Gupta Yogendra, Jha Ranjib Kumar
Department of Orthopaedics, Nobel Medical College Teaching Hospital and Research Centre, Biratnagar, Nepal
Department of Orthopaedics, Nobel Medical College Teaching Hospital and Research Centre, Biratnagar, Nepal.
J Surg Case Rep. 2015 Feb 2;2015(2):rju153. doi: 10.1093/jscr/rju153.
Humerus fracture is very rarely associated with ipsilateral shoulder dislocation. Here, we have reported probably the first case of compound fracture of humerus associated with a two-part fracture dislocation of ipsilateral shoulder. A 30-year-old female presented to the emergency department after a road traffic accident. The vehicle in which she was travelling skidded off the road and she got trapped. She had degloving injury over her left arm with a fracture of left humerus and anterior dislocation of ipsilateral shoulder and greater tuberosity fracture. She was managed initially with wound debridement, external fixation over humerus, closed reduction of shoulder dislocation, and open reduction and internal fixation of greater tuberosity fracture. Skin grafting was done over the wound later on. Fracture united at 4 months with a good range of movement at shoulder at the final follow-up.
肱骨骨折很少与同侧肩关节脱位相关。在此，我们报道了可能首例肱骨复合骨折合并同侧肩关节两部分骨折脱位的病例。一名30岁女性在道路交通事故后被送往急诊科。她所乘坐的车辆滑出道路，她被困在车内。她左臂有脱套伤，伴有左肱骨骨折、同侧肩关节前脱位和大结节骨折。最初对她进行了伤口清创、肱骨外固定、肩关节脱位闭合复位以及大结节骨折切开复位内固定。后来对伤口进行了植皮。骨折在4个月时愈合，末次随访时肩关节活动范围良好。
