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电击肩关节脱位在临床上较为常见,但肩关节后脱位在临床上却极为少见,合并骨折更为少见,常由高能量损伤如车祸、高处坠落,也可见于癫痫发作、电休克治疗、电击过程,发生率占肩关节脱位的1%~4%[1],由于临床查体及个人经验不足等原因导致其漏诊、误诊率较高。有报道称误诊率可高60%[2],有“诊断的陷井”之称[3]。笔者接诊1例电击伤致肩关节后脱位并肱骨头骨折患者,结合相关文献及总结经验,对其分类及诊疗进行临床分析。分析其脱位机制,进一步了解后脱位,以
Shock shoulder dislocation is more common in clinical practice, but the post-shoulder dislocation in the clinic is extremely rare, more common fractures, often caused by high-energy damage such as car accidents, falling from height, can also be found in seizures, electroshock therapy, Shock process, the incidence of shoulder dislocation accounted for 1% to 4% [1], due to lack of clinical examination and personal experience led to its missed diagnosis, misdiagnosis rate is higher. It has been reported that the misdiagnosis rate can be as high as 60% [2], with “diagnostic traps” [3]. The author received a case of electric shock caused by dislocation of the shoulder and humeral head fractures patients, combined with relevant literature and lessons learned, the classification and diagnosis and treatment of clinical analysis. Analysis of its dislocation mechanism, to further understand the dislocation to