Nair Abhishek, Deshmukh Ashwin, Solunke Swaroop, Chopra Shubhankar, Gupta Archit
Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune (Deemed to be University), Pune, IND.
Cureus. 2024 Jul 19;16(7):e64888. doi: 10.7759/cureus.64888. eCollection 2024 Jul.
A 12-year-old male came to our Emergency Department with chief complaints of pain and inability to move the right shoulder for one day following a fall while playing. The range of motion of the right shoulder was restricted and painful in all directions. Initial radiographs revealed a transverse, displaced proximal humerus fracture at the head-shaft junction. The patient was managed by closed reduction internal fixation with percutaneous K-wiring (Kirschner wires). The K-wires were removed after four weeks, and the shoulder was mobilized. The patient had a near-normal and pain-free range of motion at three months of follow-up. Percutaneous K-wiring remains a viable option for the treatment of paediatric proximal humerus fractures, and good post-operative rehabilitation can help restore near-normal function, as demonstrated in this report.
一名12岁男性因玩耍时摔倒后右肩部疼痛及活动受限一天前来我院急诊科就诊。右肩部各方向活动范围均受限且疼痛。初始X线片显示肱骨头与骨干交界处有一横行、移位的肱骨近端骨折。患者接受了经皮克氏针内固定闭合复位治疗。四周后取出克氏针，并开始进行肩部活动。随访三个月时，患者肩部活动范围接近正常且无痛。如本报告所示，经皮克氏针固定仍是治疗儿童肱骨近端骨折的可行选择，良好的术后康复有助于恢复接近正常的功能。
