合并关节盂骨折的复杂肱骨近端骨折——采用反肩关节置换术及关节盂固定术的解决方案

Chorão Constantino Diogo, Campos Vicente, Correia Joana, Machado Marino, Gonçalves Sérgio

Department: Serviço de Ortopedia, Hospital Curry Cabral, Rua da Beneficiência 8, 1050-099 Lisboa, Portugal.

Trauma Case Rep. 2020 May 24;28:100315. doi: 10.1016/j.tcr.2020.100315. eCollection 2020 Aug.

We present a case of a complex proximal humerus fracture combined with an articular glenoid fracture, in an elderly patient. This is a rare combination of injuries, and its proper treatment is scarcely described in the current literature. Our selected treatment consisted of reverse shoulder arthroplasty combined with glenoid fracture fixation, which has been reported only once in the current literature. At 18 months follow-up we report a result consisting of great pain control, appropriate mobility and functional score, and absence of signs of glenohumeral instability or implant loosening, which is in line with has been previously described. We conclude that this surgical approach is a great alternative to others such as reverse shoulder arthroplasty combined with glenoid grafting, or shoulder hemiarthroplasty.

我们报告了一例老年患者复杂的肱骨近端骨折合并关节盂骨折的病例。这是一种罕见的损伤组合，目前文献中对其恰当治疗的描述很少。我们选择的治疗方法是反肩关节置换术联合关节盂骨折固定术，目前文献中仅报道过一次。在18个月的随访中，我们报告的结果包括疼痛得到很好的控制、活动度和功能评分合适，并且没有肩肱关节不稳定或植入物松动的迹象，这与之前描述的情况一致。我们得出结论，这种手术方法是其他方法（如反肩关节置换术联合关节盂植骨或半肩关节置换术）的一个很好的替代方案。