics, Affiliated Huzhou Hospital, Zhejiang University School of Medicine in August 2020. The diagnosis of left posterior shoulder dislocation was clear, and the diagnosis of right posterior shoulder dislocation was missed. The patient successfully reconstructed the stability of the shoulder joint by actively performing shoulder arthroscopic surgery to repair the joint capsule. After 6 months of follow-up, there was no further dislocation and the function was good.
工人遭受电击后,肩关节周围肌群的强直和挛缩更容易导致后脱位和骨折,其中80%合并肱骨头反Hill-Sachs损伤。本文报道了2020年8月浙江大学医学院附属湖州医院骨科收治的1例电击伤致双侧肩关节后脱位合并Hill-Sachs损伤的病例。该患者左肩关节后脱位诊断明确,右肩关节后脱位漏诊。患者通过积极行肩关节镜手术修复关节囊,成功重建了肩关节稳定性。随访6个月,未再发生脱位,功能良好。