Derotational osteotomy and internal fixation of a 180°malrotated humerus:A case report  

作　　者：Katharina Elisabeth Wenning Thomas Armin Schildhauer Clifford Barry Jones Martin Franz Hoffmann 

机构地区：[1]Department of General and Trauma Surgery,BG University Hospital Bergmannsheil Bochum,Bochum 44789,Germany [2]Department of Orthopaedic Surgery,Creighton Medical School Phoenix,Phoenix,85012,United States

出　　处：《World Journal of Orthopedics》2022年第10期940-948,共9页世界骨科杂志（英文版）

摘　　要：BACKGROUND Humeral shaft fractures are relatively common in adults.Rotational malalignment is reported as one complication but severe rotational deformity of the humerus is extremely rare.To our knowledge,only three cases of symptomatic humeral malrotation have been reported.There are sparse literature reports of humeral reconstruction correction.CASE SUMMARY We present a case of extreme rotational deformity of the humerus(180°)after humeral shaft fracture.The patient complained of pain and difficulties with activities of daily living.In addition,she found the deformity cosmetically unacceptable.Therefore,she was searching for surgical correction.Neurolysis of the radial nerve followed by derotational osteotomy of the humerus and internal fixation were performed.Postoperatively,the patient demonstrated transient iatrogenic radial nerve palsy which recovered completely during postoperative follow-up.The Disabilities of the Arm,Shoulder,and Hand score improved from 55 preoperatively to 16 at the final 2-year follow-up.CONCLUSION Single-stage radial neurolysis,derotational osteotomy and stable fixation is a feasible option to improve anatomic and functional problems of severely malrotated humeral shaft fractures.

关 键 词：HUMERUS MALROTATION Corrective osteotomy Plate osteosynthesis Radial nerve palsy Case report 

分 类 号：R687.3[医药卫生—骨科学]