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浮动锁骨与肩关节后脱位合并存在：肩胛带的“三联征”。

Combination of a floating clavicle and a posterior shoulder dislocation: An "Unhappy Triad" of the shoulder girdle.

作者信息

Schliemann Benedikt, Theisen Christina, Kösters Clemens, Weimann Andre

机构信息

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyerstraße 1, 48149 Münster, Germany.

出版信息

Int J Shoulder Surg. 2014 Jan;8(1):27-30. doi: 10.4103/0973-6042.131853.

DOI:10.4103/0973-6042.131853
PMID:24926161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4049037/
Abstract

We present a case of a 31-year-old man who suffered from a floating clavicle in combination with a reverse Hill-Sachs lesion of his right shoulder girdle after a bicycle accident. Operative treatment was performed using minimal-invasive and arthroscopically assisted techniques. We strongly recommend an early CT scan with later 3-dimensional reconstruction to detect and fully understand these complex injuries.

摘要

我们报告一例31岁男性患者，其在自行车事故后出现浮动锁骨并伴有右肩胛带的反Hill-Sachs损伤。采用微创和关节镜辅助技术进行了手术治疗。我们强烈建议早期进行CT扫描并在后期进行三维重建，以检测并全面了解这些复杂损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/0771b21d1dc2/IJSS-8-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/6e8ab40a6acb/IJSS-8-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/c1f23b36fb10/IJSS-8-27-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/0771b21d1dc2/IJSS-8-27-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/6e8ab40a6acb/IJSS-8-27-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/c1f23b36fb10/IJSS-8-27-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/74e0/4049037/0771b21d1dc2/IJSS-8-27-g003.jpg

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本文引用的文献

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Arch Orthop Trauma Surg. 2013 Jul;133(7):935-9. doi: 10.1007/s00402-013-1737-2. Epub 2013 Apr 16.
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[Post-traumatic bipolar dislocation of the clavicle: is operative treatment reasonable?].[创伤后锁骨双极脱位：手术治疗是否合理？]
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创伤性漂浮锁骨：一例报告。
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Bipolar clavicle injury: posterior dislocation of the acromioclavicular joint with anterior dislocation of the sternoclavicular joint: a report of two cases.双极锁骨损伤：肩锁关节后脱位合并胸锁关节前脱位：两例报告
J Shoulder Elbow Surg. 2011 Jan;20(1):e18-22. doi: 10.1016/j.jse.2010.08.016.
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Treatment of locked chronic posterior dislocation of the shoulder by reconstruction of the defect in the humeral head with an allograft.采用同种异体骨移植修复肱骨头缺损治疗陈旧性肩关节后脱位伴锁定。
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Chronic locked posterior shoulder dislocation with severe head involvement.慢性锁定性后肩脱位伴严重头侧牵涉。
Int Orthop. 2010 Feb;34(1):79-84. doi: 10.1007/s00264-009-0762-9. Epub 2009 Mar 20.
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Posterior dislocation of the shoulder.肩关节后脱位
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[Bipolar luxation of the clavicle. A case report].
Acta Orthop Belg. 1999 Mar;65(1):102-4.
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Ipsilateral sternoclavicular joint dislocation and clavicle fracture.同侧胸锁关节脱位及锁骨骨折。
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