肩关节前脱位合并大结节骨折臂丛神经损伤  

Anterior shoulder dislocation complicated with greater tuberosity fracture and brachial plexus injury

作　　者：唐翔宇[1,2] 李春宝 曲峰[3] 刘玉杰 TANG Xiang-yu;LI Chun-bao;QU Feng;LIU Yu-jie(Department of Orthopedic Medicine,General Hospital of PLA,Beijing 00048,China;Department of Orthopedics,985^(th)Hospital,Joint Logistic Support Force of PLA,Taiyuan 031000,China;Zeme Sports Medicine Hospital,Taiyuan 031000,China)

机构地区：[1]解放军总医院第四医学中心骨科医学部,北京100048 [2]解放军联勤保障部队第九八五医院骨科,山西太原031000 [3]首都医科大学附属北京同仁医院,北京100005

出　　处：《中国矫形外科杂志》2023年第1期63-66,共4页Orthopedic Journal of China

基　　金：2019年度国家重点研发计划“政府间国际科技创新合作/港澳台科技创新合作”重点专项-中国和芬兰政府间科技合作项目(编号:2019YFE0126300);军医学科技青年拔尖项目(编号:19QNP070);2021年度国家自然科学基金面上项目(编号:82072517)。

摘　　要：肩关节前脱位是最常见关节脱位,多数肩关节脱位可通过手法复位得到良好治疗。然而,肩关节脱位伴肱骨大结节骨折血管神经损伤鲜有报道。本文报告1例79岁女性患者,跌伤致关节脱位伴肱骨大结节骨折下臂丛神经损伤。闭合复位关节脱位后,疼痛无法缓解,镜下清创,双排锚钉固定大结节骨折。此外,本文还对肩关节脱位伴肱骨大结节骨折血管神经损伤进行文献综述,为临床医师提供参考。Anterior shoulder dislocation is the most common dislocation in clinical setting, which in most cases can be treated well by manual reduction. However, anterior shoulder dislocation complicated with greater tuberosity fracture and neurovascular injuries has rarely been reported. We report a case of a 79-year-old female patient who had glenohumeral dislocation accompanied with greater tuberosity fracture and brachial plexus injury caused by a fall. After closed reduction of the shoulder dislocation, the pain did not relieve, subsequently, an arthroscopic debridement, double-row anchor fixation of greater tuberosity fracture were conducted. In addition, this paper also reviews the literature on injury mechanism, diagnosis, and treatment of the complicated shoulder injuries to provide reference for clinicians.

关 键 词：肩关节前脱位 大结节骨折 臂丛神经损伤 关节镜术 

分 类 号：R684.7[医药卫生—骨科学]