Ao Rongguang, Yu Baoqing, Shi Jifei, Li Zexiang, Zhu Yalong
Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai 201399, P.R. China.
Exp Ther Med. 2015 Nov;10(5):1653-1656. doi: 10.3892/etm.2015.2717. Epub 2015 Sep 1.
Surgery is usually recommended for displaced glenoid fractures, with open reduction and internal fixation as the standard operative treatment. Three approaches have been recommended in the reduction of glenoid fractures: Anterior, posterior and combined; however, a traditional approach may be difficult due to a high position or a comminuted Ideberg type III fracture. The combined approach results in a longer incision and more soft tissue injury when associated with an acromial fracture. The present study describes two complicated glenoid fractures: One case was a comminuted Ideberg type III fracture associated with an Ogawa type II acromial fracture; the second case was an Ideberg type IV fracture with associated superior shoulder suspensory complex injuries. In these cases, the acromial approach was modified to achieve satisfactory exposure and fixation of the complicated fracture. After a 1-year follow-up, the patients had a satisfactory outcome.
对于移位的肩胛盂骨折，通常建议进行手术治疗，切开复位内固定是标准的手术治疗方法。在肩胛盂骨折复位中推荐了三种入路：前路、后路和联合入路；然而，由于骨折位置高或Ideberg III型粉碎性骨折，传统入路可能存在困难。联合入路与肩峰骨折相关时会导致更长的切口和更多的软组织损伤。本研究描述了两例复杂的肩胛盂骨折：一例是伴有小川II型肩峰骨折的Ideberg III型粉碎性骨折；另一例是伴有肩上部悬吊复合体损伤的Ideberg IV型骨折。在这些病例中，对肩峰入路进行了改良，以实现对复杂骨折的满意显露和固定。经过1年的随访，患者获得了满意的结果。
