双侧肱骨近端骨折合并肱骨干骨折1例报告
摘要
1病例资料患者,女性,65岁,因"摔伤致双上臂疼痛肿胀伴活动障碍5h"入院。查体:双上臂肿胀明显,畸形,伴压痛,可触及骨擦感,活动明显受限。双上臂X线片示:双侧肱骨近端骨折合并肱骨干骨折(见图1)。入院诊断:(1)双侧肱骨近端骨折合并肱骨干骨折;(2)右肩关节脱位;(3)骨质疏松症;(4)蛛网膜下腔出血。入院后行双侧尺骨鹰嘴持续骨牵引(见图2),复查X片(见图3),颅脑情况稳定后行双侧肱骨骨折切开复位植骨内固定术(见图4)。采用Constant-Murley评分系统,术后6个月肩关节功能评分为:左侧,疼痛10分,日常生活活动能力15分,关节活动度30分,肌力20分,疗
引文
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[5]王必超.长型肱骨近端内固定锁定系统(PHILOS)治疗肱骨近端骨折合并肱骨干骨折的临床疗效观察〔J〕.世界最新医学信息文摘,2017,17(4):57.
[6]谢跃,左文山,田纪伟,等.肱骨近端锁定内固定系统治疗老年肱骨近端骨折〔J〕.中国现代医学杂志,2011,21(24):2995.
[7] Perren SM. Evolution of the internal fixation of long bone fractures.The scientific basis of biological internal fixation:choosing a newbalance between stability and biology〔J〕. J Bone Joint Surg Br,2002,84(8):1093-1110.
[2] Pantalone A,Vanni D,et al. From plate to nail:a case-report ofproximal humerus nonunion〔J〕. Injury,2015,46(Suppl 7):S48.
[3] Calvo E,Morcillo D,Foruria AM,et al. Nondisplaced proximal hu-meral fractures:high incidence among outpatient-treated osteopo-rotic fractures and severe impact on upper extremity function andpatient subjective health perception〔J〕. J Shoulder Elbow Surg,2011,20(5):795-801.
[4]余斌峰,王伟良,等.加长型肱骨近端内固定锁定系统治疗肱骨干骨折合并同侧肱骨近端骨折〔J〕.中医正骨,2015,27(8):23.
[5]王必超.长型肱骨近端内固定锁定系统(PHILOS)治疗肱骨近端骨折合并肱骨干骨折的临床疗效观察〔J〕.世界最新医学信息文摘,2017,17(4):57.
[6]谢跃,左文山,田纪伟,等.肱骨近端锁定内固定系统治疗老年肱骨近端骨折〔J〕.中国现代医学杂志,2011,21(24):2995.
[7] Perren SM. Evolution of the internal fixation of long bone fractures.The scientific basis of biological internal fixation:choosing a newbalance between stability and biology〔J〕. J Bone Joint Surg Br,2002,84(8):1093-1110.