肩半關節置換手術後因牽拉運動引起之植入物旁肱骨幹骨折：病例報告

Periprosthetic Humeral Shaft Fracture Caused by Stretching Exercises after Shoulder Hemiarthroplasty: A Case Report

邱涵傑(Han-Jay Chiu) ； 林永青(Yung-Ching Lin) ； 王榮俊(Zong-Jing Wang)

《中華民國復健醫學會雜誌》 28卷1期 (2000/03) Pp. 51-55

https://doi.org/10.6315/JRMA.200003.0051

摘要

植入物旁肱骨幹骨折(periprosthetic humeral shaft fracture)在肩半關節置換術(shoulder hemiarthroplasty)或全肩關節置換術(total shoulder arthroplasty)皆為少見的合併症，僅佔所有合併症的2 %以下。此類骨折大多於手術中發生，術後發生此類骨折的原因則以跌倒居多，並無人論及於施行運動治療時造成此類骨折的報告。本文報告一位57歲女性，因近端肱骨骨折接受肩半關節置換術，於術後施行牽拉運動而導致植入物遠端肱骨幹螺旋型骨折，在徒手復位後副木固定，3個月後骨折癒合的病例。文中探討可能導致骨折的原因、治療方式及預後，並提出預防措施，希望能藉此提高醫師及治療師的警覺性，以避免類似骨折發生。

關鍵字

合併症 ； 關節置換術 ； 半關節置換術

並列摘要

Periprosthetic humeral fractures constituted only 2 % of all the complications during or after a shoulder hemiarthroplasty or total shoulder arthroplasty. Most of the fractures occurred intraoperatively. Postoperative fractures were caused by falls or traffic accidents. To our knowledge, they have never been caused by stretching exercises after a shoulder hemiarthroplasty. We present a 57-year-old female patient who had a periprosthetic humeral shaft spiral fracture caused by stretching exercises after a shoulder hemiarthroplasty because of proximal humeral fracture. The fracture was close reduced and fixed with a sugar-tong splint. Three months later, the fracture successfully healed with good alignment. Possible mechanism, treatment options, prognosis and preventive procedures were sought to alert the orthopedists, physiatrists and associated therapists to avoid recurrence of such fractures.

並列關鍵字

complication ； arthroplasty ； hemiarthroplasty