Luxatio直立是下肱骨脱位。这是一种罕见的病理,占所有肩关节脱位的患病率为0.5%。开放的卢克斯蒂奥勃起演示是罕见的。经过广泛的文献检索,我们只能找到三份完整的病例报告.从这些案例中,3人中有2人出现并发症,如感染和严重受限的活动范围,尤其是在屈曲和外展方面。我们报告了一例39岁的男子,该男子患有开放性下肱骨关节脱位,并伴有完全的肩袖撕裂和继发于机动车事故的大结节骨折。他接受了切开复位治疗,肱骨囊修补术,经骨肩袖修补术具有良好的临床效果。总之,开放性下肩关节脱位是罕见的,小于所有位错的0.1%,神经损伤的发生率很高。我们建议及时手术治疗,立即给予抗生素治疗,伤口清创术,灌溉,开放还原,并将肩袖修复作为一种适当的方案,并通过早期动员盂肱骨关节进行重点康复。
Luxatio erecta is an inferior
glenohumeral dislocation. It is an uncommon pathology with a prevalence of 0.5% of all shoulder dislocations. An open luxatio erecta presentation is rarer. After an extensive literature search, we only could find three complete
case reports. From these cases, 2 out of 3 developed complications such as infections and severely limited range of motion, especially in flexion and abduction. We report the
case of a 39-year-old man with an open inferior
glenohumeral joint dislocation with complete rotator cuff tear and fracture of the greater tuberosity secondary to a motor vehicle accident. He was treated with open reduction,
glenohumeral capsulorrhaphy, and transosseous rotator cuff repair with good clinical outcome. In conclusion, an open inferior shoulder dislocation is rare, less than 0.1% of all dislocations, with a high incidence of nerve injury. We suggest prompt surgical treatment with immediate administration of antibiotic therapy, wound debridement, irrigation, open reduction, and repair of the rotator cuff as an adequate protocol and focused rehabilitation with early mobilization of the
glenohumeral joint.