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中华关节外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (04) : 514 -516. doi: 10.3877/cma.j.issn.1674-134X.2019.04.022

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关节镜技术治疗急性创伤性肩关节锁定性后脱位1例
钟名金1, 彭亮权1, 耿红荔2, 欧阳侃1, 朱伟民1, 陆伟1,(), 王大平1   
  1. 1. 518000 深圳大学第一附属医院(深圳市第二人民医院)运动医学科
    2. 518000 深圳大学第一附属医院(深圳市第二人民医院)康复医学科
  • 收稿日期:2019-01-13 出版日期:2019-08-01
  • 通信作者: 陆伟
  • 基金资助:
    深圳市第二人民医院临床研究项目(201733572-0814)

Modified arthroscopic McLaughlin procedure for treatment of acute traumatic locked posterior dislocation of shoulder

Mingjin Zhong1, Liangquan Peng1, Lihong Geng2   

  • Received:2019-01-13 Published:2019-08-01
引用本文:

钟名金, 彭亮权, 耿红荔, 欧阳侃, 朱伟民, 陆伟, 王大平. 关节镜技术治疗急性创伤性肩关节锁定性后脱位1例[J]. 中华关节外科杂志(电子版), 2019, 13(04): 514-516.

Mingjin Zhong, Liangquan Peng, Lihong Geng. Modified arthroscopic McLaughlin procedure for treatment of acute traumatic locked posterior dislocation of shoulder[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2019, 13(04): 514-516.

图1 左侧肩关节的影像学检查。图A为左侧肩关节X线篇,提示左肩"灯泡征";图B为左侧肩关节三维CT,显示左肩关节后脱位;图C和图D分别为左侧肩关节CT和MRI,显示反向Hill-Sachs损伤,肱骨头后向脱位并与后方关节盂齿合
图3 关节镜下后方Bankart损伤修复术。图A为后方盂唇关节囊复合体撕裂(后方Bankart损伤);图B为后方Bankart损伤缝合修复。HH-肱骨头;PL-后方盂唇关节囊复合体;G-关节盂
图4 左侧肩关节术后CT。图A为横断面CT,显示盂肱关节对位关系恢复;图B为左肱骨近端CT三维重建,箭头示改良Mclaughlin术骨缺损区锚钉位置;图C为左侧肩关节关节盂三维CT重建显示后方Bankart损伤修复术后锚钉位置(箭头所示)
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