一名13岁男孩锁骨创伤后骨不连导致动静脉瘘。
Posttraumatic nonunion of the clavicle in a 13-year-old boy causing an arteriovenous fistula.
作者信息
Wu Feiran, Marriage Nicholas, Ismaeel Adil, Smyth Vince, Kaleem Musa, Khan Tahir
机构信息
Department of Orthopaedic Surgery, Central Manchester Children's Hospital, Central Manchester University Hospitals National Health Service Trust, Manchester, United Kingdom.
出版信息
N Am J Med Sci. 2013 Nov;5(11):663-5. doi: 10.4103/1947-2714.122312.
CONTEXT
Fractures of the clavicle are one of the most common injuries to the bone in childhood, but posttraumatic nonunion of pediatric clavicle fractures are extremely rare, with only isolated reports in literature.
CASE REPORT
We report a case of a posttraumatic painful nonunion of a clavicle fracture in a 13-year-old boy that caused symptomatic compression of the external jugular vein (EJV) and the formation of an arteriovenous fistula. The fracture was treated successfully with open reduction and internal fixation with a contoured recon plate 6 months following the injury. The fistula was treated by ligation and closure.
CONCLUSION
The patient made a full recovery 6 months following surgery and was asymptomatic with full range of shoulder movement. Fracture union was confirmed by computed tomography (CT) scanning and no residual fistula was found.
背景
锁骨骨折是儿童期最常见的骨骼损伤之一，但小儿锁骨骨折创伤后骨不连极为罕见，文献中仅有个别报道。
病例报告
我们报告一例13岁男孩锁骨骨折创伤后疼痛性骨不连病例，该骨不连导致颈外静脉（EJV）出现症状性受压并形成动静脉瘘。受伤6个月后，采用轮廓适配重建钢板切开复位内固定术成功治疗了骨折。通过结扎和闭合治疗了瘘管。
结论
患者术后6个月完全康复，肩部活动范围正常且无症状。计算机断层扫描（CT）证实骨折愈合，未发现残留瘘管。
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