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題名 | Inferior Dislocation of the Glenohumeral Joint Combined with the Compartment Syndrome of the Upper Arm: Case Report=肩關節脫臼合併上臂腔室症候群:病例報告 |
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作者 | 顏政佑; 葉文凌; 杜元坤; Yen, Cheng-yo; Yeh, Wen-lin; Tu, Yuan-kun; |
期刊 | 長庚醫學 |
出版日期 | 19980900 |
卷期 | 21:3 1998.09[民87.09] |
頁次 | 頁358-361 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 腔室症候群; 上臂; 肩關節脫臼; Compartment syndrome; Upper arm; Shoulder dislocation; |
中文摘要 | 腔室症候群發生在前臂及下肢並不少見,相反的發生在上臂則相當少見。同樣的 ,肩關節的下脫臼也很少見。同時合併兩種病變則文獻上從來未曾提過。本科於85年10月間 經歷 1名29歲男性因車禍送至本院急診,左肩關節下脫臼同時肩膀及上臂極其腫脹,經閉鎖 復位後,測得的上臂腔室壓力仍然到達可造成腔室症候群的水準,所以緊急予以筋膜切開術 。經治療後上臂功能恢復良好,文章中,我們也一併討論有關腔室壓力的各種測量方法的優 缺點。 |
英文摘要 | Compartment syndromes occurring in the forearm and leg are not infrequent. However, reports of compartment syndrome of the upper arm are conspicuously rare. Inferior dislocation of the shoulder combined with compartment syndrome has rarely been reported in the literature. We report our experience with a patient with inferior dislocation of the glenohumeral joint combined with compartment syndrome of the upper arm. A 29-year-old man had traumatic inferior dislocation of the glenohumeral joint combined with severe swelling of the shoulder and upper arm. After close reduction, the shoulder and upper arm were still tensely swollen. Compartment pressure of the upper arm was measured using a digital manometer (Quick Pressure Monitor 295-1, Stryker) and remained very high, thus, fasciotomy was performed. After debridement and skin graft, the arm healed without sequelae. When a patient has a fracture dislocation of the shoulder joint associated with a swollen arm, compartment syndrome of the upper arm should be included as a differential diagnosis. Detecting the compartment pressure can confirm the diagnosis of compartment syndrome objectively. |
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