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肩关节后脱位及骨折脱位

Posterior dislocation and fracture-dislocation of the shoulder.

作者信息

Vastamäki M, Solonen K A

出版信息

Acta Orthop Scand. 1980 Jun;51(3):479-84. doi: 10.3109/17453678008990827.

DOI:10.3109/17453678008990827
PMID:7446030
Abstract

Two cases of posterior dislocation (PD) and four cases of posterior fracture-dislocation (PFD) of the shoulder are reported. There was one bilateral PD and two bilateral PFD. One PD was treated with closed reduction but in three cases of PFD operative reduction was necessary. All measures were applied in the late phase within 1 to 10 months after the injury with good primary results. However, because of posttraumatic arthrosis, the final result was poor. The average follow-up period was 4 years. The diagnosis of posterior dislocation is often missed. An axillary X-ray is essential.

摘要

报告了2例肩关节后脱位(PD)和4例肩关节后骨折脱位(PFD)。有1例双侧PD和2例双侧PFD。1例PD采用闭合复位治疗,但3例PFD需要手术复位。所有措施均在伤后1至10个月的晚期应用,初期效果良好。然而,由于创伤后关节炎,最终结果不佳。平均随访期为4年。后脱位的诊断常常被漏诊。腋部X线检查至关重要。

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