Hara Maya, Yamazaki Ken
Orthopedics surgery department, Higashitotsuka Memorial Hospital, 548-7 Shinano-cho Totsuka-ku, Yokohama, Kanagawa, Japan.
Trauma Case Rep. 2021 Aug 4;35:100516. doi: 10.1016/j.tcr.2021.100516. eCollection 2021 Oct.
Combined humeral shaft fracture and shoulder dislocation injury is rare. Consequently, there are no standard treatment protocols for this injury. We present a case of a 33-year-old man who slipped off a motorcycle and incurred a right humeral shaft fracture and right shoulder dislocation. We performed closed reduction of the shoulder followed by intramedullary nailing. The protocol is different from most in existing papers and results in a good prognosis. However, gentle reduction is essential to avoid iatrogenic neurovascular damage.
肱骨干骨折合并肩关节脱位较为罕见。因此，对于这种损伤尚无标准的治疗方案。我们报告一例33岁男性，他从摩托车上滑落，导致右肱骨干骨折和右肩关节脱位。我们先对肩关节进行了闭合复位，然后进行了髓内钉固定。该方案与现有文献中的大多数方案不同，预后良好。然而，轻柔复位对于避免医源性神经血管损伤至关重要。
