Falcone M-O, Guinand R, Bachour F, Haidar N, Fontaine C, Chantelot C
Orthopedics and Traumatology Department, Sector B, Lille University Hospital, 59037 Lille, France.
Chir Main. 2007 Feb;26(1):50-4. doi: 10.1016/j.main.2007.01.002. Epub 2007 Mar 6.
We report an unusual case of bifocal fracture of the sternal part of clavicle, combining a metaphysodiaphysal fracture of the sternal end of the clavicle, a proximal physeal fracture, and a ligament avulsion of sternoclavicular joint, without neurovascular damage. Its surgical repair used an osteosynthesis with K-wires and tension band wiring and synthetic ligamentoplasty of the anterior and posterior sternoclavicular ligaments, without any reconstruction of the costoclavicular ligament. The clinical and radiographic results at six months are presented and the operative technique used in this case of pseudodislocation of sternoclavicular joint is discussed and compared to those previously published.
我们报告了一例罕见的锁骨胸骨端双焦点骨折病例,该病例合并锁骨胸骨端干骺端骨折、近端骨骺骨折以及胸锁关节韧带撕脱,无神经血管损伤。其手术修复采用克氏针内固定和张力带钢丝固定,并对胸锁关节前后韧带进行了合成韧带成形术,未对肋锁韧带进行任何重建。文中展示了六个月时的临床和影像学结果,并对该例胸锁关节假性脱位病例所采用的手术技术进行了讨论,并与先前发表的技术进行了比较。