Tyler John, Green Clare K, Scanaliato John P, Gordon Michael, Kieb Steven, Parnes Nata
From the Department of Orthopedics, Carthage Area Hospital, Carthage, NY (Mr. Tyler, Dr. Gordon, Mr. Kieb, and Dr. Parnes); the Department of Orthopedics, Claxton-Hepburn Medical Center, Ogdensburg, NY (Mr. Tyler, Mr. Kieb, and Dr. Parnes); the George Washington University School of Medicine, Washington, DC (Ms. Green); and the Midwest Orthopaedics at Rush University Medical Center, Chicago, IL (Dr. Scanaliato).
J Am Acad Orthop Surg Glob Res Rev. 2025 Apr 15;9(4). doi: 10.5435/JAAOSGlobal-D-24-00135. eCollection 2025 Apr 1.
A 68-year-old woman underwent arthroscopic capsular release and manipulation under general anesthesia for adhesive capsulitis. Six hours postoperatively, she suffered an anterior glenohumeral joint dislocation with passive forward flexion while working with physical therapy. Postoperative workup revealed pseudocholinesterase deficiency. Pseudocholinesterase deficiency may increase the risk of atraumatic glenohumeral dislocation in the immediate postoperative period. Caution should be taken concerning early physical therapy in these patients to minimize the risk of dislocation.
一名68岁女性因粘连性关节囊炎在全身麻醉下接受关节镜下关节囊松解和手法治疗。术后6小时,她在接受物理治疗时被动前屈时发生了肩肱关节前脱位。术后检查发现假性胆碱酯酶缺乏。假性胆碱酯酶缺乏可能会增加术后即刻非创伤性肩肱关节脱位的风险。对于这些患者,应谨慎进行早期物理治疗,以尽量降低脱位风险。