Ferkel R D, Hedley A K, Eckardt J J
J Trauma. 1984 Apr;24(4):363-7. doi: 10.1097/00005373-198404000-00016.
Fracture-dislocations of the shoulder can present difficulties in treatment. Two cases are described to illustrate the complications that can occur when an inexperienced examiner attempts a closed reduction of a two-part anterior fracture-dislocation of the shoulder. Careful clinical and radiologic evaluation (A-P and transcapular or axillary lateral X-rays) followed by appropriate management can help to prevent these problems from occurring. If there is evidence that the fracture is displaced by manipulation, immediate open reduction and internal fixation are recommended.
肩关节骨折脱位在治疗上可能存在困难。本文描述了两例病例，以说明经验不足的检查者尝试对肩关节两部分前侧骨折脱位进行闭合复位时可能出现的并发症。仔细的临床和影像学评估（前后位及经肩胛或腋窝侧位X线片）并随后进行适当处理，有助于预防这些问题的发生。如果有证据表明骨折因手法操作而移位，建议立即进行切开复位内固定。
