肩峰骨折を伴った肩関節上方脱臼の 1 例

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Superior shoulder dislocation was very rare in the literature. We reported on a case of superior dislocation of the shoulder with acromional fracture.A 67 year old man met with a traffic accident, and was brought to our hospitals by ambulance in February 2007. His left shoulder was swollen and he could not move his left upper extremity. Plain radiographs revealed superior dislocation of the left shoulder joint with acromional fracture. Furthermore, fracture of the right clavicle, and fracture-dislocation of the left elbow and left hip joints were found. Then we performed reduction of the left shoulder, elbow, and hip joints in the emergency room. Two weeks after the accident, open reduction and internal fixation were performed on the left shoulder and elbow joints. Avulsion fracture of the acromion was repaired with tension band wiring. 4 weeks after the operation, passive shoulder motion was permitted. After 3 months, plain radiographs reveal good healing on the fracture site, but mild pain and severe contracture of his left shoulder still remain.
日本肩関節学会の論文