A Poggetti, M Novi, M Rosati, P Battistini, P Parchi, M Lisanti
Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
J Orthop Case Rep. 2016 Jul-Aug;6(3):19-21. doi: 10.13107/jocr.2250-0685.482.
Most published floating clavicle report a dislocation or fracture of one or both ends of the clavicle.
We reported a new framework of this injury in a young triathlon athlete; medial-end displaced fracture with co-existent double disruption of the superior shoulder suspensory complex (SSSC) with the anterior shoulder arch wholly disconnected from the nearby structure.
The management of these complex fractures remains an open debate. The infrequent publications and the rarity of this type of injuries don't support the surgeon about the choice of the best possible treatment. However, if they are involved Patients with high functional demands, the Authors suggest the surgical management of medial-end clavicle fractures followed by restoration of SSSC complex if damaged on more than two locations.
大多数已发表的浮动锁骨病例报告的是锁骨一端或两端的脱位或骨折。
我们报告了一名年轻铁人三项运动员这种损伤的一个新类型；内侧端移位骨折，同时存在肩上部悬吊复合体（SSSC）的双重断裂，前肩弓与附近结构完全分离。
这些复杂骨折的治疗方法仍存在争议。此类损伤的罕见病例报告数量不多，这使得外科医生在选择最佳治疗方案时缺乏依据。然而，如果患者功能需求较高，作者建议对锁骨内侧端骨折进行手术治疗，若SSSC复合体在两个以上部位受损，则需对其进行修复。
