Dannöhl C, Meeder P J, Weller S
Berufsgenossenschaftliche Unfallklinik Tübingen.
Aktuelle Traumatol. 1988 Aug;18(4):149-51.
Neurological or vascular complications in clavicle fractures as a primary lesion are rare. More often these complications develop later caused by large callus formation to encroach the costoclavicular space. That is due sometimes to an additional fracture of the clavicle, which healed under shortening. The prognosis of the costoclavicular syndrome can be improved by early resection of the callus formation and--in special cases--by reconstruction of the original length of the clavicle combined with a stable plate osteosynthesis.
锁骨骨折作为原发性损伤出现神经或血管并发症的情况较为罕见。这些并发症更多是在后期由于大量骨痂形成侵犯肋锁间隙而引发。这有时是由于锁骨再次骨折,骨折在短缩状态下愈合所致。通过早期切除骨痂形成组织,以及在特殊情况下通过恢复锁骨原长度并结合稳定的钢板内固定术,肋锁综合征的预后可以得到改善。