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老年男性复发性前肩关节脱位伴喙突骨折：1例罕见病例报告

Recurrent Anterior Shoulder Dislocation with Coracoid Fracture in an Old Age Male: A Rare Case Report.

作者信息

Sawant Kaustubh, Bansal Sagar

机构信息

Department of Orthopaedics, Pt. Madan Mohan Malviya Hospital, Mumbai, Maharashtra, India.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):158-162. doi: 10.13107/jocr.2024.v14.i10.4846.

DOI:10.13107/jocr.2024.v14.i10.4846
PMID:39381271
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458254/
Abstract

INTRODUCTION

Anterior shoulder dislocation is a common pathology in young males with less prevalence in other age groups. Anterior shoulder dislocation being the most common variety of dislocation among the shoulder dislocation can be managed both conservatively and surgically. Recurrent anterior dislocation in middle-aged males with a coracoid fracture is a rare entity and should be managed with proper pre-operative planning including computed tomography (CT) scan, magnetic resonance imaging (MRI), and surgery.

CASE REPORT

A 65-year-old male is a known case of recurrent anterior dislocation presented with anterior shoulder dislocation 1½ years back. Closed reduction was done. Radiological evaluations such as CT scan and MRI were done which were suggestive of bony Bankart and coracoid fracture which was managed with open Latarjet procedure.

CONCLUSION

Recurrent anterior shoulder dislocation with a concomitant coracoid fracture is a rare entity in old age, which can be managed with a Latarjet procedure and has a good post-operative outcome.

摘要

引言

肩关节前脱位在年轻男性中是一种常见病症，在其他年龄组中发病率较低。肩关节前脱位是肩关节脱位中最常见的类型，可采用保守治疗和手术治疗。中年男性合并喙突骨折的复发性肩关节前脱位是一种罕见情况，应通过包括计算机断层扫描（CT）、磁共振成像（MRI）在内的适当术前规划以及手术进行处理。

病例报告

一名65岁男性是复发性肩关节前脱位的已知病例，1年半前出现肩关节前脱位。进行了闭合复位。进行了CT扫描和MRI等影像学评估，结果提示存在骨性Bankart损伤和喙突骨折，采用开放性Latarjet手术进行治疗。

结论

老年患者复发性肩关节前脱位合并喙突骨折是一种罕见情况，可通过Latarjet手术进行治疗，术后效果良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/03ec9e78f957/JOCR-14-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/e578abf6aaf4/JOCR-14-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/2794c613f8aa/JOCR-14-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/ccdcdda0ba89/JOCR-14-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/03ec9e78f957/JOCR-14-158-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/e578abf6aaf4/JOCR-14-158-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/2794c613f8aa/JOCR-14-158-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/ccdcdda0ba89/JOCR-14-158-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5062/11458254/03ec9e78f957/JOCR-14-158-g004.jpg

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