Abellan Juan F, Melendreras Eduardo, Gimenez Diego J, Carrillo Francisco J, Ruano Luis, Rivkin Jorge
Department of Orthopedics and Trauma Surgery, Hospital Morales Meseguer, Murcia, Spain.
J Orthop Surg (Hong Kong). 2010 Aug;18(2):254-7. doi: 10.1177/230949901001800225.
Fracture-dislocation of the humeral head into the thoracic cavity is a rare injury. We present one such case in a 70-year-old woman. She presented with a 4-part fracture-dislocation of the proximal humerus, with displacement of the humeral head into the thoracic cavity. She had no signs of acute distress or hemodynamic instability. She underwent hemiarthroplasty of the right shoulder, but the humeral head fragment could not be removed. At 27-month follow-up, the patient had limited mobility of her right shoulder due to axillary nerve palsy but no pain or intrathoracic complications. In the absence of intrathoracic complications, the removal of the humeral head may not be necessary.
肱骨头骨折脱位进入胸腔是一种罕见的损伤。我们报告了一名70岁女性的此类病例。她表现为肱骨近端四部分骨折脱位，肱骨头移位至胸腔内。她没有急性窘迫或血流动力学不稳定的迹象。她接受了右肩关节半关节置换术，但肱骨头碎片无法取出。在27个月的随访中，患者因腋神经麻痹导致右肩关节活动受限，但无疼痛或胸腔内并发症。在没有胸腔内并发症的情况下，可能无需取出肱骨头。
