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经胸廓入口的纵隔内肱骨头骨折脱位1例罕见病例

A Rare Case of Intramediastinal Humeral Head Fracture Dislocation Through the Thoracic Inlet.

作者信息

Rotolo Nicola, Colombo Cecilia, Puricelli Marco, Berizzi Fabio, Filipponi Luca, Pautasso Andrea, D'Angelo Fabio

机构信息

Thoracic Surgery Unit, Department of Medicine and Technological Innovation, Research Center of Minimally Invasive Surgery University of Insubria Varese Italy.

Orthopaedic and Traumatology Department, Ospedale di Circolo e Fondazione Macchi University Hospital Varese Italy.

出版信息

Clin Case Rep. 2025 Apr 14;13(4):e70420. doi: 10.1002/ccr3.70420. eCollection 2025 Apr.

DOI:10.1002/ccr3.70420
PMID:40236308
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11997369/
Abstract

Intramediastinal fracture dislocation of the humeral head due to a blunt trauma is very rare. It may be accompanied by local and systemic injuries associated with high-energy trauma. Only one case has been reported in the literature; therefore, an appropriate treatment modality remains unclear. We present a case of a 71-year-old woman involved in an accidental fall who sustained an intramediastinal humeral head fracture dislocation through the thoracic inlet, without damaging the chest wall, causing the thoracic duct rupture and requiring three consecutive surgical procedures as treatment.

摘要

钝性创伤导致的肱骨头纵隔内骨折脱位非常罕见。它可能伴有与高能创伤相关的局部和全身损伤。文献中仅报道过一例；因此，合适的治疗方式仍不明确。我们报告一例71岁女性，因意外摔倒，肱骨头经胸廓入口发生纵隔内骨折脱位，未损伤胸壁，但导致胸导管破裂，需要连续进行三次外科手术治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/fa0dfd1682ab/CCR3-13-e70420-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/1a98ad5bbb09/CCR3-13-e70420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/0296e98dca0b/CCR3-13-e70420-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/9966d14489ee/CCR3-13-e70420-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/067537d1e524/CCR3-13-e70420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/057a72bc6f93/CCR3-13-e70420-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/94b6947b5304/CCR3-13-e70420-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/fa0dfd1682ab/CCR3-13-e70420-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/1a98ad5bbb09/CCR3-13-e70420-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/0296e98dca0b/CCR3-13-e70420-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/9966d14489ee/CCR3-13-e70420-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/067537d1e524/CCR3-13-e70420-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/057a72bc6f93/CCR3-13-e70420-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/94b6947b5304/CCR3-13-e70420-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7605/11997369/fa0dfd1682ab/CCR3-13-e70420-g006.jpg

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本文引用的文献

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Fracture dislocation of the humerus with intrathoracic humeral head fragment - A case report and review of the literature.伴有胸腔内肱骨头碎片的肱骨骨折脱位——病例报告及文献综述
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Humeral Head Fracture Dislocation with Displacement into the Mediastinum: A Case Report.肱骨头骨折脱位并移位至纵隔：1 例报告。
JBJS Case Connect. 2021 Feb 19;11(1):01709767-202103000-00028. doi: e20.00437.
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Intrathoracic shoulder dislocation causing rupture of the right main bronchus.
胸腔内肩关节脱位导致右主支气管破裂。
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Intrathoracic Glenohumeral Dislocation without Fracture of the Humerus: A Case Report and Review of the Literature.无肱骨骨折的胸内盂肱关节脱位：1例报告并文献复习
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Intrathoracic fracture-dislocation of the humerus - case report and literature review.肱骨胸内骨折脱位——病例报告及文献综述
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Intrathoracic displacement of a fractured humeral head due to blunt trauma.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:592-4. doi: 10.5761/atcs.cr.12.02194. Epub 2013 Apr 5.
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Intrathoracic fracture-dislocation of the humeral head. Is removal of the humeral head necessary?肱骨小头胸内骨折脱位。是否有必要切除肱骨小头？
BMJ Case Rep. 2012 Dec 21;2012:bcr2012007478. doi: 10.1136/bcr-2012-007478.
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Intrathoracic displacement of the humeral head in a trauma patient.创伤患者肱骨头的胸腔内移位。
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Fracture-dislocation of humeral head with intrathoracic displacement.肱骨头骨折脱位伴胸腔内移位。
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