肩关节前脱位合并肱骨近端骨折治疗的研究进展

Advances in the treatment of shoulder anterior dislocation associated with proximal humerus fracture

肱骨近端骨折 (proximal humeral fractures,PHF) 是成人第七大骨折,约占全身骨折的 5%[1]。目前关于 PHF 治疗随机对照研究和系统评价的文献屡见不鲜,但对于特殊的骨折-脱位类型相关论述却较少。肩关节前脱位合并 PHF 属于 Neer 分型中 VI 型,是复杂的肩部损伤,这种骨折-脱位类型更易造成血管神经的损伤[2]。目前临床上的治疗措施有:手法复位保守治疗、微创治疗、切开复位内固定和肩关节置换。

Shoulder anterior dislocation combined with proximal humerus fracture is considered as a serious shoulder injury.It is still controversial on its treatment,new concepts and methods are emerging though.This paper reviews literatures on its classification,injury mechanism,and treatment to provide references for its individualized management with less complications.