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

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。

Abstract:

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, subsequent- ly, an arthroscopic debridement, double-row anchor fixation of greater tuberosity fracture were conducted. In addition, this paper also re- views the literature on injury mechanism, diagnosis, and treatment of the complicated shoulder injuries to provide reference for clinicians.