Orthopaedic Department of 3rd Faculty of Medicine, Charles University, Prague-Vinohrady, Czech Republic.
J Orthop Trauma. 2010 Apr;24(4):e31-5. doi: 10.1097/BOT.0b013e3181aa5505.
The authors present a group of five men who sustained a displaced fracture of the medial end of the clavicle. In all cases, the diagnosis was confirmed by computed tomographic scan. Three young men with extra-articular fractures were treated operatively with a very good result. Two older men were treated nonoperatively, one with a good result (intra-articular fracture) and one with a fair result (extra-articular fracture). The method of treatment of fractures of the medial end of the clavicle depends primarily on the type and displacement of the fracture. Treatment decisions should be always based on a computed tomographic scan, because plain radiographs do not adequately image the medial clavicle. Surgical treatment of these fractures should be considered, particularly in young or physically active individuals.
作者报告了一组 5 名男性患者，他们均患有锁骨内侧端移位性骨折。所有病例均通过计算机断层扫描（CT）扫描确诊。3 名关节外骨折的年轻男性接受了手术治疗，效果非常好。2 名老年男性接受了非手术治疗，1 名关节内骨折的治疗效果良好（关节内骨折），1 名关节外骨折的治疗效果一般（关节外骨折）。锁骨内侧端骨折的治疗方法主要取决于骨折的类型和移位程度。治疗决策应始终基于 CT 扫描，因为普通 X 线片不能充分显示锁骨内侧。对于这些骨折，尤其是对于年轻或活跃的个体，应考虑手术治疗。
