Yates D W
Injury. 1976 Feb;7(3):189-93. doi: 10.1016/0020-1383(76)90211-4.
Most fractures of the clavicle unite without incident. The number and diversity of the methods of treatment in use suggest that in most cases good results are obtained despite medical supervision. Yet occasionally complications do arise. This paper describes two such cases and reviews the literature in search of a common factor to account for these complications. Cases presenting with early and late complications of fractures of the clavicle are described and the literature on the subject reviewed. The incidence of complications is highest in cases of direct violence to the shoulder region producing comminuted fractures. Surgical management is outlined in general terms. It is suggested that more prolonged and rigorous immobilization of cases "at risk" may reduce the incidence of non-union and prevent late neurovascular complications.
大多数锁骨骨折均可顺利愈合。目前使用的治疗方法众多且多样，这表明在大多数情况下，即便没有医疗监管也能取得良好效果。然而，并发症偶尔仍会出现。本文描述了两例此类病例，并回顾相关文献以寻找导致这些并发症的共同因素。文中描述了出现锁骨骨折早期和晚期并发症的病例，并对该主题的文献进行了综述。肩部区域受到直接暴力导致粉碎性骨折的病例中，并发症的发生率最高。文中概述了手术治疗的一般方法。有人认为，对“有风险”的病例进行更长时间、更严格的固定，可能会降低骨不连的发生率，并预防晚期神经血管并发症。
