Jehan Shah, Akhi Baig Najeeb Mohammad, Tavitian Jacob Der
Department of Trauma and Orthopaedic Surgery, North Lincolnshire and Goole Hospitals, NHS Trust, UK.
Department of Trauma and Orthopaedic Surgery, Hull Royal Infirmary, Hull, UK.
J Coll Physicians Surg Pak. 2016 Dec;26(12):997-999.
Large glenoid fractures are relatively uncommon with shoulder dislocation. Simultaneous glenoid and greater tuberosity fractures with anterior shoulder dislocation are very rare. We report on a 48-year right-handed male who sustained a fall during skiing. He had anterior shoulder dislocation combined with large glenoid fracture and greater tuberosity fracture. He was treated surgically with fixation of the glenoid and greater tuberosity fractures, using two different approaches. The deltopectoral approach with coracoid osteotomy and subscapularis split was used for glenoid fixation. McKenzie's approach was used for greater tuberosity fixation.
大型肩胛盂骨折合并肩关节脱位相对少见。肩关节前脱位同时合并肩胛盂和大结节骨折则极为罕见。我们报告一例48岁右利手男性，在滑雪时摔倒受伤。他发生了肩关节前脱位，合并大型肩胛盂骨折和大结节骨折。采用两种不同的手术入路对肩胛盂和大结节骨折进行固定治疗。通过喙突截骨及肩胛下肌劈开的胸大肌三角肌入路进行肩胛盂固定。采用麦肯齐入路进行大结节固定。
