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儿童创伤性肩关节脱位：一例报告

Traumatic Shoulder Dislocation in a Child: A Case Report.

作者信息

Aloui Yahia, Hassini Lassaad, Chermiti Wajdi, Bagga Houssine, Mtaoumi Mourad, Bouattour Karim

机构信息

Department of Trauma and Orthopedics, Orthopaedic Division, Sahloul Teaching Hospital, Faculty of Medicine, University of Sousse, Sousse, Tunisia.

Department of Trauma and Orthopedics, Sahloul Teaching Hospital, Faculty of Medicine, University of Sousse, Sousse, Tunisia.

出版信息

J Orthop Case Rep. 2024 Aug;14(8):117-120. doi: 10.13107/jocr.2024.v14.i08.4668.

DOI:10.13107/jocr.2024.v14.i08.4668
PMID:39157465
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11327676/
Abstract

INTRODUCTION

The traumatic dislocation of the shoulder in a toddler is rare and is typically observed in children with neuromuscular issues. The treatment approach for this condition is extrapolated from that of shoulder dislocations in adults and teenagers. The primary complication is recurrence.

CASE REPORT

We present the case of a 20-month-old infant with no significant medical history, who experienced a post-traumatic pure luxation of the left shoulder. The dislocation was successfully reduced under general anesthesia, followed by immobilization in a short sling for 3 weeks. Four years post-treatment, there was no recurrence, and the shoulder remained stable with complete mobility.

CONCLUSION

While uncommon, traumatic shoulder luxation in toddlers should be considered in the presence of functional impairment or abnormal limb posture, and non-surgical intervention is recommended.

摘要

引言

幼儿肩部创伤性脱位较为罕见，通常见于患有神经肌肉问题的儿童。这种情况的治疗方法是从成人和青少年肩部脱位的治疗方法推断而来。主要并发症是复发。

病例报告

我们报告一例20个月大、无重大病史的婴儿，其经历了创伤后左肩部单纯脱位。脱位在全身麻醉下成功复位，随后用短吊带固定3周。治疗四年后，未出现复发，肩部保持稳定且活动完全正常。

结论

虽然不常见，但在存在功能障碍或肢体姿势异常的情况下，应考虑幼儿创伤性肩部脱位，建议采取非手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/24083d5d53fa/JOCR-14-117-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/50320f1a2f6b/JOCR-14-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/c45796266bb9/JOCR-14-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/bd9a62406117/JOCR-14-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/65e647579e9b/JOCR-14-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/24083d5d53fa/JOCR-14-117-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/50320f1a2f6b/JOCR-14-117-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/c45796266bb9/JOCR-14-117-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/bd9a62406117/JOCR-14-117-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/65e647579e9b/JOCR-14-117-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e66/11327676/24083d5d53fa/JOCR-14-117-g005.jpg

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