{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T11:02:57Z","timestamp":1770894177113,"version":"3.50.1"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T00:00:00Z","timestamp":1694304000000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Hangzhou Medical and Health Technology Planning Project","award":["B20200127"],"award-info":[{"award-number":["B20200127"]}]},{"name":"Hangzhou Medical and Health Technology Planning Project","award":["B20200203"],"award-info":[{"award-number":["B20200203"]}]},{"name":"Hangzhou Medical and Health Technology Planning Project","award":["B20220021"],"award-info":[{"award-number":["B20220021"]}]},{"name":"Special Research Project of the Affiliated Hospital of Zhejiang Chinese Medical University","award":["2021FSYYZY43"],"award-info":[{"award-number":["2021FSYYZY43"]}]},{"name":"Zhejiang Province Traditional Chinese Medicine Science and Technology Project","award":["2023ZR046"],"award-info":[{"award-number":["2023ZR046"]}]},{"name":"Hangzhou Agricultural and Social Development Research Guide Project","award":["20220919Y084"],"award-info":[{"award-number":["20220919Y084"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,9,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Traumatic anterior dislocation of the shoulder is often associated with anterior glenoid fracture or bankart injury. It can also be associated with rotator cuff injury, humeral greater tuberosity fracture, or brachial plexus injury. However, there are few clinical reports of all the above-mentioned injuries at the same time. We report a case of the left \u201cShoulder terrible tetrad.\u201d After closed reduction of the left shoulder dislocation, we performed one-stage arthroscopic massive rotator cuff repair (Chinese-Way technique) and anchor repair of the bony bankart injury. After 2\u00a0years follow-up, the left shoulder function recovered well and the range of motion was satisfactory. A detailed physical examination and electromyography (EMG) examination should be performed in time to avoid misdiagnosis and missed diagnosis, when the clinical manifestation of brachial plexus nerve injury appears after shoulder dislocation. The repairable rotator cuffs tears and bankart injuries can be repaired under shoulder arthroscopy in one stage.<\/jats:p>","DOI":"10.1093\/jscr\/rjad499","type":"journal-article","created":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T14:20:12Z","timestamp":1694355612000},"source":"Crossref","is-referenced-by-count":2,"title":["The clinical diagnosis and treatment of the shoulder terrible tetrad: a case report and literature review"],"prefix":"10.1093","volume":"2023","author":[{"given":"Weibin","family":"Du","sequence":"first","affiliation":[{"name":"Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University , Hangzhou 312001, Zhejiang , China"},{"name":"Department of Orthopaedics, Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine , Hangzhou 312001, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yafeng","family":"Mo","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University , Hangzhou 312001, Zhejiang , China"},{"name":"Department of Orthopaedics, Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine , Hangzhou 312001, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Shaoxing Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University , Shaoxing 312000, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun","family":"He","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University , Hangzhou 312001, Zhejiang , China"},{"name":"Department of Orthopaedics, Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine , Hangzhou 312001, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fengzhen","family":"Zhou","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University , Hangzhou 312001, Zhejiang , China"},{"name":"Department of Orthopaedics, Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine , Hangzhou 312001, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fangbing","family":"Zhu","sequence":"additional","affiliation":[{"name":"Research Institute of Orthopedics, The Affiliated Jiangnan Hospital of Zhejiang Chinese Medical University , Hangzhou 312001, Zhejiang , China"},{"name":"Department of Orthopaedics, Hangzhou Xiaoshan Hospital of Traditional Chinese Medicine , Hangzhou 312001, Zhejiang , China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,9,8]]},"reference":[{"key":"2023091014200256100_ref1","doi-asserted-by":"crossref","first-page":"620","DOI":"10.2106\/00004623-199173040-00024","article-title":"Concurrent