先天性锁骨假关节导致胸廓出口综合征。
Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome.
作者信息
Watson Hannah Isabella, Hopper Graeme Philip, Kovacs Peter
机构信息
Department of Orthopaedics, Dr Gray's Hospital, NHS Grampian, Elgin, UK.
出版信息
BMJ Case Rep. 2013 Aug 23;2013:bcr2013010437. doi: 10.1136/bcr-2013-010437.
Abstract
A 7-year-old girl presented with an asymptomatic right supraclavicular swelling. Radiographs were interpreted as showing a non-union of her clavicle. No treatment was given at this time. However, she represented 12 years later with right upper limb pain and altered sensation. Examination revealed a positive Allen's test on the right. Repeat radiographs demonstrated a pseudarthrosis of the clavicle, associated with a secondary complication of thoracic outlet syndrome with vascular and neurological complications present. Non-operative management failed to relieve her symptoms. Operative intervention successfully treated her symptoms.
摘要
一名7岁女孩出现无症状的右锁骨上肿胀。X线片显示为锁骨骨不连。当时未给予治疗。然而，12年后她再次就诊，出现右上肢疼痛和感觉改变。检查发现右侧艾伦试验阳性。复查X线片显示锁骨假关节，伴有胸廓出口综合征继发的血管和神经并发症。非手术治疗未能缓解她的症状。手术干预成功治愈了她的症状。
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