Caira S F, Melanotte P L
Clinica Ortopedica, Università, Padova.
Chir Organi Mov. 1997 Oct-Dec;82(4):419-22.
The authors present a rare case of transitory osteonecrosis of the humeral head with anterior instability of the glenohumeral joint, which occurred in a young male aged 19 years, three months after fracturing his clavicle in a fall. Core decompression of the humeral epiphysis and anterior capsulomioplasty according to Symeonides was performed. Five months after surgery the patient was clinically cured. After having excluded the possibility of metabolic imbalance in the patient, we presumed a direct relationship between the trauma and degenerative pathology affecting the humeral epiphysis.
作者报告了一例罕见的肱骨头短暂性骨坏死合并盂肱关节前脱位的病例,该病例发生在一名19岁的年轻男性身上,其在一次跌倒中锁骨骨折三个月后出现上述情况。根据西米奥尼德斯(Symeonides)方法进行了肱骨骺芯减压和前关节囊成形术。术后五个月患者临床治愈。在排除患者代谢失衡的可能性后,我们推测创伤与影响肱骨骺的退行性病理之间存在直接关系。