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伴有反 Hill-Sachs 损伤及肱骨大小结节骨折的肩关节后脱位

The Posterior Dislocation of the Shoulder With Reverse Hill-Sachs Lesion and Humerus Lesser and Greater Tuberosity Fracture.

作者信息

Shevate Ishan, Cheemala Vikram Reddy, Deshmukh Ashwin, Salunkhe Rahul

机构信息

Orthopedics and Trauma, Dr. D. Y. Patil Medical College, Hospital & Research Centre, Pune, IND.

出版信息

Cureus. 2024 Jul 25;16(7):e65333. doi: 10.7759/cureus.65333. eCollection 2024 Jul.

DOI:10.7759/cureus.65333
PMID:39184764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11344274/
Abstract

Posterior shoulder dislocations are the rarest of all shoulder dislocations. They are commonly associated with seizures, electric shocks, or trauma. This case report presents a 60-year-old male with a posterior shoulder dislocation complicated by fractures of the greater tuberosity (GT) and lesser tuberosity (LT) and a reverse Hill-Sachs lesion. The patient was treated surgically using a modified McLaughlin procedure. This case highlights the importance of the early recognition and appropriate surgical management of complex posterior shoulder dislocations to prevent recurrent instability and ensure optimal functional recovery.

摘要

肩关节后脱位是所有肩关节脱位中最罕见的。它们通常与癫痫发作、电击或外伤有关。本病例报告介绍了一名60岁男性,患有肩关节后脱位,并伴有大结节(GT)和小结节(LT)骨折以及反Hill-Sachs损伤。该患者采用改良的麦克劳克林手术进行了手术治疗。本病例强调了早期识别和适当手术治疗复杂肩关节后脱位对于预防复发性不稳定和确保最佳功能恢复的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/8843e20dea8d/cureus-0016-00000065333-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/51bfe4d44afd/cureus-0016-00000065333-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/5ce573d9f4fc/cureus-0016-00000065333-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/81fd39fdde18/cureus-0016-00000065333-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/20676351ea27/cureus-0016-00000065333-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/dd09cb2badab/cureus-0016-00000065333-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/ddcd835258c1/cureus-0016-00000065333-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/8843e20dea8d/cureus-0016-00000065333-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/51bfe4d44afd/cureus-0016-00000065333-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/5ce573d9f4fc/cureus-0016-00000065333-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/81fd39fdde18/cureus-0016-00000065333-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/20676351ea27/cureus-0016-00000065333-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/dd09cb2badab/cureus-0016-00000065333-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/ddcd835258c1/cureus-0016-00000065333-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3b27/11344274/8843e20dea8d/cureus-0016-00000065333-i07.jpg

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本文引用的文献

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McLaughlin technique and humeral grafting provide similar results for treatment of reverse Hill-Sachs lesions: A systematic review.麦克劳林技术与肱骨移植治疗反 Hill-Sachs 损伤的效果相似:一项系统评价。
J Exp Orthop. 2024 Mar 10;11(1):e12001. doi: 10.1002/jeo2.12001. eCollection 2024 Jan.
2
Irreducible Posterior Shoulder Dislocation With Concomitant Fracture of Both the Greater and Lesser Tuberosity: An Extremely Rare Shoulder Injury.不可复性后肩关节脱位合并大结节和小结节骨折:一种极其罕见的肩部损伤。
Cureus. 2024 Jan 15;16(1):e52312. doi: 10.7759/cureus.52312. eCollection 2024 Jan.
3
Posterior shoulder dislocation with associated reverse Hill-Sachs lesion: clinical outcome 10 years after joint-preserving surgery.
肩后脱位伴相关的反向 Hill-Sachs 损伤:关节保存手术后 10 年的临床结果。
Arch Orthop Trauma Surg. 2023 May;143(5):2503-2507. doi: 10.1007/s00402-022-04482-6. Epub 2022 Jun 3.
4
Posterior Shoulder Dislocation with Engaging Reverse Hill-Sachs Lesion: A Retrospective Study of Ten Patients Treated with Arthroscopy or Open Reduction and Stabilization.伴有嵌顿性反 Hill-Sachs 损伤的肩关节后脱位:对 10 例接受关节镜或切开复位及稳定手术治疗患者的回顾性研究
J Clin Med. 2021 Apr 1;10(7):1410. doi: 10.3390/jcm10071410.
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Posterior shoulder instability: a systematic review.肩后不稳定:系统评价。
Br Med Bull. 2020 Jul 9;134(1):34-53. doi: 10.1093/bmb/ldaa009.
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BBilateral Neglected Anterior Shoulder Dislocation with Greater Tuberosity Fractures.双侧忽视性前肩关节脱位伴大结节骨折。
J Orthop Case Rep. 2016 Apr-Jun;6(2):53-56. doi: 10.13107/jocr.2250-0685.432.
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Influence of defect size and localization on the engagement of reverse Hill-Sachs lesions.缺损大小和位置对反向希尔-萨克斯损伤嵌入情况的影响。
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J Shoulder Elbow Surg. 2014 Nov;23(11):1682-90. doi: 10.1016/j.jse.2014.03.017. Epub 2014 Jun 12.
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