肩关节脱位合并肩袖损伤的诊疗误区△

Pitfalls in diagnosis and treatment of shoulder dislocation complicated with rotator cuff tears

摘要:

肩关节脱位伴肩袖损伤是较常见的合并损伤，肩关节急性脱位复位伴肩袖部分或完全撕裂可能会被忽视。脱位后的肩袖损伤必须及时诊断处理，以防止复发性肩关节脱位和持续疼痛症状。在持续疼痛、功能丧失或神经损伤的情况下，需要对肩袖进行评估，考虑手术修复。本文报道 3 例肩关节脱位合并肩袖损伤的病例，结合文献复习探讨肩关节脱位合并肩袖损伤诊疗中的误区。

Abstract:

Shoulder dislocation complicated with rotator cuff tear is a common combined shoulder injury. However, the accompanied partial or complete rotator cuff tear might be ignored in the initial reduction of shoulder dislocation in emergency. Proper management of the rotator cuff injury secondary to dislocation is of great significance to prevent recurrent dislocation and persistent pain symptoms. In cases of persistent pain, loss of function, or nerve damage, the rotator cuff needs to be evaluated cautiously, and surgical repair should be considered if necessary. This paper reports 3 cases of shoulder dislocation complicated with rotator cuff injury, and discusses the pitfalls in the diagno- sis and treatment of shoulder dislocation combined with rotator cuff injury by a literature review.