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[小儿创伤学中的锁骨骨折]

[Clavicular fractures in pediatric traumatology].

作者信息

Seif El Nasr M, von Essen H, Teichmann K

机构信息

Unfall-, Hand- und Wiederherstellungschirurgie, St. Nikolaus-Stiftshospital Andernach, Hindenburgwall 1, 56626, Andernach.

出版信息

Unfallchirurg. 2011 Apr;114(4):300-10. doi: 10.1007/s00113-011-1960-7.

Abstract

Clavicle fractures are most common in children. Due to the thick periosteum that provides appositional bone proliferation on the one hand and a high potential of the medial physis for longitudinal growth on the other hand the fractures have an enormous healing potential. Both factors are also responsible for good fracture remodeling. In adolescents, the periosteal tube gets thinner and fracture types correspond to fractures in adults. Most fractures heal with good results after conservative treatment. In this article clavicle fractures in children and adolescents and options for therapy including the rare surgical treatment depending on different fracture localizations and morphologies are discussed.

摘要

锁骨骨折在儿童中最为常见。一方面,由于骨膜较厚,可提供贴附性骨增生;另一方面,内侧骨骺具有较高的纵向生长潜力,因此这些骨折具有巨大的愈合潜力。这两个因素也有助于骨折的良好重塑。在青少年中,骨膜管变薄,骨折类型与成人骨折相似。大多数骨折经保守治疗后愈合效果良好。本文讨论了儿童和青少年锁骨骨折以及根据不同骨折部位和形态的治疗选择,包括罕见的手术治疗。

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