重视老年性肱骨近端骨折个体化治疗  

Focus on the individualized treatment algorithm for proximal humerus fractures

作　　者：吴晓明[1] 查孝龙 张蕾[2] WU Xiao-Ming;CHA Xiao-Long;ZHANG Lei(Trauma Center,Department of Orthopaedics and Traumatology,Shanghai Jiaotong University,Shanghai 201600,China)

机构地区：[1]上海市第一人民医院创伤中心,201600 [2]上海市第一人民医院放射科,201600

出　　处：《中国骨与关节杂志》2023年第8期561-565,共5页Chinese Journal of Bone and Joint

摘　　要：肱骨近端骨折占国人全身骨折的2.5%[1]也是常见的老年性骨质疏松性骨折。随着整体人群预期寿命的延长和社会人口老年化进程加速,老年性骨质疏松肱骨近端骨折的发生率呈上升的趋势。有学者预测5.0%左右的65岁老年女性在其余生将经历肱骨近端骨折[2]。肱骨近端骨折以老年女性为主,大多数患者伤前生活自理能力良好[3]。如果没有得到妥善的治疗将影响患者生活自理能力恢复,给家庭和社会带来沉重负担。Proximal humerus fracture is common in osteoporosis fractures with a high incidence in the elderly population.However,its treatment is still controversial.Individualized treatment algorithm based on expectation,surgical tolerance,osteoporosis and fracture morphology should be emphasized to maximumly restore the shoulder function.

关 键 词：肩骨折 肱骨 骨折 骨质疏松 精准医学 

分 类 号：R683.4[医药卫生—骨科学]