摘要
目的探讨肱骨外科颈骨折术后肩关节功能障碍的相关因素。方法回顾性分析2017年5月至2019年5月收治的95例肱骨外科颈骨折患者的临床资料,术后无功能障碍的为正常对照组,有功能障碍患者为观察组。回顾性分析患者的性别、年龄、骨质疏松、骨折分型、肩袖损伤、手术复位方式和肱骨外科颈骨折术后肩关节功能障碍的相关性。结果2组患者的年龄、骨质疏松、骨折分型、肩袖损伤、手术复位方式差异有统计学意义(P<0.05)。多因素Logistic回归分析显示,年龄、骨质疏松、骨折分型、肩袖损伤、手术复位方式是肱骨外科颈骨折术后肩关节功能障碍的相关因素。结论年龄大、骨质疏松、骨折分型为NeerⅢ及Ⅳ型合并肩袖损伤患者术后出现肩关节功能障碍的可能性高,利用杠杆原理进行骨折复位能减少术后肩关节功能障碍的发生,值得推广应用。
Objective To investigate the related factors with the shoulder joint dysfunction in patients with fracture of surgical neck of humerus after operation.Methods The clinical data about 95 patients with fracture of surgical neck of humerus who were treated by surgery in our hospital from May 2017 to May 2019 were analyzed retrospectively.The patients without shoulder joint dysfunction after operation were enrolled as control group,and the patients with shoulder joint dysfunction after operation were enrolled as observation group.The correlation among sex,age,osteoporosis,fracture classification,rotator cuff injury,surgical reduction mode and the incidence of postoperative shoulder joint dysfunction was analyzed retrospectively.Results There were significant differences in patient’s age,osteoporosis,fracture classification,rotator cuff injury and surgical reduction mode between the two groups(P<0.05).The multivariate Logistic regression analysis showed that age,osteoporosis,fracture classification,rotator cuff injury and surgical reduction mode were related factors with the incidence of postoperative shoulder joint dysfunction after operation.Conclusion The patients with older age,osteoporosis,and NeerⅢand typeⅣfractures complicated by rotator cuff injury are more likely to have postoperative shoulder joint dysfunction,to use lever principle for fracture reduction can reduce the incidence of postoperative shoulder joint dysfunction,it is worthy of clinical application.
作者
刘明
钱宇航
尹豫
周勇
王义兵
步建立
LIU Ming;QIAN Yuhang;YIN Yu(Department of Orthopaedics,Bethune International Peace Hospital of PLA,Hebei,Shijiazhuang 050081,China)
出处
《河北医药》
CAS
2021年第5期709-711,715,共4页
Hebei Medical Journal
基金
河北省医学科学研究重点课题计划(编号:20191211)。
关键词
肱骨外科颈骨折
功能障碍
杠杆
复位方式
humeral surgical neck fractures
dysfunction
lever
reduction method
