陳旧性肩関節前方脱臼の1例

DOI 被引用文献1件 参考文献7件

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  • Hemiarthroplasty with Latarjet Procedure for Chronic Anterior Shoulder Dislocation: A Case Report

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Unreducible chronic anterior dislocation of the shoulder is rarely reported. We report a case of an 84-year-old female requiring humeral head prosthesis and Latarjet procedure.<BR>Four months ago, she fell and dislocated her right shoulder. At that time, dislocation was reduced and her arm was fixed with a triangular sling. However, she decided to take the sling off, after which she suffered, dislocation repeatedly in four months. Finally, she sustained unreducible chronic anterior dislocation of the right shoulder and was referred to our hospital. On physical examination, she could not move her arm because of shoulder pain, and her JOA score was only 16 points. Radiographs and CT scans showed anterior dislocation of the shoulder, Hill-Sachs lesion, and bony Bankart lesion. MRI showed rotator cuff tear. Hemiarthroplasty, Latarjet procedure, and rotator cuff repair were performed. Her arm was fixed with an abduction pillow for eight weeks after surgery. Rehabilitation program was started at two weeks after the operation. Seven months after surgery, she did not complain of any pain, and active range of motion improved. No obvious redislocation was found on radiographs, and her JOA score also improved to 63 points.

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