Bristow Latarjet手术治疗复发性肩关节脱位1例

Safrizal Rahman, Gabriel Klemens Wienanda, Fikri Akbar
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引用次数: 0

摘要

肩关节是最常见的脱位关节,因为它的结构不稳定。肩关节脱位复发率高,以前位脱位居多。据报道,布里斯托-拉塔捷(BL)手术在恢复关节稳定性方面效果良好。本报告的目的是描述一个病例复发前肩脱位治疗与开放的BL程序。病例描述:一名36岁的患者来我中心,主诉从自行车上摔下后左肩疼痛。体格检查显示前退缩和沟征阳性,MRI显示前下唇脱离提示Bankart病变。这是该患者左前肩脱位的第二次发作。对该患者进行了开放性肩关节手术,获得了良好的功能和稳定性。患者的病史、体格检查和影像学检查符合Bankart病变引起的复发性肩前脱位的诊断。我们进行了开放BL手术,其报道的结果也得到了先前几项研究的支持。结论:复发性肩前脱位仍然是一个重要的问题,特别是在年轻人和运动员中。对于因Bankart病变而导致不稳定的患者,BL手术是一个很好的治疗选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Recurrent shoulder dislocation treated with Bristow Latarjet procedure: a case report
Introduction: The shoulder's glenohumeral joint is the most frequently dislocated joint because of its unstable structure. The recurrence rate of shoulder dislocation is high with most of them were anterior dislocations. Bristow-Latarjet (BL) procedure had been reported to provide good outcomes in restoring the joint's stability. The aim of this report is to describe a case of recurrent anterior shoulder dislocation treated with an open BL procedure. Case description: A 36-year-old patient came to our center with complaints of left shoulder pain after falling from a bicycle. Anterior apprehension and sulcus sign was positive on the physical examination and MRI showed anteroinferior labral detachment suggesting a Bankart lesion. This was a second episode of left anterior shoulder dislocation of this patient. An open BL procedure was conducted to this patient and good functionality and stability of the shoulder were obtained. The patient’s history, physical, and radiological examinations were in accordance with the diagnosis of recurrent anterior shoulder dislocation due to a Bankart lesion. Open BL procedure was done and its reported outcomes were also supported in several previous studies. Conclusion: Recurrent anterior shoulder dislocation is still a significant problem, especially in young individuals and athletes. The BL procedure is a good treatment choice in this patient whose instability was due to a Bankart lesion.
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