Qiao Yi,Zhang Fuyong,Zhen Yunfang,et al.Treating proximal humeral fractures plus glenohumeral joint dislocation in children[J].Journal of Clinical Pediatric Surgery,2024,(02):190-192.[doi:10.3760/cma.j.cn101785-202302001-017]
儿童肱骨近端骨折合并肩关节脱位的治疗探讨
- Title:
- Treating proximal humeral fractures plus glenohumeral joint dislocation in children
- Keywords:
- Humeral Fractures; Joint Dislocations; Surgical Procedures; Operative; Fracture Fixation; Internal; Treatment Outcome; Child
- 摘要:
- 目的 儿童肱骨近端骨折合并肩关节脱位罕见,临床治疗方式不统一,本文旨在总结此类损伤的治疗经验。方法 回顾性分析苏州大学附属儿童医院骨科2017年1月1日至2022年5月31日收治的5例肱骨近端骨折合并肩关节脱位患儿临床资料,总结患儿影像学特征、治疗方案与预后情况。结果 5例中,2例予皮肤牵引治疗,3例予手术治疗,均骨折愈合,末次摄片提示肩关节脱位复位良好;随访2~17个月,肩关节活动无受限、无疼痛。结论 儿童肱骨近端骨折合并肩关节脱位可先尝试手法复位及皮肤牵引。对于活动不配合且手法复位失败者,可采取麻醉下穿刺抽液后闭合复位克氏针内固定治疗,如闭合复位失败再行切开复位内固定。
- Abstract:
- Objective To summarize the experiences of treating proximal humeral fractures plus glenohumeral joint dislocation.Methods From January 1,2017 to May 31,2022,the relevant clinical data were retrospectively reviewed for 5 children of proximal humeral fractures plus glenohumeral joint dislocation.Imaging studies,treatment protocols and healing status were recorded.Results Fractures healed and dislocated shoulder joints were reduced after conservative measures (n=2) and surgery (n=3).Neither pain nor restricted activity occurred during a follow-up period of (2-17) month.Conclusions Close reduction may be initially attempted.For cases not cooperating with joint activities and failing to respond to closed reduction,internal fixation with a Kirschner wire is indicated after puncturing.And open reduction is the last option.
参考文献/References:
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备注/Memo
收稿日期:2023-2-1。
通讯作者:王晓东,Email:wangxd@suda.edu.cn