儿童肱骨近端骨折合并肩关节脱位的治疗探讨OA北大核心CSTPCD

Objective To summarize the experiences of treating proximal humeral fractures plus gleno-humeral joint dislocation.Methods From January 1,2017 to May 31,2022,the relevant clinical data were ret-rospectively reviewed for 5 children of proximal humeral fractures plus glenohumeral joint dislocation.Imaging studies,treatment protocols and healing status were recorded.Results Fractures healed and dislocated shoul-der joints were reduced after conservative measures(n=2)and surgery(n=3).Neither pain nor restricted activity occurred during a follow-up period of(2-17)month.Conclusions Close reduction may be initially attempted.For cases not cooperating with joint activities and failing to respond to closed reduction,internal fixa-tion with a Kirschner wire is indicated after puncturing.And open reduction is the last option.