肱骨近端头劈裂骨折伴单部分前脱位。
Proximal humerus head-splitting fracture associated with single-part anterior dislocation.
作者信息
Gokkus Kemal, Agar Emre, Sagtas Ergin, Aydin Ahmet Turan
机构信息
Orthopaedics and Trauma Deparment, Antalya Memorial Hospital, Antalya, Turkey.
Orthopaedics and Trauma Deparment, Antalya Topcular Hastanesi, Antalya, Turkey.
出版信息
BMJ Case Rep. 2014 Jul 31;2014:bcr2013202188. doi: 10.1136/bcr-2013-202188.
Abstract
Fractures that split the humeral head are extremely rare, and usually, the split part is posteriorly dislocated. However, in our case, the split part was anteriorly dislocated and trapped between the anterior glenoid and the subscapularis muscle. In this case, the acquisition of preoperative CT results was vital to plan the exposure and reduction strategies. Open anatomic reduction and internal fixation should be considered as the first treatment of choice in young active adults.
摘要
肱骨头部劈裂骨折极为罕见，通常劈裂部分会向后脱位。然而，在我们的病例中，劈裂部分向前脱位并被困在前盂肱关节和肩胛下肌之间。在这种情况下，获取术前CT结果对于规划暴露和复位策略至关重要。对于年轻活跃的成年人，应考虑切开解剖复位和内固定作为首选治疗方法。
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