肱骨后方盂肱韧带撕脱损伤漏诊:1例报告与综述

Misdiagnosis of reverse humeral avulsion of the glenohumeral ligament: A case report and literature review

摘要:

肱骨后方盂肱韧带撕脱损伤罕见，无典型临床表现，极易发生漏诊，是肩关节后方不稳定发生原因之一，目前仅有少量文献报告。本文结合相关病例，着重对其发生机理、病理、诊断、影像学、分型、手术方法与术后康复进行综述，以提高其诊疗水平。

Abstract:

Reverse humeral avulsion of the glenohumeral ligament (r-HAGL) is rare lesions, which might be exceedingly difficult to be diagnosed due to the lack of specific findings, and often be misdiagnosed. However, the r-HAGL leads to posterior glenohumeral instabili- ty. There have been only a few case reports published that described r-HAGL lesions. Combining a case report, this article reviews the path- ological mechanism, imaging, classification, diagnosis, method of treatment, postoperative rehabilitation and care, in order to increase levels of diagnosis and treatment of r-HAGL.