Bilateral comminuted fracture of the proximal humerus with posterior dislocation treated by hemiarthroplasty and arthrodesis

被引:3
作者
Bosscha, K [1 ]
van der Velde-Zimmerman, D [1 ]
van der Werken, C [1 ]
机构
[1] Univ Klin Utrecht, Chirurg Abt, NL-3584 CX Utrecht, Netherlands
来源
UNFALLCHIRURG | 1998年 / 101卷 / 05期
关键词
comminuted fracture dislocation; shoulder; bilateral; treatment strategy;
D O I
10.1007/s001130050288
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Functional recovery after bilateral comminuted fractures of the humeral head with posterior dislocation is poor. When reposition and internal fixation fail, the remaining alternatives are (hemi)arthroplasty and/or arthrodesis. In a 50-year-old patient, we treated the dominant shoulder by arthrodesis; a Neer prosthesis was inserted at the other side. Using this strategy, the advantages of both techniques were combined with an acceptable functional recovery, which ist especially important for young and active patients.
引用
收藏
页码:405 / 407
页数:3
相关论文
共 8 条
[1]  
COFIELD RH, 1988, CLIN ORTHOP RELAT R, P49
[2]  
HAWKINS RJ, 1993, CLIN ORTHOP RELAT R, P156
[3]   SIMULTANEOUS BILATERAL POSTERIOR FRACTURE-DISLOCATION OF SHOULDER [J].
MILLS, KLG .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 1974, 6 (01) :39-41
[5]   BILATERAL POSTERIOR FRACTURE-DISLOCATION OF SHOULDER - A CASE REPORT [J].
PRILLAMAN, HA ;
THOMPSON, RC .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1969, A 51 (08) :1627-+
[6]   4-PART FRACTURES OF THE NECK OF THE HUMERUS [J].
STABLEFORTH, PG .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1984, 66 (01) :104-108
[7]  
TANNER MW, 1983, CLIN ORTHOP RELAT R, P116
[8]   Displaced three- and four-part fractures of the humeral head. Does the dislocation of the articular fragment influence outcome? [J].
Trupka A. ;
Wiedemann E. ;
Ruchholtz S. ;
Brunner U. ;
Habermeyer P. ;
Schweiberer L. .
Der Unfallchirurg, 1997, 100 (2) :105-110