PDF(Pubmed)
Abstract：
UNASSIGNED: Pan-labral tears, commonly associated with recurrent shoulder dislocations, are a well-documented pathology. However, circumferential pan-labral tears following a first-time shoulder dislocation represent a rare and scarcely reported entity in the literature. Accurate diagnosis requires a comprehensive clinical history, physical examination, and further evaluation, often involving MRI. Even with advanced imaging, the acute nature of the injury can lead to the oversight of pan-labral tears, necessitating arthroscopic assessment for definitive diagnosis. Repairing such extensive glenoid labral tears presents a challenging task, requiring skilled surgeons to utilize accessory portals and percutaneous techniques for optimal visualization and anchor placement trajectory. To the best of our knowledge, this case report represents the first documentation of a pan-labral tear associated with a 1st-time shoulder dislocation.
UNASSIGNED: A 27-year-old Asian male presented with pain and limited range of motion in the left shoulder following a single episode of anterior shoulder dislocation during cricket. Initial X-rays were unremarkable, but subsequent MRI revealed an anteroinferior labral tear with intact rotator cuffs. Arthroscopic evaluation disclosed a pan-labral tear, prompting meticulous repair under general and locoregional anesthesia. The patient achieved full recovery postoperatively.
UNASSIGNED: While pan-labral tears are typically linked to recurrent dislocations, this case underscores their occurrence in a 1st-time traumatic shoulder dislocation without overt clinical signs or fractures. Arthroscopic repair demands careful intraoperative planning to achieve optimal tensioning and alignment of labral and capsular tissues. This report contributes to the limited literature on pan-labral tears associated with initial shoulder dislocations, emphasizing the importance of arthroscopic evaluation for accurate diagnosis and successful repair.
UNASSIGNED: A 27-year-old Asian male presented with pain and limited range of motion in the left shoulder following a single episode of anterior shoulder dislocation during cricket. Initial X-rays were unremarkable, but subsequent MRI revealed an anteroinferior labral tear with intact rotator cuffs. Arthroscopic evaluation disclosed a pan-labral tear, prompting meticulous repair under general and locoregional anesthesia. The patient achieved full recovery postoperatively.
UNASSIGNED: While pan-labral tears are typically linked to recurrent dislocations, this case underscores their occurrence in a 1st-time traumatic shoulder dislocation without overt clinical signs or fractures. Arthroscopic repair demands careful intraoperative planning to achieve optimal tensioning and alignment of labral and capsular tissues. This report contributes to the limited literature on pan-labral tears associated with initial shoulder dislocations, emphasizing the importance of arthroscopic evaluation for accurate diagnosis and successful repair.
摘要：
■泛唇眼泪，通常与复发性肩关节脱位有关，是一个有据可查的病理学。然而,首次肩关节脱位后的环状泛唇撕裂是文献中罕见且鲜有报道的实体。准确的诊断需要全面的临床病史,体检,进一步评估，通常涉及MRI。即使有先进的成像，损伤的急性性质可能导致对泛唇眼泪的疏忽，需要关节镜评估才能明确诊断。修复如此广泛的关节盂唇撕裂是一项具有挑战性的任务，需要熟练的外科医生利用辅助门户和经皮技术来实现最佳可视化和锚钉放置轨迹。据我们所知,本病例报告是首例与第1次肩关节脱位相关的泛唇撕裂的文献.
■一名27岁的亚裔男性在板球期间出现一次肩关节前脱位后，出现疼痛和左肩活动范围受限。最初的X射线并不明显，但是随后的MRI显示前下唇撕裂，旋转袖口完整。关节镜评估显示了泛唇撕裂，提示在全身和局部麻醉下进行细致的修复。患者术后完全康复。
■虽然泛唇撕裂通常与复发性脱位有关，该病例强调了它们在没有明显临床症状或骨折的首次创伤性肩关节脱位中的发生。关节镜修复需要仔细的术中计划，以实现唇和囊组织的最佳张紧和对齐。本报告有助于有限的文献中与初始肩脱位相关的泛唇撕裂，强调关节镜评估对准确诊断和成功修复的重要性。
■一名27岁的亚裔男性在板球期间出现一次肩关节前脱位后，出现疼痛和左肩活动范围受限。最初的X射线并不明显，但是随后的MRI显示前下唇撕裂，旋转袖口完整。关节镜评估显示了泛唇撕裂，提示在全身和局部麻醉下进行细致的修复。患者术后完全康复。
■虽然泛唇撕裂通常与复发性脱位有关，该病例强调了它们在没有明显临床症状或骨折的首次创伤性肩关节脱位中的发生。关节镜修复需要仔细的术中计划，以实现唇和囊组织的最佳张紧和对齐。本报告有助于有限的文献中与初始肩脱位相关的泛唇撕裂，强调关节镜评估对准确诊断和成功修复的重要性。
