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锁骨畸形愈合继发胸廓出口综合征的手术治疗。

Surgical treatment of thoracic outlet syndrome secondary to clavicular malunion.

机构信息

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

出版信息

Clin Orthop Surg. 2009 Mar;1(1):54-7. doi: 10.4055/cios.2009.1.1.54. Epub 2009 Feb 6.

DOI:10.4055/cios.2009.1.1.54
PMID:19884998
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2766689/
Abstract

According to the literature, thoracic outlet syndrome (TOS) secondary to the malunion of displaced fractures of the clavicle is rare. Various surgical methods, including simple neurolysis, resection of the first rib or clavicle and corrective osteotomy, have been reported. We report a case of TOS secondary to malunion of the clavicle that was treated by an anterior and middle scalenectomy without a rib resection.

摘要

根据文献记载，锁骨骨折畸形愈合导致的胸廓出口综合征（TOS）较为少见。已报道的各种手术方法包括单纯神经松解、第一肋骨或锁骨切除术以及矫正性截骨术。我们报告一例锁骨畸形愈合导致的 TOS，采用前中斜角肌切除术治疗，未行肋骨切除术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/d6cffa4df3d3/cios-1-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/1fa5b7d9576b/cios-1-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/363104f6a0f0/cios-1-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/d6cffa4df3d3/cios-1-54-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/1fa5b7d9576b/cios-1-54-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/363104f6a0f0/cios-1-54-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e8f/2766689/d6cffa4df3d3/cios-1-54-g003.jpg

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Open reduction and plate fixation compared with non-surgical treatment for displaced midshaft clavicle fracture: A meta-analysis of randomized clinical trials.

本文引用的文献

1
Diagnosing thoracic outlet syndrome.诊断胸廓出口综合征。
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Thoracic outlet syndrome treated by double osteotomy of a clavicular malunion: a case report.锁骨畸形愈合双截骨术治疗胸廓出口综合征：1例报告
J Bone Joint Surg Am. 2002 Mar;84(3):437-40. doi: 10.2106/00004623-200203000-00016.
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Thoracic outlet syndrome secondary to a mid-clavicle malunion.继发于锁骨中段骨不连的胸廓出口综合征
BMJ Case Rep. 2015 Jun 4;2015:bcr2015209583. doi: 10.1136/bcr-2015-209583.
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Late thoracic outlet syndrome secondary to malunion of the fractured clavicle: case report and review of the literature.
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The results of total claviculectomy.全锁骨切除术的结果。
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