Diop Badara, Mendy Ountyess, Tene Nde Armel F, Dione Alioune B, Diop Malick, Diouf Pape A, Sow Mayoro, Sarr Ndiame, Faye Ibrahima, Ndoye Abdou Y, Konate Ibrahima
Department of Surgery, Gaston Berger University, Saint-Louis.
Department of Orthopedic Surgery, Cheikh Anta Diop University, Dakar, Senegal.
Ann Med Surg (Lond). 2023 Oct 17;86(1):477-480. doi: 10.1097/MS9.0000000000001428. eCollection 2024 Jan.
Anterior dislocation of the shoulder associated with a diaphyseal fracture of the ipsilateral humerus is a rare and controversial occurrence, with very few cases reported in the literature.
We present a case of a 39-year-old right-handed driver who presented with an anterior dislocation of the shoulder associated with a diaphyseal fracture of the ipsilateral humerus following a road traffic accident. The lateral approach to the fracture allowed us to use two forceps to gain a good grip on the proximal fragment and perform the maneuver to reduce the dislocation. The fracture was reduced and fixed with a molded Lecestre-type plate.
In this case, we employed the approach of initially reducing the shoulder dislocation with forceps, followed by osteosynthesis of the humeral fracture. The functional results were excellent after 6 months.
肩关节前脱位合并同侧肱骨干骨折是一种罕见且存在争议的情况，文献报道的病例极少。
我们报告一例39岁右利手司机，在道路交通事故后出现肩关节前脱位合并同侧肱骨干骨折。骨折的外侧入路使我们能够使用两把钳子很好地夹住近端骨折块，并进行手法复位脱位。骨折复位后用塑形的勒塞斯特型钢板固定。
在本病例中，我们采用了先用钳子复位肩关节脱位，然后对肱骨干骨折进行骨固定的方法。6个月后功能结果极佳。
