在肩后部脱后,急性巨大的旋转袖口撕裂和双肩肌脱:一个病例报告
Meng-Yu Liu1, Chang-Hao Lin1, Shih-Hao Chen2
1Department of Orthopaedics, Ditmanson Medical Foundation Chia-Yi Christian Hospital, Chia-Yi 60002, Taiwan.
World journal of clinical cases
|December 11, 2025
概括
后肩部脱与巨大的旋转手套撕裂是罕见的,但可治疗的. 早期诊断和关节镜修复可以恢复老年患者的肩膀功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 后肩部脱是一种不常见的损伤,占所有肩部脱的1%-4%.
- 它经常被误诊,特别是当它与巨大的旋转手套撕裂有关时.
- 及时诊断和手术干预对于功能恢复和预防慢性残疾至关重要.
研究的目的:
- 报告一个60岁的男性肩后部脱的病例与巨大的旋转手套撕裂.
- 强调早期诊断和手术管理的重要性,以获得有利的结果.
主要方法:
- 一名60岁的男性在摩托车事故后承受了后肩部脱.
- 最初的成像证实了脱;MRI显示了巨大的旋转部撕裂和双肩肌脱.
- 关节镜旋转手套修复是在受伤后6周进行的.
主要成果:
- 这位患者出现了伪麻症和有限的活跃向前曲.
- 手术后的MRI显示了完全的上,下和下的撕裂.
- 在12个月的随访中,患者获得了充分的力量和运动范围.
结论:
- 大规模的旋转带撕裂与后肩部脱位相关,需要及时诊断.
- 定制的关节镜修复可以在老年人中成功地恢复肩膀功能.
- 这一案例强调了复杂的肩部损伤及时进行手术治疗的重要性.
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