Zatloukal A, Kirpichenko R, Lerch M
Chirurgická klinika Fakultní nemocnice Ostrava.
Acta Chir Orthop Traumatol Cech. 2016;83(5):351-353.
A rare case of a fracture of the anatomical neck of the humerus associated with a posterior dislocation of the shoulder in a 43-year-old man is presented. It was managed by immediate surgery using locking plate osteosynthesis. The shoulder was immobilised for 5 weeks in a Gilchrist brace. The outcome was very good with a full range of motion and a stable shoulder at 1 year after injury, with no signs of avascular necrosis of the humeral head. The aetiology of this injury and possibilities of its treatment are discussed. Key words: shoulder dislocation, humeral fractures.
本文报告一例43岁男性患者,其肱骨解剖颈骨折合并肩关节后脱位,实属罕见。该病例通过使用锁定钢板接骨术立即进行手术治疗。术后使用吉尔克里斯特支具将肩部固定5周。伤后1年,患者肩关节活动范围正常且稳定,未出现肱骨头缺血性坏死迹象,治疗效果良好。本文还讨论了该损伤的病因及治疗方法。关键词:肩关节脱位;肱骨骨折