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改良Weaver-Dunn手术治疗慢性肩锁关节脱位后锁骨远端骨溶解:一例报告及并发症综述

Distal Clavicle Osteolysis after Modified Weaver-Dunn's Procedure for Chronic Acromioclavicular Dislocation: A Case Report and Review of Complications.

作者信息

Alentorn-Geli Eduard, Santana Fernando, Mingo Felipe, Piñol Ignasi, Solano Albert, Puig-Verdié Lluís, Torrens Carles

机构信息

Department of Orthopedic Surgery and Traumatology, Parc de Salut Mar, Hospital del Mar and Hospital de l'Esperança, Universitat Autònoma de Barcelona (UAB), Passeig Maritim 25-27, 08003 Barcelona, Spain.

Department of Radiology, Parc de Salut Mar, Hospital del Mar and Hospital de l'Esperança, Universitat Autònoma de Barcelona (UAB), Passeig Maritim 25-27, 08003 Barcelona, Spain.

出版信息

Case Rep Orthop. 2014;2014:953578. doi: 10.1155/2014/953578. Epub 2014 Dec 2.

Abstract

Distal clavicle osteolysis after acromioclavicular joint stabilization has only been described after the use of hardware for clavicle stabilization or synthetic graft causing a foreign body reaction. This paper reports a very rare case of distal clavicle osteolysis after modified Weaver-Dunn procedure for the treatment of chronic acromioclavicular joint dislocation. The paper also provides a comprehensive review of complications of this surgical technique and discusses a potential vascular etiology and preventive strategies aimed at avoiding clavicle osteolysis.

摘要

肩锁关节稳定术后的锁骨远端骨质溶解仅在使用用于锁骨稳定的硬件或合成移植物导致异物反应后才有描述。本文报道了1例经改良Weaver-Dunn手术治疗慢性肩锁关节脱位后发生锁骨远端骨质溶解的罕见病例。本文还对该手术技术的并发症进行了全面综述,并探讨了潜在的血管病因及旨在避免锁骨骨质溶解的预防策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b5f3/4269279/f8219b818d7a/CRIOR2014-953578.001.jpg

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