喙突与锁骨远端合并骨折非手术治疗后的良好临床疗效：一例报告
Good Clinical Outcome following Non-operative Treatment of Concomitant Fractures of Coracoid Process and Distal End of Clavicle: A Case Report.
作者信息
McArthur Nicholas, Singh Bijayendra
机构信息
Department of Trauma and Orthopaedics, Cambridge NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, United Kingdom.
Department of Trauma and Orthopaedics, NHS Medway Maritime Hospital, Gillingham, ME7 5NY, United Kingdom.
出版信息
J Orthop Case Rep. 2012 Apr-Jun;2(2):14-6.
INTRODUCTION
A coracoid fracture is a rare orthopaedic condition as it accounts for only 2 - 10 % of all scapular fractures and <0.1% of all fractures. In even rarer cases coracoid fractures are also associated with other bony injuries of the shoulder. There is currently no consensus on the treatment of such injuries.
CASE REPORT
We present an unusually rare case of a simultaneous fracture of the coracoid process and the lateral end of clavicle. The patient was treated with shoulder arm sling for 6 weeks followed by physiotherapy. At 6 months follow up the patient was pain free with full range of motion at right shoulder.
CONCLUSION
Concomitant fractures of lateral end clavicle and coracoid process are rare and may not be visible of plain radiographs. CT scan may be indicated if the clinical examination suspects additional injuries of shoulder girdle. We have treated this injury non operatively with a good clinical outcome.
引言
喙突骨折是一种罕见的骨科病症，仅占所有肩胛骨骨折的2%-10%，占所有骨折的比例不到0.1%。在更为罕见的情况下，喙突骨折还与肩部的其他骨损伤相关。目前对于此类损伤的治疗尚无共识。
病例报告
我们呈现了一例极其罕见的喙突与锁骨外侧端同时骨折的病例。该患者使用肩臂吊带治疗6周，随后接受物理治疗。在6个月的随访中，患者右肩部无痛，活动范围正常。
结论
锁骨外侧端与喙突同时骨折较为罕见，普通X线片可能无法显示。如果临床检查怀疑肩带存在其他损伤，可能需要进行CT扫描。我们对该损伤采取了非手术治疗，取得了良好的临床效果。
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