一名成年人的肩锁关节脱位合并喙突撕脱
Combined acromioclavicular joint dislocation and coracoid avulsion in an adult.
作者信息
Naik Monappa, Tripathy Sujit Kumar, Goyal Saumitra, Rao Sarath K
机构信息
Department of Orthopaedics, KMC, Manipal, Manipal, India.
Department of Orthopaedics, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
出版信息
BMJ Case Rep. 2015 May 20;2015:bcr2014208563. doi: 10.1136/bcr-2014-208563.
Abstract
Avulsion fracture of coracoid process with acromioclavicular joint dislocation is extremely rare. We report a case of coracoid avulsion with acromioclavicular disruption in a 24-year-old man who sustained injuries in a road traffic accident. Although acromioclavicular (AC) dislocation was obvious from an initial radiograph, coracoid avulsion was picked up in a CT scan. Open reduction and internal fixations of the coracoid with a 4 mm cannulated screw, an AC joint with two K-wires and an anchor suture, resulted in rapid recovery. The patient had complete range of shoulder movements at the end of 3 months and he resumed his professional activities. After 1 year, he had normal shoulder movement without any functional limitations.
摘要
喙突撕脱骨折合并肩锁关节脱位极为罕见。我们报告一例24岁男性在道路交通事故中受伤，出现喙突撕脱合并肩锁关节分离的病例。尽管最初的X线片显示肩锁关节（AC）脱位明显，但在CT扫描中发现了喙突撕脱。采用4毫米空心螺钉对喙突进行切开复位内固定，用两根克氏针和锚钉缝线对肩锁关节进行固定，患者恢复迅速。3个月末患者肩部活动范围完全恢复，恢复了职业活动。1年后，他肩部活动正常，没有任何功能限制。
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