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新生儿肱骨近端骺板轮廓是横向的,中央部位轻度升高。但在儿童期,骺板逐渐修改呈圆锥形,并发育成两个主要的生长区。外伤性儿童肱骨近端骨骺分离性骨折临床不常见,现报道如下: 患儿,女,11岁,外伤后左肩部肿痛伴功能障碍4天入院。院外曾因诊断为“肩关节脱位”两次行手法整复未成功。查体:一般情况良好,左上臂肿胀,以中上段为甚,并伴有皮下瘀血、触痛、骨擦感明显,骨传导音消失。左肩关节功能丧失,动脉搏动好,无感觉障碍、手指能主动活动。左肩关节X线片示:左肱骨近端骨骺分离,远端向外上移位约2厘米,肱骨头向后、向下移位。入院后在颈丛麻醉下行“左肱骨近端
Neonatal proximal humeral epiphyseal plate contour is horizontal, the central part of the mild increase. But in childhood, the epiphyseal plate gradually modified conical, and developed into two major growth areas. Traumatic pediatric proximal humeral epiphysis fractures are uncommon clinical, are reported as follows: children, women, 11 years old, left shoulder pain trauma with dysfunction 4 days admission. Outside the hospital had diagnosed as “dislocation of the shoulder,” two lines of manipulation failed to repair. Physical examination: the general situation is good, the left upper arm swelling, in the upper section is staggering, accompanied by subcutaneous bleeding, tenderness, obvious sense of bone friction, bone conduction disappeared. Left shoulder joint loss of function, good arterial pulse, no sensory disturbances, fingers can be active. Left shoulder X-ray showed: proximal epiphyseal separation of the left humerus, the distal outward displacement of about 2 cm, humeral head backward, downward shift. After admission in cervical plexus anesthesia "proximal left humerus