[圖說] 下禮拜要接的 New patient

此病人接受 Charles S, Neer II 人工全肩關節置換術，看來癒合得不好，Margin和

Density都有問題．





之前骨折的３Ｄ圖，脆脆脆。 =.=



Clinical: Rt proximal humerus fracture.



CT scan of the Rt humerus with multiplannar reconstruction without IV contrast was performed. 

The result showed: 



>Comminuted fractures of the Rt humeral head and neck and proximal Rt humerus with 

multiple bony fragments and displacement, with articular involvement of the gleno-humeral 

joint with lipohemoarthrosis.

>Anterior medial displacement of the Rt humerus is found.

>Inferior displacement of the Rt humeral head with increased acromio-humeral distance 

of Rt shoulder, may be secondary to hemoarthrosis of Rt gleno-humeral joint.

>OA change of Rt acromioclavicular joint with marginal spur formation. 

>There is an intra-muscular lipoma in the posterior Rt deltoid muscle, 

1.8cm X 1.5cm X 3.0cm in size.

Impression:

* Comminuted fractures of Rt humeral head and neck and proximal Rt humerus with multiple 

bony fragments and displacement, with articular involvement of the gleno-humeral joint with 

lipohemoarthrosis.

* Anterior medial displacement of the Rt humerus.

* Inferior displacement of the Rt humeral head with increased acromio-humeral distance 

secondary to hemoarthrosis.

* OA change of Rt acromioclavicular joint.

* An intra-muscular lipoma in the posterior Rt deltoid muscle.