Kim Young Sin, Wang Seong-Il, Lee Ju Hong
Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Research Institute of Clinical Medicine of Chonbuk National University, Department of Orthopaedic Surgery, Jeonju, Republic of Korea.
Acta Orthop Traumatol Turc. 2016;50(1):111-4. doi: 10.3944/AOTT.2016.14.0170.
In reverse total shoulder arthroplasty, retensioning of the deltoid muscle is essential for regaining active elevation. However, the procedure remains problematic, in that it may potentially produce complications not only because it is a complex procedure but also because it causes anatomical changes. We experienced a rare case of a 64-year-old woman presenting with non-traumatic clavicle fracture after reverse total shoulder arthroplasty via a deltopectoral approach. In our case, the patient presented with pain in the clavicle area, which worsened during joint movement. Therefore, surgeons should consider the possibility of clavicle fracture in patients presenting with pain in the clavicle area which worsens.
在反式全肩关节置换术中,重新拉紧三角肌对于恢复主动抬高至关重要。然而,该手术仍然存在问题,因为它不仅是一个复杂的手术,而且会引起解剖结构的改变,这可能会潜在地导致并发症。我们遇到了一例罕见的病例,一名64岁女性在通过胸大肌三角肌入路进行反式全肩关节置换术后出现非创伤性锁骨骨折。在我们的病例中,患者锁骨区域疼痛,在关节活动时加重。因此,对于出现锁骨区域疼痛且疼痛在关节活动时加重的患者,外科医生应考虑锁骨骨折的可能性。