成人肱骨近端骨折治疗进展

肱骨近端骨折是最常见的骨质疏松性骨折之一,近年来发病率逐渐增高,是创伤骨科治疗的难点。目前肱骨近端骨折通过X线等影像学检查可明确诊断,其治疗方案很多,但至今尚无统一的金标准,大多数的患者通过非手术治疗可获得较好的临床功能,而对于移位的三部分、四部分肱骨近端骨折,治疗方式仍存在较大的争议。本文就目前国内外对成人肱骨近端骨折的治疗进展进行综述如下。...

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Bibliographic Details
Published in创伤外科杂志 Vol. 18; no. 7; pp. 442 - 446
Main Author 黄安全 邹天明
Format Journal Article
LanguageChinese
Published 215002 江苏，南京医科大学附属苏州医院，苏州市立医院骨科 2016
Subjects
内固定
肩关节置换
肱骨近端骨折
肱骨近端骨折
内固定
shoulder replacement
肩关节置换
proximal humeral fracture
internal fixation
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Summary:肱骨近端骨折是最常见的骨质疏松性骨折之一,近年来发病率逐渐增高,是创伤骨科治疗的难点。目前肱骨近端骨折通过X线等影像学检查可明确诊断,其治疗方案很多,但至今尚无统一的金标准,大多数的患者通过非手术治疗可获得较好的临床功能,而对于移位的三部分、四部分肱骨近端骨折,治疗方式仍存在较大的争议。本文就目前国内外对成人肱骨近端骨折的治疗进展进行综述如下。
Bibliography:proximal humeral fracture; shoulder replacement; internal fixation
50-1125/R
Proximal humeral fracture is one of the most common types of osteoporotic fractures,with morbidity increasing rapidly in recent years. There are many kinds of treatment methods,but this kind of fracture remains a major challenge for surgeons of the traumatic orthopedics. It can be diagnosed through X-ray and other imaging examination while there is still no uniform golden standard for the treatment. The majority of proximal humeral fractures could be treated nonoperatively with good functional results. The optimal treatment of displaced three and fourpart fractures remains controversial. This review summarizes the progress in the treatment of adults＇ proximal humeral fracture as follows.
HUANG An-quan ,ZOU Tian-ming （ Department of Orthopaedics, Suzhou Municipal Hospital Affiliated to Nanjing Medical University, Suzhou 215002, China
ISSN:1009-4237
DOI:10.3969/j.issn.1009-4237.2016.07.021