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因肩关节脱位闭合复位导致前臂广泛皮肤撕裂伤。病例报告。

Extensive skin laceration on the forearm due to closed reduction of a dislocated shoulder. A case report.

作者信息

Cristina Luca, Nyffeler Richard W

机构信息

Orthopädie Sonnenhof KLG, Bern, Switzerland.

Campus Stiftung Lindenhof Bern (Campus SLB), Bern, Switzerland.

出版信息

Trauma Case Rep. 2024 Mar 26;51:101001. doi: 10.1016/j.tcr.2024.101001. eCollection 2024 Jun.

DOI:10.1016/j.tcr.2024.101001
PMID:38835528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11148510/
Abstract

We report the case of an 80-year-old man who suffered an anteroinferior shoulder dislocation with rupture of the rotator cuff following a fall. An attempt at closed reduction under analgosedation resulted in extensive skin laceration on the elbow and forearm. The wound treatment was complex and resulted in numerous complications.

摘要

我们报告了一例80岁男性病例，该患者在跌倒后发生了肩前下脱位并伴有肩袖破裂。在镇痛镇静下尝试进行闭合复位，结果导致肘部和前臂出现大面积皮肤撕裂伤。伤口处理复杂，引发了诸多并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/e074bbcd5605/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/e7693d332452/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/38b01a1dd3ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/1646f23a17f4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/e074bbcd5605/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/e7693d332452/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/38b01a1dd3ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/1646f23a17f4/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8002/11148510/e074bbcd5605/gr4.jpg

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本文引用的文献

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Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis.急性前肩关节脱位的闭合复位技术：一项系统评价和荟萃分析。
Eur J Trauma Emerg Surg. 2021 Apr;47(2):407-421. doi: 10.1007/s00068-020-01427-9. Epub 2020 Jun 30.
2
Comparison of interscalene block, general anesthesia, and intravenous analgesia for out-patient shoulder reduction.比较肌间沟阻滞、全身麻醉和静脉镇痛在门诊肩关节复位中的应用。
J Anesth. 2019 Apr;33(2):279-286. doi: 10.1007/s00540-019-02624-6. Epub 2019 Mar 12.
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Prevalence of and risk factors for dermatoporosis: a prospective observational study of dermatology outpatients in a Finnish tertiary care hospital.
皮肤科骨质疏松症的患病率及相关因素：芬兰一家三级保健医院皮肤科门诊患者的前瞻性观察研究。
J Eur Acad Dermatol Venereol. 2019 Feb;33(2):447-450. doi: 10.1111/jdv.15240. Epub 2018 Oct 1.
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Skin tears and risk factors assessment: a systematic review on evidence-based medicine.皮肤撕裂伤及其危险因素评估：循证医学的系统评价。
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Dermatology. 2007;215(4):284-94. doi: 10.1159/000107621.
8
Techniques for reduction of anteroinferior shoulder dislocation.前下肩关节脱位的复位技术。
Emerg Med Australas. 2005 Oct-Dec;17(5-6):463-71. doi: 10.1111/j.1742-6723.2005.00778.x.