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[原发性未被注意的内侧锁骨骨折的继发性脱位]

[Secondary dislocation of primarily unnoticed fracture of the medial clavicle].

作者信息

Rasmussen Morten Kjerri, Thorninger Rikke

出版信息

Ugeskr Laeger. 2017 Mar 6;179(10).

PMID:28263161
Abstract

This is a case report of a 16-year-old boy with a bipolar fracture of the left clavicle. The patient crashed into a car on a moped with 40 mph. In the accident & emergency department (A&E) the patient was examined physically and by X-ray. There was no protruding bone or threatened skin. The X-ray showed a lateral clavicle fracture, but there were no clinical or radiological signs of medial fracture. The treatment was conservative. Three days later the patient was referred to A&E due to increasing pain and bone protruding of the medial clavicle. A computed tomography revealed a displaced medial and lateral clavicle fracture. The treatment was altered to operative treatment.

摘要

这是一例关于一名16岁男孩左侧锁骨双极骨折的病例报告。该患者骑轻便摩托车以每小时40英里的速度撞上了一辆汽车。在事故与急诊部(A&E)对患者进行了体格检查和X线检查。没有骨头突出或皮肤受威胁的情况。X线显示锁骨外侧骨折,但没有内侧骨折的临床或放射学征象。治疗采取保守治疗。三天后,患者因内侧锁骨疼痛加剧和骨头突出被转诊至A&E。计算机断层扫描显示锁骨内侧和外侧骨折移位。治疗改为手术治疗。

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