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5 岁男孩肩胛骨下角外伤性撕脱——超声诊断。

Traumatic detachment of the inferior angle of the scapula in a 5-year-old boy--a sonographic diagnosis.

机构信息

Carolina Medical Center, ul. Pory 78, 02-727 Warsaw, Poland.

出版信息

Skeletal Radiol. 2012 May;41(5):615-8. doi: 10.1007/s00256-011-1311-3. Epub 2011 Nov 12.

DOI:10.1007/s00256-011-1311-3
PMID:22080360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3310136/
Abstract

A complete slip of the cartilage of the inferior angle of the scapula was diagnosed in a 5-year-old boy who fell inside a wooden construction at a kindergarten playground. Radiographs of the scapula were normal, and ultrasound demonstrated complete cartilage detachment, which was displaced deep and laterally. Computed tomography (CT) additionally demonstrated a thin rim of bone displaced along with the detached cartilage. Radiologic findings were confirmed during surgery. We report what we believe to be the first published case of traumatic detachment of the cartilaginous lower angle of the scapula in a child demonstrated by ultrasound.

摘要

在一个 5 岁男孩身上诊断出肩胛下角软骨完全滑脱，该男孩在幼儿园操场的木制建筑内摔倒。肩胛骨的 X 光片正常，超声显示完全的软骨脱离，且向深部和外侧移位。计算机断层扫描（CT）还显示有一块薄的骨边缘与分离的软骨一起移位。手术中证实了影像学发现。我们报告了一例经超声证实的儿童肩胛下角软骨外伤性分离的首例病例，我们认为这是首例报道。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/d18d5cc4e89b/256_2011_1311_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/e4b73263d39c/256_2011_1311_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/d37f8ed7e0ec/256_2011_1311_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/84d02f54042d/256_2011_1311_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/d18d5cc4e89b/256_2011_1311_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/e4b73263d39c/256_2011_1311_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/d37f8ed7e0ec/256_2011_1311_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/84d02f54042d/256_2011_1311_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e566/3310136/d18d5cc4e89b/256_2011_1311_Fig4_HTML.jpg

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本文引用的文献

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Multidetector CT evaluation of calcaneal fractures.多排 CT 评估跟骨骨折。
Radiographics. 2011 Jan-Feb;31(1):81-92. doi: 10.1148/rg.311105036.
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Evaluation by ultrasound of traumatic rib fractures missed by radiography.通过超声评估X线摄影漏诊的创伤性肋骨骨折。
肩胛下角骨折的特征、治疗及预后：文献系统综述
Cureus. 2022 Jul 24;14(7):e27192. doi: 10.7759/cureus.27192. eCollection 2022 Jul.
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History of diagnostics and treatment of scapular fractures in children and adolescents and its clinical importance.肩胛骨骨折的诊断和治疗历史及其临床意义。
Arch Orthop Trauma Surg. 2022 Jun;142(6):1067-1074. doi: 10.1007/s00402-021-03800-8. Epub 2021 Feb 4.
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Bowing fracture of the inferior angle of the scapula, a difficult diagnosis.
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Role of sonography in the emergency room to diagnose sternal fractures.超声检查在急诊室诊断胸骨骨折中的作用。
J Clin Ultrasound. 2010 Mar-Apr;38(3):135-7. doi: 10.1002/jcu.20669.
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[Imaging of traumatic injuries of the shoulder].[肩部创伤性损伤的影像学检查]
J Radiol. 2007 May;88(5 Pt 2):718-33. doi: 10.1016/s0221-0363(07)91338-4.
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