闭合复位及髓内钉固定治疗小儿创伤性肩关节骨折脱位：一例报告
Traumatic pediatric shoulder fracture dislocation treated with closed reduction and intramedullary nailing: A case report.
作者信息
Fannouch Ghazi, Al Khalife Yasser I, Al Turki Abdulaziz S, Jawadi Ayman H
机构信息
King Saud Bin Abdulaziz University for Health Science (KSAU-HS), King Abdullah Specialized Children Hospital (KASCH), Riyadh, Saudi Arabia.
King Saud Bin Abdulaziz University for Health Science (KSAU-HS), Department of Orthopedics, King Abdulaziz Medical City, Riyadh, Saudi Arabia, Ministry of National Guard - Health Affairs, P.O. Box: 22490, Riyadh 11426, Saudi Arabia.
出版信息
Trauma Case Rep. 2017 Jun 4;9:22-26. doi: 10.1016/j.tcr.2017.05.003. eCollection 2017 Jun.
BACKGROUND
Although rare, pediatric proximal humerus fractures may coexist with glenohumeral dislocations. Most of these injuries are Salter -Harris type of injuries. The treatment usually consists of closed or open reduction and k- wires fixation.
THE CASE
In this case report; a 10-year-old girl presented with a rare traumatic humeral surgical neck fracture with a posterior shoulder dislocation that was treated by closed reduction and flexible intramedullary nailing.
CONCLUSION
Pediatric humerus fracture dislocations are rare. Treatment should keep in mind preservation of the growth plate.
背景
尽管小儿近端肱骨骨折较为罕见，但可能与肩肱关节脱位同时存在。这些损伤大多为Salter-Harris型损伤。治疗通常包括闭合或切开复位及克氏针固定。
病例
在本病例报告中，一名10岁女孩出现罕见的创伤性肱骨干骺端骨折伴后肩关节脱位，采用闭合复位及弹性髓内钉治疗。
结论
小儿肱骨骨折脱位罕见。治疗时应牢记保留生长板。
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