手术复位治疗肩关节前脱位合并肱骨外科颈骨折

１５ 例肩关节前脱位患者，其中１４ 例为肩关节脱位合并肱骨外科颈骨折，１ 例为肩关节脱位、肱骨外科颈骨折合并大结节撕脱性骨折。均在麻醉下行闭合复位加外固定治疗，除１ 例肩关节脱位、肱骨外科颈骨折合并大结节撕脱性骨折复位失败外，其余１４ 例均获手法复位成功。无１ 例外展牵引而造成血管神经损伤。平均随访２～３ 年，１４ 例患者骨折愈合良好。半年后肩关节各方面活动均大于５０°，其中３ 例１ 年后恢复正常的关节功能。无１ 例肱骨头坏死，疗效满意。

Closed Reduction for Treatment of the Shoulder Fracture Dislocations

Fifteen patients with anterior dislocations of the glenohumeral joint and fractures of the humeal surgical neck were reported.One of them had a three part fracture of humeral surgical neck and greater tuberosity.All the patients successfully received a manual reduction and immobilization except that the one with three part fracture dislocation had failed and then received an operation.For the follow up duration (2～3 years),14 cases had a healing of the fractures and good function of the shoulder,no avascular necrosis of the humeral head.We recommend slight maneuvers for the closed reduction and early motion of the shoulder.