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罕见双侧后肩骨折脱位:同期双侧人工半肩关节置换术。

Rarely seen bilateral posterior shoulder fracture dislocation: Simultaneous bilateral hemiarthroplasty.

机构信息

Department of Orthopaedics and Traumatology, Kahramanmaras Sutcu Imam University, Kahramanmaras.

Birecik State Hospital, Clinics of Orthopaedics and Traumatology, Sanliurfa, Turkey.

出版信息

J Pak Med Assoc. 2022 Aug;72(8):1648-1651. doi: 10.47391/JPMA.3976.

Abstract

Posterior shoulder dislocation is a rare condition, while bilateral posterior shoulder fracture is extremely rare. Dislocations with a fracture of the bilateral posterior shoulder are observed more often after epileptic seizures. As dislocations with posterior shoulder fracture are rare, clinicians sometimes experience difficulty in diagnosing it timely. Although it can be diagnosed and treated early, based on a proper shoulder examination and accurate radiological imagery. In the treatment of posterior shoulder dislocations, closed reduction can be performed at an early stage, while methods of osteosynthesis with open reduction or arthroplasty are the most frequently used procedures at delayed stage. In this study, it was shown for the first time in literature, that a very rare case of dislocation with bilateral posterior shoulder fracture after epileptic seizure, in a 68 years old patient, had good clinical and functional results, following simultaneous hemiarthroplasty treatment.

摘要

肩关节后脱位较为少见,而双侧肩关节后骨折则更为罕见。双侧肩关节后骨折脱位多发生于癫痫发作后。由于肩关节后骨折脱位较为罕见,临床医生有时难以及时诊断。但基于适当的肩部检查和准确的影像学检查,这种疾病可以得到早期诊断和治疗。在治疗肩关节后脱位时,早期可以进行闭合复位,而对于延迟性肩关节后骨折脱位,切开复位内固定或关节成形术是最常用的方法。本研究首次在文献中报道了 1 例 68 岁老年患者癫痫发作后双侧肩关节后骨折脱位,采用同期行人工肱骨头置换治疗后获得了良好的临床和功能效果。

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