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¿У SM\j6S Clinical case
i«3 SEMEY MEDICAL UNIVERSITY
Science & Healthcare, 2019. (Vol. 21) 2
Received: 11 April 2019 / Accepted: 22 April 2019 / Published online: 30 April 2019 UDK 616.717.4-001.6
A RARE CASE REPORT: POSTERIOR DISLOCATION OF SHOULDER
Meliha Findik 1, Cemil Kavalci 1, Elif Kilicli 1, Afsin Emre Kayipmaz 1, Murat Muratoglu 1
Baskent University Faculty of Medicine, Emergency Department, Ankara, Turkey
Abstract
Posterior dislocation of the shoulder is a rare. A 18-year-old woman admitted to our department with complaint an injury to her left shoulder. Plain anteroposterior radiography of shoulder showed a posterior dislocation of the left shoulder. Shoulder was reducted. Shoulder was immobilized for 4 weeks
Posterior dislocations of the shoulder are uncommon. The keys to making the correct diagnosis involve maintaining a high index of suspicion.
Keywords: emergency, shoulder, posterior dislocation.
Резюме
РЕДКИЙ СЛУЧАЙ: ЗАДНИЙ ВЫВИХ ПЛЕЧА
Meliha Findik 1, Cemil Kavalci 1, Elif Kilicli 1, Afsin Emre Kayipmaz 1, Murat Muratoglu 1
1
Башкент университет, Медицинским факультет, Отделение неотложной помощи, г. Анкара, Турция
Задний вывих плеча встречается редко. 18-летняя женщина поступила в наше отделение с жалобой на травму левого плеча. Обычная передне-задняя рентгенография плеча показала задний вывих левого плеча. Плечо было редуцировано. Проведена иммобилизация плеча в течение 4 недель.
Поскольку задний вывих плеча является необычным типом вывиха плеча, ключевым вопросом к постановке правильного диагноза является высокий уровень предположений о его существовании, комплексное физикальное и радиографическое обследование с включением подмышечно-латеральной области. Ключевые слова: неотложная помощь, плечо, задний вывих.
Туйшдеме
СИРЕК КЕЗДЕСЕТ1Н ЖАГДАЙ: ИЫКТЫН АРТ^Ы ШЫГЫП КЕТУ1
Meliha Findik 1, Cemil Kavalci 1, Elif Kilicli 1, Afsin Emre Kayipmaz 1, Murat Muratoglu 1
1 Башкент университет, Медициналык факультет, Шугыл кемек бeлiмшесi, Анкара к. Туркия
Иы^тьщ арткы шыгып кетуi сирек кездеседг 18-жастагы эйел адам бiздщ бeлiмшеге сол жак иыгыныщ закымдануына шагымданумен тYстi. Эдеттегi иыктыщ алдыщгы-арткы рентгенографиясы Иыктыщ арткы шыгып кетуiн кeрсеттi. Иык редуцирлендi. Иыкка 4 апта бойы иммобилизация eткiзiлдi.
©йткенi иыктыщ арткы шыгып кетуi иыктыщ шыгып кетуЫщ ерекше тYрi болып табылады, дурыс диагноз коюга негiзгi сурак оныщ бар болуы туралы болжамдардыщ жогары дечгейi болып табылады, колтык асты - латералды аумакты енгiзумен кешендi физикалык жэне радиографикалык тексеру. Нег'1зг'1 сездер: шутл квмек, иы%,тыц артцы шылып кету\.
Библиографическая ссылка:
Meliha Findik, Cemil Kavalci, Elif Kilicli, Afsin Emre Kayipmaz, Murat Muratoglu Редкий случай: Задний вывих плеча // Наука и Здравоохранение. 2019. 2 (Т.21). С. 116-117.
Meliha Findik, Cemil Kavalci, Elif Kilicli, Afsin Emre Kayipmaz, Murat Muratoglu A rare case report: posterior dislocation of shoulder // Nauka i Zdravookhranenie [Science & Healthcare]. 2019, (Vol.21) 2, pp. 116-117.
Meliha Findik, Cemil Kavalci, Elif Kilicli, Afsin Emre Kayipmaz, Murat Muratoglu Сирек кездесетЫ жавдай: иыктыщ арткы шыгып кетуi // Гылым жэне Денсаулык сактау. 2019. 2 (Т.21). Б. 116-117.
Наука и Здравоохранение, 2019, 2 (Т.21)
Клинический случай
■ 1*4 SHMLV MEDICAL UNIVERSITY
Introduction
Posterior dislocation of the shoulder is a rare but clinically and radiologically well-defined entity. It accounts for less than 2% of all dislocations of the shoulder, and can be missed in up to 80% of cases but is of diagnostic and therapeutic interest because most are missed on the initial examination [1, 3].
In this report, we aimed to present a rare posterior dislocation of the shoulder.
Case Report
A 18-year-old woman, with a dominant right hand, a student, suffered an injury to her left shoulder. After the injury occurred, the patient was seen in a local emergency room with complaints of left shoulder pain. She had pain in her shoulder. Functions (sensory and motor) of axillary nerve and all peripheral nerves were tested and were normal. Findings from vascular examination were also normal. Plain anteroposterior radiographs of shoulder showed a posterior dislocation of the left shoulder (Figure 1,2).
Figure 1. X-ray image of dislocation.
The patient was submitted to gentle closed reduction under sedoanalgesia of shoulder in emergency room. An attempt at closed reduction was successful. After the reduction control radiograph was taken and checked reduction. Shoulder was immobilized for 4 weeks.
Figure 2. CT image of posterior dislocation.
Conclussion
Posterior dislocations of the shoulder are uncommon, representing less than 5% of all shoulder dislocations; they are often missed on initial presentation and they occur in patients who are younger than the majority of other patients who sustain a proximal humeral fracture [2, 4]. The keys to making the correct diagnosis involve maintaining a high index of suspicion, performing a thorough physical examination, and obtaining a complete radiographic series, including an axillary lateral view.
References:
1. Cicak N. Posterior Dislocation of the Shoulder. J Bone Joint Surg Br. 2004; 86(3): 324-32.
2. Robinson C.M., Akhtar A., Mitchell M., Beavis C. Complex posterior fracture-dislocation of the shoulder. Epidemiology, injury patterns, and results of operative treatment. J Bone Joint Surg Am 2007; 89(7):1454-66.
3. Steinitz D.K., Harvey E.J., Lenczner E.M. Traumatic Posterior Dislocation of the Shoulder Associated with a Massive Rotator Cuff Tear. Am J Sports Med 2003;31(6);1010-2.
4. Verma N.N., Sellards R.A., Romeo A.A. Arthroscopic reduction and repair of a locked posterior shoulder dislocation. Arthroscopy 2006; 22:1252.e1-1252.e5
Coresponding Author:
Cemil Kavalci, Asoc. Prof. Baskent University Faculty of Medicine, Emergency Department , Ankara. Turkey
Тел. +90 312 2036868
cemkavalci@yahoo.com
Note: This study was presented on 4. EACEM, 13-16 Kasim 2014, Antalya
