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Çok Yönlü Omuz İnstabilitesi ile Birlikte Kuadrilateral Aralık Sendromu

Multidirectional Shoulder Instability With Quadrilateral Space Syndrome: A Case Report

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Abstract (2. Language): 
Quadrilateral space is an anatomical region which is localized behind and inferior to the shoulder and axillary nerve and posterior humeral circumflex artery cross through this space. The compression of axillary nerve on posterior humeral artery within this anatomical region is called the quadrilateral space syndrome. Clinically, this syndrome is characterised by poorly localized anterior and lateral shoulder pain and paresthesia and the symptoms are aggrevated by the forced abduction, outer rotation and flexion of the shoulder. In the literature, there is no report on quadrilateral space syndrome with shoulder instability. In this study; we present a 28-year-old man with shoulder instability and quadrilateral space syndrome whom was treated by surgery.
Abstract (Original Language): 
Kuadrilateral aralık, omuz ekleminin arkasında ve alt kısmında yer alan ve içinden aksiller sinir ve posteriyor humeral sirkumfleks arterin geçtiği anatomik bir bölgedir. Bu anatomik bölgede, aksiller sinir veya posteriyor humeral sirkumfleks arterin basıya uğraması veya sıkışmasına kuadrilateral aralık sendromu adı verilmektedir. Bu sendromda klinik olarak omuzun ön ve yan kısımlarında künt vasıfta bir ağrının, uyuşma hissinin olduğu ve bu ağrının omuzun zorlu abdüksiyonu, dış rotasyonu ve fleksiyonu ile arttığı bilinmektedir. Litertürlerde çok yönlü omuz instabilitesi ile birlikte kuadrilateral aralık sendromu’na rastlanmadı. Biz bu çalışmada, çok yönlü omuz instabilitesi ile birlikte kuadrilateral aralık sendromu tanısı ile cerrahi tedavi uyguladığımız 28 yaşındaki erkek olguyu sunmayı amaçladık.
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