Malik Sheraz S, Azad Saiqah, Malik Shahbaz, Hing Caroline B
Department of Trauma & Orthopaedics, Watford General Hospital, West Hertfordshire Hospitals NHS Trust, Watford, UK.
J Orthop Surg Res. 2009 Jun 25;4:21. doi: 10.1186/1749-799X-4-21.
Fractures of the clavicle comprise between 5% to10% of all fractures. Medial clavicular fractures are uncommon and are normally caused by high-energy trauma. A low impact mechanism of injury should raise suspicion of a pathological fracture, but this case report highlights the difficulty in diagnosing the pathological nature of an acute fracture of the clavicle. We describe a patient who presented with a medial clavicular fracture after a simple fall but the fracture was diagnosed as pathological in retrospect four months after the initial presentation. We would also like to emphasise that the medial clavicle is the most frequent site of pathological fractures of the clavicle, and the possibility of an underlying pathological condition should be considered whenever a patient with a medial clavicular fracture is encountered.
锁骨骨折占所有骨折的5%至10%。锁骨内侧骨折并不常见，通常由高能量创伤引起。低冲击力损伤机制应引起对病理性骨折的怀疑，但本病例报告凸显了诊断锁骨急性骨折病理性本质的困难。我们描述了一名患者，其在一次简单跌倒后出现锁骨内侧骨折，但在初次就诊四个月后回顾性诊断为病理性骨折。我们还要强调，锁骨内侧是锁骨病理性骨折最常见的部位，每当遇到锁骨内侧骨折患者时，都应考虑潜在病理性状况的可能性。
