Wang P, Koval K J, Lehman W, Strongwater A, Grant A, Zuckerman J D
Department of Orthopaedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003, USA.
J Pediatr Orthop B. 1997 Jul;6(3):219-22. doi: 10.1097/01202412-199707000-00013.
Salter-Harris type III fractures of the proximal humerus are rare injuries. We report a Salter-Harris type III anterior fracture-dislocation of the proximal humerus in a 10-year-old boy that was open reduced and internally stabilized. A bone scan performed during the initial hospitalization and at 2-year follow-up revealed devascularization and subsequent revascularization of the humeral head. At 2-year follow-up, the patient had full motion of the shoulder, no pain, and arm strength equal to that of the contralateral side. Four cases of Salter-Harris type III fractures of the proximal humerus have been previously reported; good early clinical outcomes were obtained in all. Despite devascularization of the epiphyseal fragment, excellent clinical outcomes may result.
肱骨近端的Salter-Harris III型骨折是罕见的损伤。我们报告了一例10岁男孩的肱骨近端Salter-Harris III型前脱位骨折，该骨折进行了切开复位内固定。在初次住院期间及2年随访时进行的骨扫描显示肱骨头出现血管化缺失及随后的再血管化。在2年随访时，患者肩部活动完全正常，无疼痛，患侧手臂力量与对侧相等。此前已有4例肱骨近端Salter-Harris III型骨折的报道，所有病例均获得了良好的早期临床结果。尽管骨骺碎片出现了血管化缺失，但仍可能获得优异的临床结果。
