Ulrich C, Helbing G, Wörsdörfer O, Lampl L H
Langenbecks Arch Chir. 1986;367(3):197-202. doi: 10.1007/BF01258938.
Intrathoracic displacement of the proximal humerus following axillary luxation is a rare injury; but with ipsilateral serial costal fracture and/or single costal fracture with contused lung it has to be included in the considerations concerning differential diagnosis and the tactics of surgical approach. The primary measures are determined by the extent of pulmonary damage; the further course is marked by aseptic necrosis of the head of the humerus. On the basis of our study case we are describing a typical course, and discussing its problems taking into consideration the individual publications available so far.
腋部脱位后肱骨近端的胸腔内移位是一种罕见的损伤；但伴有同侧多发性肋骨骨折和/或单根肋骨骨折合并肺挫伤时，在鉴别诊断和手术入路策略的考虑中必须将其纳入。主要治疗措施取决于肺损伤的程度；后续病程以肱骨头无菌性坏死为特征。基于我们的研究病例，我们描述了一个典型病程，并结合目前已有的个别文献对其问题进行讨论。
