Sousa Diogo, Reis João, Guimarães André, Lemos Lopes António
Orthopaedics and Traumatology, Centro Hospitalar de Trás-Os-Montes e Alto Douro, Vila Real, PRT.
Cureus. 2023 Aug 21;15(8):e43852. doi: 10.7759/cureus.43852. eCollection 2023 Aug.
Unilateral shoulder dislocation is known to be one of the most common joint dislocations. However, simultaneous bilateral shoulder dislocations are rare, especially anterior dislocations. We report a case of an 84-year-old woman who presented to the urgency room with symmetrical bilateral anterior shoulder dislocation 12 hours after falling on a treadmill. She presented with bilateral pain, functional impairment, prominent acromion, flattened shoulder, and, in the right upper limb, paresthesias on the dorsum of the hand and extension deficit of the fingers. Closed reduction of both shoulders was performed under sedation, and she was immobilized bilaterally with an arm sling in internal rotation. A full recovery was achieved six months after the injury.
单侧肩关节脱位是最常见的关节脱位之一。然而，双侧肩关节同时脱位很少见，尤其是前脱位。我们报告一例84岁女性病例，她在跑步机上摔倒12小时后因双侧对称性肩关节前脱位被送往急诊室。她表现为双侧疼痛、功能障碍、肩峰突出、肩部扁平，并且右上肢手背感觉异常和手指伸展功能障碍。在镇静状态下对双侧肩关节进行了闭合复位，并用手臂吊带将双侧上肢固定于内旋位。受伤6个月后完全康复。
