急性后肩脱位伴肱骨头骨骺反向丘-萨克斯病变。

ISRN surgery Pub Date : 2011-01-01 Epub Date: 2011-07-25 DOI:10.5402/2011/851051
Luigi Patrizio, Ettore Sabetta
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引用次数: 19

摘要

肩部后脱位是一种罕见的事件,通常发生在直接创伤或癫痫危机的后果。后路脱位经常被误解,因此成为慢性病变。我们报告了一例急性左肩后脱位合并小结节骨折和反向Hill-Sachs病变,累及肱骨头关节面25%以上,患者为57岁男性,右半瘫。我们用螺钉合成小结节,并用同种异体移植物恢复肱骨头的形状。我们取得了很好的结果,使病人能够做他以前的日常生活活动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head.

Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head.

Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head.

Acute posterior shoulder dislocation with reverse hill-sachs lesion of the epiphyseal humeral head.

Posterior dislocation of the shoulder is an unfrequent event that often occurs as a consequence of a direct trauma or epileptic crisis. Frequently the posterior dislocations are misunderstood, so they become chronic lesions. We reported a case of an acute posterior left shoulder dislocation with lesser tuberosity fracture and reverse Hill-Sachs lesions which involved more than 25% of the articular surface of the humeral head, in a 57-old-year man with right hemiparesis. We performed a synthesis of the lesser tuberosity with a screw, and we restored the shape of the humeral head with allograft. We achieved a good result that allows the patient to be able to do his previous activities of daily living.

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