肩胛骨喙突骨折手术治疗10例报告  

Surgical treatment of the coracoid fracture: 10 cases report

作　　者：钱光[1] 董有海[1] 黄汉伟[1] 姜海莹[1] 陈谏[1] 

机构地区：[1]复旦大学附属上海市第五人民医院骨科,上海200240

出　　处：《中国骨与关节杂志》2015年第6期481-484,共4页Chinese Journal of Bone and Joint

摘　　要：目的：探讨肩胛骨喙突骨折的临床特点和手术治疗方法。方法总结自2009年3月至2014年3月收治的喙突骨折共10例，按 Eyres 分型：III B 型2例，V A 型4例，V B 型4例。对全部10例喙突骨折行切开复位内固定术。定期随访患者主观感受，观察患者肩关节主动活动范围。结果10例均获得随访，时间6～24个月，平均15.6个月。末次随访肩关节 Constant-Murley 评分为76～100分，平均85.6分。Herscovici 评分为12～16分，平均14.4分。结论喙突骨折尤其是喙突基底部骨折常与肩胛盂上1/3骨折同时发生，并且继发肩锁关节脱位。损伤发生后，上肩胛悬吊带复合体处于严重不稳定状态，应予以手术治疗。Objective To discuss the clinical features and surgical treatment of different types of coracoid fractures.Methods From March 2009 to March 2014, 10 cases of coracoid fracture were treated in our department. According to the Eyres classiifcation, there were 2 case of Type III B, 4 cases of Type V A, 4 cases of Type V B. All cases were treated with open reduction and internal ifxation. Regular follow-up of patients with subjective feelings was conducted and active shoulder range of motion was observed.Results All the patients received follow-up for a mean of 15.6 months （ range： 6-24 months ）. The mean Constant-Murley score was 85.6 points （ range： 76-100 points ）. The mean Herscovici score was 14.4 points （ range： 12-16 points ）.Conclusions Coracoid fracture espacially coracoid base fracture usually happens with the 1 / 3 upper glenoid fracture and is accompanied by the ipsilateral acromion-clavicular joint dislocation. Surgery is strongly recommended when the whole shoulder girdle is in an unstable condition.

关 键 词：肩胛骨 骨折固定术 内 肋骨骨折 尺骨骨折 骨折 创伤和损伤 

分 类 号：R687.3[医药卫生—骨科学]