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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.

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/3b27/11344274/51bfe4d44afd/cureus-0016-00000065333-i01.jpg

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