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Bilateral Acromioclavicular Joint Subluxation in an Adolescent with Ehlers-Danlos Syndrome: Case Report and Literature Review
Case Reports in Orthopedic Research Pub Date : 2022-06-13 , DOI: 10.1159/000524417
Luis F. Colón , Anthony M. Padgett , Charles W. Powell , Dillon L. Morrow , Jeremy R. Bruce

Bilateral acromioclavicular joint (ACJ) dislocation is a rare occurrence, with only one reported case in the literature published in 1984. We present the case of a 15-year-old male with Ehlers-Danlos syndrome (EDS) who presented with complaints of subsequent nontraumatic bilateral ACJ subluxations and pain. ACJ reconstruction via an open mini-Mumford procedure was performed on this patient on two separate occasions with successful outcomes. The patient demonstrated decreased pain and increased stability during the postoperative period. EDS is a rare collagen disorder that is usually characterized by abnormal skin elasticity, bleeding tendencies, and, most importantly for this case, joint hypermobility. It is important to have an elevated index of clinical suspicion for potential joint subluxations and injuries in patients with a known history of collagen disease.
Case Rep Orthop Res 2022;5:69–75


中文翻译:

Ehlers-Danlos 综合征青少年双侧肩锁关节半脱位:病例报告及文献复习

双侧肩锁关节 (ACJ) 脱位是一种罕见的情况,在 1984 年发表的文献中仅报告了一个病例。我们介绍了一名患有 Ehlers-Danlos 综合征 (EDS) 的 15 岁男性的病例,他提出了随后的主诉非创伤性双侧 ACJ 半脱位和疼痛。通过开放式迷你 Mumford 手术对这名患者进行了两次不同的 ACJ 重建,取得了成功。患者在术后期间表现出疼痛减轻和稳定性增加。EDS 是一种罕见的胶原蛋白疾病,其特征通常是皮肤弹性异常、出血倾向,对于这种情况,最重要的是关节过度活动。
案例代表 Orthop Res 2022;5:69–75
更新日期:2022-06-13
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