Kachi Takuma, Shitara Hitoshi, Ichinose Tsuyoshi, Sasaki Tsuyoshi, Hamano Noritaka, Chikuda Hirotaka
Department of Orthopaedic Surgery, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan.
J Surg Case Rep. 2022 Nov 26;2022(11):rjac476. doi: 10.1093/jscr/rjac476. eCollection 2022 Nov.
We experienced a case of humeral head impression fracture accounting for approximately 20% of the anterior articular surface. Open reduction and internal fixation of the proximal humeral fracture combined with arthroscope-assisted reduction and internal fixation of the humeral head impression fracture were performed, and good clinical and radiographic outcomes were obtained. Untreated impression fracture may be a potential risk for subluxation or osteoarthritis. However, our arthroscopic approach is minimally invasive and allows for the prevention of these risks.
我们遇到一例肱骨头压痕骨折,约占前关节面的20%。对肱骨近端骨折进行了切开复位内固定,并结合关节镜辅助下肱骨头压痕骨折的复位内固定,取得了良好的临床和影像学效果。未经治疗的压痕骨折可能是半脱位或骨关节炎的潜在风险。然而,我们的关节镜手术方法微创,可预防这些风险。