Serotte Jordan Cook, Baker Hayden, Lee Cody, Strelzow Jason A
Department of Orthopaedic Surgery, University of Chicago Medical Center, Chicago, Illinois, USA.
Department of Orthopaedic Surgery, Washington University School of Medicine in St. Louis, The University of Chicago, St. Louis, Missouri, USA.
Case Rep Orthop. 2025 Jan 6;2025:5565275. doi: 10.1155/cro/5565275. eCollection 2025.
A 25-year-old male presented with a ballistic fracture of the right glenoid resulting in > 30% loss of the posterior glenoid articular surface and acute posterior glenohumeral instability that was treated with open reduction internal fixation with iliac crest autograft transfer. There is limited consensus on the operative management of ballistic intra-articular fractures due to the heterogeneity of these injuries. Acute posterior glenohumeral instability secondary to a ballistic fracture is a rare injury pattern. In this case, we were able to successfully treat posterior glenohumeral instability with iliac crest autograft transfer and open reduction internal fixation.
一名25岁男性因右肩胛盂弹道骨折就诊，导致肩胛盂后关节面损失超过30%，并伴有急性肩肱关节后脱位，接受了切开复位内固定术并取自体髂嵴移植。由于这些损伤的异质性，对于弹道性关节内骨折的手术治疗，目前尚无定论。弹道骨折继发的急性肩肱关节后脱位是一种罕见的损伤类型。在本病例中，我们通过取自体髂嵴移植和切开复位内固定成功治疗了肩肱关节后脱位。
