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一名19个月大儿童的创伤性胸骨节段脱位

Traumatic sternal segment dislocation in a 19-month-old.

作者信息

Pawar Rahul V, Blacksin Marcia F

机构信息

Department of Radiology, New Jersey Medical School, University of Medicine & Dentistry of New Jersey, 150 Bergen Street, Room C-320, Newark, NJ 07103, USA.

出版信息

Emerg Radiol. 2007 Nov;14(6):435-7. doi: 10.1007/s10140-007-0619-8. Epub 2007 May 24.

DOI:10.1007/s10140-007-0619-8
PMID:17522907
Abstract

Sternal fractures in the pediatric population are uncommon. Traumatic sternal segment dislocation is even more unusual. Such injuries are typically considered to be the result of child abuse, until proven otherwise. A review of the few case reports documenting pediatric sternal segment dislocation, and the current report, demonstrate that this injury may, in fact, be more benign than previously considered. It is easily recognized with appropriate imaging, and treatment may only require observation, unless symptoms are severe enough to warrant surgical intervention.

摘要

小儿胸骨骨折并不常见。创伤性胸骨节段脱位则更为罕见。在没有其他证据证明之前,此类损伤通常被认为是虐待儿童的结果。对少数记录小儿胸骨节段脱位的病例报告以及本病例报告的回顾表明,实际上这种损伤可能比之前认为的更为良性。通过适当的影像学检查很容易识别,而且除非症状严重到需要手术干预,治疗可能仅需观察。

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本文引用的文献

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Sterno-manubrial dislocation in a 9-year-old gymnast.一名9岁体操运动员的胸锁关节脱位
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[Segmental sternal dislocation in children. Apropos of a surgically treated case].[儿童节段性胸骨脱位。关于一例手术治疗病例]
Rev Chir Orthop Reparatrice Appar Mot. 1997;83(3):283-5.
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Completely remodeled dislocated sternal segment in a child.
Arch Orthop Trauma Surg. 1993;112(2):88-9. doi: 10.1007/BF00420262.
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