肩关节镜辅助下治疗急性肱骨大结节骨折

目的 探讨肩关节镜辅助下治疗急性肱骨大结节骨折的疗效.方法 2006年8月至2007年12月共收治12例患者,男7例、女5例,左侧8例,右侧4例.平均年龄38岁(27～45岁).患者均为单纯急性肱骨大结节骨折,移位超过5 mm.术后采用X光片和Constant评分进行评估.结果 12例肱骨大结节骨折因骨块较大,均采用3枚空心螺钉加垫圈固定.平均随访18个月(14～33个月),术后骨折固定良好,骨折均得到愈合,术后终末随访Constant评分92分(86～100分).结论 肩关节镜下可有效治疗急性单纯移位的肱骨大结节骨折.

Arthroscopic treatment of acute greater tuberosity fractures of the humerus

Objective To study the outcome in the arthroscopic treatment of acute greater tuberosity fractures. Methods Twelve cases with acute great tuberosity fractures received reduction with arthroscopic treatment from August 2006 to December 2007. There were 7 males and 5 females. Eight cases were on left side and 4 on right side. The patients were operated at a mean age of 38 years old (range; 27-45). The fractured fragments in displacements were greater than 5 mm. X-ray film and Constant score were used to evaluate the post-operative outcome. Results Three hollowed threaded screws with a washer were used to fix the big fractured fragments. The post-operative follow-up was a mean of 18 months (range: 14-33). The fracture fixations were excellent and bone union occurred. The patients received a mean Constant score of 92 (86-100) at the last follow-up. Conclusion Arthroscopic treatment of acute greater tuberosity fractures is quite Efficacious.