Department of Orthopedic Surgery, Westchester Medical Center, Valhalla, New York.
Department of Thoracic Surgery, Westchester Medical Center, Valhalla, New York.
JBJS Case Connect. 2021 Feb 19;11(1):01709767-202103000-00028. doi: e20.00437.
A 70-year-old woman pedestrian struck by a motor vehicle presented with multiple orthopaedic injuries including a humeral head fracture dislocation with a large segment of humeral head located in the mediastinum. Thoracic surgery personnel performed a minimally-invasive video-assisted thoracoscopic extraction of the humeral head, and the patient underwent subsequent reverse total shoulder arthroplasty.
Intramediastinal displacement of the humeral head is a rare, yet serious traumatic injury that necessitates early recognition and comanagement with cardiothoracic or thoracic surgery. Early thoracic intervention to extract the humeral head and replacement arthroplasty is an effective treatment modality.
一名 70 岁女性行人被机动车撞击，多处骨科损伤，包括肱骨头骨折脱位，肱骨头的一大段位于纵隔。胸外科人员进行了微创视频辅助胸腔镜下肱骨头取出术，随后患者接受了反向全肩关节置换术。
肱骨头纵隔内移位是一种罕见但严重的外伤性损伤，需要早期识别并与心胸外科或胸外科共同管理。早期进行胸腔内干预取出肱骨头并进行关节置换是一种有效的治疗方式。
