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青少年创伤性肱骨近端骨骺骨折的罕见病例

Unusual Case of a Traumatic Proximal Humeral Physeal Fracture in an Adolescent.

作者信息

Tafoya-Arreguín Gustavo, Villalobos-Salazar Veronica, Haro-Gómez Héctor, Ruelas-Pérez Jaime, Martínez-Ruíz José de Jesús

机构信息

Surgery, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, MEX.

Traumatology and Orthopaedics, Hospital Civil Antiguo de Guadalajara "Fray Antonio Alcalde", Guadalajara, MEX.

出版信息

Cureus. 2024 Nov 26;16(11):e74504. doi: 10.7759/cureus.74504. eCollection 2024 Nov.

Abstract

Shoulder injuries, specifically proximal humeral fractures, are uncommon in skeletally immature patients. The anatomic characteristics of the humerus are determined by its ossification development, which is quite particular in the proximal segment where four principal segments have been outlined as fracture components in adults. Hereby, we present the case of an 18-year-old female who suffered a traffic accident that elicited a proximal humeral injury through the physeal line of the anatomical neck, as well as the treatment given and her clinical outcome with an effort to highlight the complexity of the diagnosis and management of this injury given the transitional bone age.

摘要

肩部损伤,特别是肱骨近端骨折,在骨骼未成熟的患者中并不常见。肱骨的解剖特征由其骨化发育决定,在近端部分其骨化发育相当特殊,在成人中该部位已明确有四个主要节段作为骨折组成部分。在此,我们报告一例18岁女性患者,她因交通事故导致肱骨近端通过解剖颈的骨骺线受伤,并介绍了所给予的治疗及其临床结果,旨在强调鉴于其过渡性骨龄,该损伤的诊断和处理具有复杂性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e99b/11670791/35364a7884f5/cureus-0016-00000074504-i01.jpg

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