[1]唐剑邦,吴宇峰,高大伟,等.切开复位肱骨近端锁定钢板内固定治疗 陈旧性肩关节后脱位合并肱骨近端骨折[J].中医正骨,2015,27(10):49-51.
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切开复位肱骨近端锁定钢板内固定治疗 陈旧性肩关节后脱位合并肱骨近端骨折()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第27卷
期数:
2015年10期
页码:
49-51
栏目:
临床报道
出版日期:
2015-10-30

文章信息/Info

作者:
唐剑邦吴宇峰高大伟郑晓明郑炜宏何君源
广东省中山市中医院,广东 中山 528400
关键词:
肩脱位 肩骨折 骨折固定术 肱骨近端锁定钢板
摘要:
目的:观察切开复位肱骨近端锁定钢板内固定治疗陈旧性肩关节后脱位合并肱骨近端骨折的临床疗效和安全性。方法:2006年1月至2014年5月,采用切开复位肱骨近端锁定钢板内固定治疗陈旧性肩关节后脱位合并肱骨近端骨折患者3例,均为男性。年龄31~45岁,中位数38岁。左侧1例,右侧2例。所有患者肩部均疼痛且活动受限,均无明显方肩畸形,Dugas征均阴性,肩关节外展、外旋均明显受限。均无血管、神经损伤症状。术后随访观察骨折愈合、并发症发生及患肢功能恢复情况。结果:所有患者均获得随访,随访时间6~48个月,中位数15个月。切口均甲期愈合,骨折均愈合,均未发生肩关节再脱位等并发症。按照UCLA肩关节评分系统评价疗效,良2例、差1例。结论:采用切开复位肱骨近端锁定钢板内固定治疗陈旧性肩关节后脱位合并肱骨近端骨折,骨折愈合率高,有利于患肢功能的恢复,并发症少,值得临床推广应用。

参考文献/References:

[1] Cheng SL,Mackay MB,Richards RR.Treatment of locked posterior fracture-dislocations of the shoulder by total shoulder arthroplasty[J].J Shoulder Elbow Surg,1997,6(1):11-17.
[2] Matsen FAIII,Titelman RM,Lippitt SB,et al.Glenohumeral in stability[M]//Rockwood CA Jr,Matsen FAIII,Wirth MA,et al.The shoulder.3rd.Philadelphia:Saunders,2004:655-794.
[3] Chirag TN,Shyam AK,Patil A,et al.Posterior dislocation of shoulder with humeral shaft fracture:a rare case with review of literature[J].European Journal of Orthopaedic Surgery & Traumatology,2012,22(1):71-74.
[4] Liu X,Zhu Y,Lu Y,et al.Locked posterior shoulder dislocation associated with isolated fractures of the lesser tuberosity:a clinical study of 22 cases with a minimum of 2-Year follow-up[J].J Orthop Trauma,2015,29(6):271-275.
[5] Ellman H,Hanker G,Bayer M.Repair of the rotator cuff.End-result study of factors influencing Reconstruction[J].J Bone Joint Surg Am,1986,68(8):1136-1144.
[6] Robinson CM,Seah M,Akhtar MA.The epidemiology,risk of recurrence,and functional outcome after an acute traumatic posterior dislocation of the shoulder[J].J Bone Joint Surg Am,2011,93(17):1605-1613.
[7] Steinmann SP.Posterior shoulder instability[J].Arthroscopy,2003,19:102-105.
[8] Cicak N.Posterior dislocation of the shoulder[J].J Bone Joint Surg Br,2004,86:324-332.
[9] Robinson CM,Aderinto J.Posterior shoulder dislocations and fracture-dislocation[J].J Bone Joint Surg,2005,87(3):639-650.
[10] 喻永新,尚如国.切开复位锁定钢板内固定治疗肱骨近端骨折[J].中医正骨,2014,26(9):39-40.
[11] Castagna A,Delle Rose G,Borroni M,et al.Modified MacLaughlin procedure in the treatment of neglected posterior dislocation of the shoulder[J].Chir Organi Mov,2009,93(Suppl 1):S1-S5.
[12] Wooten C,Klika B,Schleck CD,et al.Anatomic shoulder arthroplasty as treatment for locked posterior dislocation of the shoulder[J].J Bone Joint Surg Am,2014,96(3):19.
[13] Martinez AA,Calvo A,Domingo J,et al.Allograft Reconstruction of segmental defects of the humeral head associated with posterior dislocations of the shoulder[J].Injury,2008,39(3):319-322.
[14] Aparicio G,Calvo E,Bonilla L,et al.Neglected traumatic posterior dislocations of the shoulder:controversies on indications for treatment and new CT scan findings[J].J Orthop Sci,2000,5(1):37-42.
[15] 陈康乐,郑康伟,陈凯.人工肱骨头置换术治疗肱骨近端Neer四部分骨折[J].中医正骨,2014,26(6):57-59.

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备注/Memo

备注/Memo:
2015-06-01收稿 2015-09-06修回
更新日期/Last Update: 2015-10-30