Varelas Nikolaos, Joosse Pieter, Zermatten Philippe
Department of Surgery, Division of Orthopaedic Surgery and Traumatology, Centre Hospitalier du Centre du Valais, Sion, Switzerland.
Department of Surgery, Medisch Centrum Alkmaar, Alkmaar, The Netherlands.
Arch Trauma Res. 2015 Dec 1;4(4):e29923. doi: 10.5812/atr.29923. eCollection 2015 Dec.
Clavicle fractures are very common, accounting for approximately 4% of all adult fractures. Segmental bipolar fractures involving the lateral and the medial ends of the clavicle are extremely rare, with only isolated cases reported in the literature. The injury mechanism is often unclear and the management of these fractures remains controversial.
Here is to report a case of a segmental bipolar fracture of the clavicle with a lateral fracture and a displaced medial fracture without dislocation of the sternoclavicular joint following a low energy fall to the outstretched hand, and discuss its management.
Stability of the clavicle is crucial for shoulder function and care should be taken not to miss or underestimate segmental bipolar fractures even with a low energy mechanism. Authors believe that operative treatment should be taken into consideration for displaced fractures.
锁骨骨折非常常见,约占所有成人骨折的4%。累及锁骨外侧端和内侧端的节段性双极骨折极为罕见,文献中仅有个别病例报道。损伤机制往往不明确,这些骨折的治疗仍存在争议。
本文报告1例锁骨节段性双极骨折病例,患者因伸手跌倒致低能量损伤,出现外侧骨折和内侧移位骨折,胸锁关节无脱位,并对其治疗进行讨论。
锁骨的稳定性对肩部功能至关重要,即使是低能量损伤机制,也应注意避免漏诊或低估节段性双极骨折。作者认为,移位骨折应考虑手术治疗。