Anterosuperior Dislocation of the Shoulder Joint in an Older Patient with Parkinson's Disease

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概要

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• An 83-year-old woman, subsequently diagnosed with Parkinson's disease, fell onher right shoulder. Radiographs showed the humeral head dislocated anterosuperiorly.The supraspinatus tendon was massively disrupted and judged irreparable. Thesubscapularis tendon was repaired, however re-dislocation of the humeral head wasconfirmed after the surgery but further treatment was rejected as she was almost painfree and had a low activity level. The patient was followed up for one year after surgeryand her shoulder became almost pain-free, but range of motion with active elevationwas limited. In such cases a goal of absence or reduction of pain rather than real repairmight be considered appropriate.

• 神戸大学医学部の論文

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