肱骨头骨软骨剪切骨折伴创伤性肩关节前脱位：1 例报告。
Osteochondral Shearing Fracture of the Humeral Head Associated with Traumatic Anterior Shoulder Dislocation: A Case Report.
机构信息
Department of Orthopaedic Trauma, Fiona Stanley Hospital, Perth, Western Australia , Australia.
Department of Orthopaedic Surgery and Traumatology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
出版信息
JBJS Case Connect. 2021 Jul 15;11(3):01709767-202109000-00023. doi: e20.00938.
CASE
Osteochondral shearing fracture of the humeral head after an anterior shoulder dislocation is a condition that has rarely been reported in literature. We report a case of a large posteriorly located fragment of such a fracture in a 23-year-old man. We performed open reduction and internal fixation with resorbable pins through a deltopectoral approach and subscapularis tenotomy.
CONCLUSION
In our case of a large osteochondral fracture of the posterior humeral head, treatment by open reduction and internal fixation showed an excellent radiographic result at 1 year and clinical result up to 5 years postoperatively.
病例
肩前脱位后继发肱骨头骨软骨剪切骨折较为罕见，我们报告 1 例 23 岁男性患者，其骨折块较大，位于肱骨头后外侧。我们采用经三角肌胸大肌入路和肩胛下肌肌腱切断术，以可吸收钉行切开复位内固定治疗。
结论
在我们的病例中，对于较大的肱骨头后侧骨软骨骨折，切开复位内固定治疗取得了 1 年时极佳的影像学结果和 5 年时的良好临床结果。
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