Meller R, Krettek C
Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover.
Unfallchirurg. 2012 Oct;115(10):879-86. doi: 10.1007/s00113-012-2249-1.
Fractures of the lateral clavicle and the acromion are uncommon and represent a separate entity. Fractures of the lateral clavicle demonstrate a high rate of problems, such as non-union, malunion and functional impairment when treated nonoperatively. The aim of any treatment option is full restoration of shoulder function by achieving fracture healing without significant malpositioning. Unstable fracture patterns have to be identified and should be fixed using an appropriate technique, which include plating, K-wire fixation and arthroscopic techniques which bring the dislocated fragments into contact. Dislocated fractures of the acromion can usually be treated by plating.
锁骨外侧和肩峰骨折并不常见，是一种独立的损伤类型。锁骨外侧骨折若采用非手术治疗，出现诸如骨不连、畸形愈合和功能障碍等问题的几率很高。任何治疗方案的目标都是在骨折愈合且无明显错位的情况下，使肩部功能完全恢复。必须识别不稳定的骨折类型，并应采用适当的技术进行固定，这些技术包括钢板固定、克氏针固定以及通过关节镜技术使脱位的骨折块复位。肩峰脱位骨折通常可采用钢板固定治疗。
