PDF(Pubmed)
Abstract：
UNASSIGNED: Bilateral posterior fracture-dislocation of the shoulder is a very rare injury that is commonly missed. Almost 70% of bilateral posterior dislocations are due to convulsive seizures, with electric shocks accounting for < 5% of bilateral posterior shoulder dislocations.
UNASSIGNED: The case of a walk-in patient, a 52-year-old man, with bilateral posterior fracture-dislocation of the shoulder caused by an electric shock is reported. Although he was initially admitted to the emergency department for observation of the potential complications of an electric shock, such as fatal arrhythmia and rhabdomyolysis, he subsequently consulted an orthopedic surgeon 4 days after the event due to persistent bilateral shoulder pain and was diagnosed using X-ray and computed tomography with bilateral posterior fracture-dislocation of the shoulder. Following open reduction and internal fixation 7 days after the injury, the upper limbs were fixed with shoulder braces at a slightly flexed and abducted position with neutral rotation for 3 weeks postoperatively followed by range of motion exercises. Twelve months after surgery, he had a Constant shoulder score of 94, an American Shoulder and Elbow Surgeon score of 100, and no shoulder re-dislocation or humeral head necrosis.
UNASSIGNED: In this walk-in patient, the diagnosis of bilateral posterior fracture-dislocation of the shoulder caused by an electric shock was delayed. We believe that understanding the mechanism of this type of injury will facilitate its early diagnosis.
UNASSIGNED: The case of a walk-in patient, a 52-year-old man, with bilateral posterior fracture-dislocation of the shoulder caused by an electric shock is reported. Although he was initially admitted to the emergency department for observation of the potential complications of an electric shock, such as fatal arrhythmia and rhabdomyolysis, he subsequently consulted an orthopedic surgeon 4 days after the event due to persistent bilateral shoulder pain and was diagnosed using X-ray and computed tomography with bilateral posterior fracture-dislocation of the shoulder. Following open reduction and internal fixation 7 days after the injury, the upper limbs were fixed with shoulder braces at a slightly flexed and abducted position with neutral rotation for 3 weeks postoperatively followed by range of motion exercises. Twelve months after surgery, he had a Constant shoulder score of 94, an American Shoulder and Elbow Surgeon score of 100, and no shoulder re-dislocation or humeral head necrosis.
UNASSIGNED: In this walk-in patient, the diagnosis of bilateral posterior fracture-dislocation of the shoulder caused by an electric shock was delayed. We believe that understanding the mechanism of this type of injury will facilitate its early diagnosis.
摘要：
■双侧肩关节后骨折脱位是一种非常罕见的损伤，通常被错过。近70%的双侧后脱位是由于惊厥性癫痫发作，电击占双侧后肩脱位的5%。
■步入式患者的情况，一个52岁的男人,据报道，由电击引起的双侧肩关节后骨折脱位。尽管他最初被送往急诊室观察电击的潜在并发症，比如致命的心律失常和横纹肌溶解症,由于持续的双侧肩痛,他随后在事件发生后4天咨询了骨科医生,并通过X线和计算机断层扫描诊断为双侧肩关节后骨折脱位.受伤后7天，切开复位内固定术后，上肢用肩托固定在轻微弯曲和外展的位置，术后中立旋转3周，然后进行运动范围练习。手术后12个月,他的恒定肩部得分为94分，美国肩肘外科医生得分为100分，没有肩部再脱位或肱骨头坏死。
■在这位步入式患者中，电击引起的双侧肩关节后骨折脱位的诊断被延迟.我们相信了解这种类型损伤的机制将有助于其早期诊断。
■步入式患者的情况，一个52岁的男人,据报道，由电击引起的双侧肩关节后骨折脱位。尽管他最初被送往急诊室观察电击的潜在并发症，比如致命的心律失常和横纹肌溶解症,由于持续的双侧肩痛,他随后在事件发生后4天咨询了骨科医生,并通过X线和计算机断层扫描诊断为双侧肩关节后骨折脱位.受伤后7天，切开复位内固定术后，上肢用肩托固定在轻微弯曲和外展的位置，术后中立旋转3周，然后进行运动范围练习。手术后12个月,他的恒定肩部得分为94分，美国肩肘外科医生得分为100分，没有肩部再脱位或肱骨头坏死。
■在这位步入式患者中，电击引起的双侧肩关节后骨折脱位的诊断被延迟.我们相信了解这种类型损伤的机制将有助于其早期诊断。
