Watson Hannah Isabella, Hopper Graeme Philip, Kovacs Peter
Department of Orthopaedics, Dr Gray's Hospital, NHS Grampian, Elgin, UK.
BMJ Case Rep. 2013 Aug 23;2013:bcr2013010437. doi: 10.1136/bcr-2013-010437.
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.
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。
