Yao Bao-bing, Zha Liang, Yin Cheng-guo, Wang Tong-li, Wang Wen-de, Wang Ye-ben, Wu De-fu
Zhongguo Gu Shang. 2014 Dec;27(12):1043-6.
To explore clinical effects of internal fixation in treating displaced clavicle fracture combined with coracoid process.
From January 2005 to July 2012, 9 patients with displaced clavicle fracture combined with coracoid process were treated by internal fixation. Among them, there were 6 males and 3 females with an average age of 40.1 (ranged from 20 to 57) years old. According to Eyres classification: 3 cases were type II B, 1 case was type II A, 3 cases were type III B, and 2 cases were type V A. All patients had history of injury, and diagnosed as coracoid fracture X-ray and CT before operation. Herscovici criteria was used to evaluate function of shoulders joint after operation.
Seven of 9 patients were followed up from 6 to 18 (averaged 11) months. The incisions were healed at stage I, coracoid process obtained bony healing, and reduction of acromioclavicular joint well. According to Herscovici criteria, 6 patients got excellent results and 1 in good.
Internal fixation for the treatment of displaced clavicle fracture combined with coracoid process could restore physiological anatomical position of coracoid process, and benefit for recovery of limb function.
探讨内固定治疗锁骨移位骨折合并喙突骨折的临床疗效。
2005年1月至2012年7月，对9例锁骨移位骨折合并喙突骨折患者采用内固定治疗。其中男性6例，女性3例，平均年龄40.1岁（20～57岁）。按Eyres分类：ⅡB型3例，ⅡA型1例，ⅢB型3例，ⅤA型2例。所有患者均有外伤史，术前经X线及CT确诊为喙突骨折。术后采用Herscovici标准评价肩关节功能。
9例患者中7例获随访，随访时间6～18个月，平均11个月。切口Ⅰ期愈合，喙突骨折骨性愈合，肩锁关节复位良好。按Herscovici标准评定：优6例，良1例。
内固定治疗锁骨移位骨折合并喙突骨折，可恢复喙突的生理解剖位置，有利于肢体功能恢复。