rotator-cuff tear and brachial plexus palsy associated with anterior dislocation of the shoulder: a report of two cases","volume":"73","author":"Gonzalez","year":"1991","journal-title":"J Bone Joint Surg Am"},{"key":"2023091014200256100_ref2","doi-asserted-by":"crossref","first-page":"200","DOI":"10.5435\/JAAOS-D-19-00492","article-title":"Shoulder terrible triad: classification, functional results, and prognostic factors","volume":"28","author":"Marsalli","year":"2020","journal-title":"J Am Acad Orthop Surg"},{"key":"2023091014200256100_ref3","article-title":"Concurrent rotator cuff tear and axillary nerve palsy associated with anterior dislocation of the shoulder and large glenoid rim fracture: a \u201cterrible tetrad\u201d","volume":"2014","author":"Takase","year":"2014","journal-title":"Case Rep Orthop"},{"key":"2023091014200256100_ref4","article-title":"Anterior shoulder dislocation-assessment and treatment","volume":"141","author":"Midtgaard","year":"2021","journal-title":"Tidsskr Nor Laegeforen"},{"key":"2023091014200256100_ref5","first-page":"CD004962","article-title":"Conservative management following closed reduction of traumatic anterior dislocation of the shoulder","volume":"5","author":"Braun","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2023091014200256100_ref6","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1016\/j.physio.2021.06.002","article-title":"Development of a single-session physiotherapy and self-management intervention for the treatment of primary traumatic anterior shoulder dislocation for the `Acute rehabilitation following traumatic anterior shoulder dISlocAtioN (ARTISAN)' multi Centre RCT","volume":"113","author":"Liew","year":"2021","journal-title":"Physiotherapy"},{"key":"2023091014200256100_ref7","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1007\/s00068-020-01427-9","article-title":"Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis","volume":"47","author":"Dong","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2023091014200256100_ref8","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1007\/s00590-016-1840-5","article-title":"Posterior shoulder fracture-dislocation: an update with treatment algorithm","volume":"27","author":"Kokkalis","year":"2017","journal-title":"Eur J Orthop Surg Traumatol"},{"key":"2023091014200256100_ref9","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1016\/j.jse.2020.10.010","article-title":"Results and complications of head-preserving techniques in chronic neglected shoulder dislocation: a systematic 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Med"},{"key":"2023091014200256100_ref13","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1007\/s00402-020-03348-z","article-title":"Incidence, diagnostics and treatment algorithm of nerve lesions after traumatic shoulder dislocations: a retrospective multicenter study","volume":"140","author":"Tiefenboeck","year":"2020","journal-title":"Arch Orthop Trauma Surg"},{"key":"2023091014200256100_ref14","doi-asserted-by":"crossref","first-page":"6S\u201313S","DOI":"10.1177\/1558944721998008","article-title":"Shoulder arthrodesis for traumatic brachial plexus injuries: functional outcomes and complications","volume":"18","author":"Cho","year":"2023","journal-title":"Hand (NY)"},{"key":"2023091014200256100_ref15","doi-asserted-by":"crossref","first-page":"215145931985531","DOI":"10.1177\/2151459319855318","article-title":"Reverse Total shoulder arthroplasty for geriatric proximal Humerus fracture dislocation with concomitant nerve injury","volume":"10","author":"Gasbarro","year":"2019","journal-title":"Geriatr Orthop Surg Rehabil"},{"key":"2023091014200256100_ref16","doi-asserted-by":"crossref","first-page":"4512137","DOI":"10.1155\/2018\/4512137","article-title":"Analysis of patient-dependent and trauma-dependent risk factors for persistent brachial plexus injury after shoulder dislocation","volume":"2018","author":"Gutkowska","year":"2018","journal-title":"Biomed Res Int"},{"key":"2023091014200256100_ref17","doi-asserted-by":"crossref","first-page":"887","DOI":"10.3390\/diagnostics10110887","article-title":"Distribution of peripheral nerve injuries in patients with a history of shoulder trauma referred to a tertiary care electrodiagnostic laboratory","volume":"10","author":"Cho","year":"2020","journal-title":"Diagnostics"}],"container-title":["Journal of Surgical Case 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