肩关节前脱位采用切开复位和 Latarjet 手术治疗:病例报告

Ode Mahesa, K. M. Laksana
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摘要

简介:关节脱位最常发生在肩关节。脱位分为两种类型,即前关节脱位和后关节脱位。患者就诊的大多数病例都是前关节脱位,需要立即治疗。慢性肩关节前脱位是骨科中一种罕见的前关节脱位病例,关节脱位已持续三周。病例介绍:49 岁的患者左肩畸形,6 个月前来到骨科门诊就诊,主诉是活动左肩时疼痛。他接受了传统的按摩治疗,但肩部疼痛仍然持续,而且仍然变形。患者被诊断为被忽视的肩关节前脱位 6 个月,接受了切开复位和 Latarjet 手术治疗。对患者进行了 3 个月的门诊随访,没有发现疼痛或复发性脱位。讨论:对于骨科医生来说,慢性肩关节前脱位是一个不常见的病例。Latarjet可通过 "三重效应 "带来稳定性,而且对外科医生来说,它比再植手术更熟悉 结论:被忽视的肩关节前脱位是骨科的罕见病例之一,目前尚无治疗脱位的特效疗法,但通过开放复位和Latarjet手术,可获得更高的稳定性和更低的复发率 关键词:肩关节前脱位 被忽视的肩关节前脱位是骨科的罕见病例之一,目前尚无治疗脱位的特效疗法,但通过开放复位和Latarjet手术,可获得更高的稳定性和更低的复发率:被忽视的肩关节前脱位 Latarjet 手术 开放复位术
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neglected Anterior Shoulder Joint Dislocation Treated with Open Reduction and Latarjet Procedure: A Case Report
INTRODUCTION:The joint dislocation is most commonly occurring in shoulder joint. There are two types of dislocation which is anterior and posterior joint dislocation. Most of the case that brings patients to the clinic was the anterior subtypes dislocation and it needs an immediate treatment. Chronic anterior shoulder joint dislocation is a rare case of anterior joint dislocation in orthopaedics where the dislocation of the joint has remained dislocated for three weeks. CASE PRESENTATION:A 49-year-old with left shoulder deformity he came to outpatient department of Orthopaedics with chief complaint pain when moving the left shoulder region for 6 months ago. He went for traditional massage treatment, but pain on shoulder still persisted and still deformed. Patient diagnosed with neglected anterior shoulder dislocation for 6 months, open reduction and Latarjet surgery was done to manage the case. Follow up the patient for 3 months as outpatient and there is no pain or recurrent dislocation. DISCUSSION:Chronic anterior shoulder joint dislocation is an unusual case for Orthopaedic surgeons to encounter. Latarjet would bring stability by ‘triple effect’ and it is more familiar for the surgeon than remplissage procedure CONCLUSION:Neglected anterior shoulder joint dislocation was one of rare case in Orthopaedics where there is no specific treatment for the dislocation but with open reduction and Latarjet surgery, there was a higher effectiveness for stability and lower recurrence rate Keywords: Neglected anterior shoulder dislocation, Latarjet procedure, open reduction
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