肱骨外科颈骨折（The humerus surgical neck fracture）.doc

肱骨外科颈骨折（The humerus surgical neck fracture） Anatomical summary: humerus surgical neck of humerus, nodules of the greater tuberosity migration for the boundary position of the shaft, is of cancellous and compact bone junction, is located in the anatomy of the neck of 2 ~ 3 cm, in the inside of the brachial plexus, axillary in blood vessels, thus fracture can incorporate nerve vascular injury. Etiology and classification of humerus surgical neck fracture (fracture of surgical neck of humerus) can happen at any age, but to, for the elderly, especially with osteoporosis, increased incidence of fracture. Violence is the main cause of cervical fracture. Due to the magnitude, direction, position of the body and the original bone mass of the patient, it can occur: no displaced fracture; (2) abduction fracture; Intra-type fracture (figure 62-10) and fractured fracture. No displaced fracture There are two cases of non-displaced humeral surgical neck fractures, one is fracture fracture, and the other is the insertion fracture. In general, direct violence often results in fracture fractures, and indirect violence is transmitted through the palms of the hands, often resulting in the insertion of fractures. Clinical manifestations and diagnosis: shoulder pain, swelling, stasis, shoulder joint activity disorder, and proximal humerus tenderness, should be suspected of fracture. In the shoulder position and axillary position X-ray, can be diagnosed clearly. Treatment: no manipulation is required. Use triangle towel to suspend upper limb 3 ~ 4 weeks can begin to undertake functional exercise. Ii. Abduction fracture Caused by indirect violence. When you fall, you land on your palm with your palm, and the violence is passed from the bottom up, leaning forward or side by side. If you are in the outer booth, you will have an abduction fracture. Clinical manifestations and diagnosis: shoulder pain, swelling, stasis, upper limb movement disorder. Inspection can be found to be locally obvio