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一名老年女性肩部疼痛的罕见病因:病例报告

An unusual cause of shoulder pain in an elderly woman: a case report.

作者信息

Akasbi Nessrine, Elidrissi Mohammed, Tahiri Latifa, Elmrini Abdelmajid, Harzy Taoufik

机构信息

Rheumatology Department, Hassan II University Hospital, Fez 30070, Morocco.

出版信息

J Med Case Rep. 2013 Dec 13;7:271. doi: 10.1186/1752-1947-7-271.

DOI:10.1186/1752-1947-7-271
PMID:24330726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3878686/
Abstract

INTRODUCTION

Stress fracture of the clavicle is a rare entity. It can manifest itself with an atypical shoulder pain. The clavicle is vulnerable to pathological fractures from several causes such as neoplasm, infection and rarely metabolic bone disease.

CASE PRESENTATION

We report a case of a bone insufficiency fracture of the clavicle, in a 67-year-old Moroccan woman patient with several risk factors of bone insufficiency including osteoporosis, osteomalacia and primary hyperparathyroidism.

CONCLUSION

The diagnosis of bone insufficiency-related fracture of the clavicle can be challenging. It should be considered in the differential diagnosis of shoulder or clavicle pain.

摘要

引言

锁骨应力性骨折是一种罕见的病症。它可能表现为非典型的肩部疼痛。锁骨易因多种原因发生病理性骨折,如肿瘤、感染,很少见的还有代谢性骨病。

病例报告

我们报告一例67岁摩洛哥女性患者的锁骨骨量不足性骨折,该患者存在多种骨量不足的风险因素,包括骨质疏松、骨软化症和原发性甲状旁腺功能亢进。

结论

锁骨骨量不足相关骨折的诊断可能具有挑战性。在肩部或锁骨疼痛的鉴别诊断中应考虑到这一点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1784/3878686/bbb16e2cb54d/1752-1947-7-271-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1784/3878686/bbb16e2cb54d/1752-1947-7-271-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1784/3878686/bbb16e2cb54d/1752-1947-7-271-1.jpg

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本文引用的文献

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[An unusual cause of shoulder pain: stress fracture of the clavicle].
Acta Orthop Traumatol Turc. 2009 May-Jul;43(3):264-6. doi: 10.3944/AOTT.2009.264.
2
Difficulty in diagnosing the pathological nature of an acute fracture of the clavicle: a case report.锁骨急性骨折病理性质的诊断困难:一例报告
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病理性锁骨骨折作为肾细胞癌的首发表现:一例病例报告及文献综述
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Epidemiology of clavicle fractures.锁骨骨折的流行病学
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Br J Sports Med. 2001 Dec;35(6):448-9. doi: 10.1136/bjsm.35.6.448.
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The skeletal metastatic complications of renal cell carcinoma.肾细胞癌的骨骼转移并发症。
Int J Oncol. 2001 Aug;19(2):379-82. doi: 10.3892/ijo.19.2.379.
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Fractures of the clavicle in the adult. Epidemiology and classification.成人锁骨骨折。流行病学与分类。
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