黄刚 深圳市龙岗骨科医院(0002).pdf

CASE DISCUSSION Huang Gang The Affiliated Orthopaedic Hospital of Shenzhen University Chongqing 2018 Case2 History • Personal Data: 51Y, Male , Right hand dominant • Chief Complaint: Left shoulder dislocation druing a falling with epilepsy in 2008,reduced in hospital. Redislocation occured 2 months ago,but reduction failed • Past History: Epilepsy • Surgery history: Nothing Physical Examination • ROM(Active/Passive) : Fexion30/30,ER 20/20 • Video or Pictures • Special Physical Examination :/ • Others: ISIS4/10，Beighton3/10 Pre-operative Images (X ray/CT/MRI) Diagnosis Options Please choose the diagnosis you preferred: 1. Recurrent dislocation of shoulder joint 2. Bony bankart lesion 3. Hill-Sachs lesion 4. Rotator Cuff Tears 5. Epilepsy … Please vote within 10 seconds My diagnosis and why 1. Chronic locked anterior shoulder dislocation 2. Epilepsy • 1.typical medical history,3 weeks • 2.physical examination • 3. CT Treatment Options Please choose the treatment you preferred: 1. Conservative treatment 2. open reduction 3. bankart repair 4. Remplissage procedure 5. Latarjet procedure(open or arthroscopic) 6. Shoulder arthroplasty … Please vote within 10 seconds My treatment and why 1. Arthroscopic Latarjet procedure(double-endobutton) 2. Remplissage procedure Result and Post-operative Images (X ray/CT/MRI) Post-operative 1w Post-operative 4w Supporting Evidence (Paper reviews) The Latarjet procedure for the treatment of chronic locked anterior shoulder dislocation can be successful if