Qi Xiaoyang, Qiu Xusheng, Chen Yixin
Department of Orthopedics, Nanjing Drum Tower Hospital, The Affiliated Drum Tower Hospital of Nanjing Medical University, Nanjing 210008, China.
Trauma Case Rep. 2017 Sep 28;11:1-4. doi: 10.1016/j.tcr.2017.09.001. eCollection 2017 Oct.
Bilateral clavicle fractures are rare; Double clavicle fractures are particularly rare. We report a case of a 23-year-old woman presenting with double fractures (middle and distal end) of the right clavicle and single fracture of the left clavicle after she suffered a road traffic accident. Four days after the injury, the right clavicle was fixed with a reconstruction locking plate and a hook plate, the left clavicle was fixed by a S-shaped locking plate. Bone union was achieved 3 months after surgery. The patient regained full range of shoulder motion with a mild pain in the right acromion 21 months after the operation. To our knowledge, treating double clavicle fractures using double-plate fixation has not been described. Our case shows that double-plate fixation was successful in achieving an excellent long-term outcome.
双侧锁骨骨折较为罕见；双侧锁骨同时骨折则尤为罕见。我们报告一例23岁女性病例，该患者在遭遇道路交通事故后，右侧锁骨出现双骨折（中段和远端），左侧锁骨出现单骨折。受伤4天后，右侧锁骨用重建锁定钢板和钩钢板固定，左侧锁骨用S形锁定钢板固定。术后3个月实现骨愈合。术后21个月，患者肩部活动范围完全恢复，仅右肩峰有轻微疼痛。据我们所知，此前尚未有使用双钢板固定治疗双侧锁骨骨折的相关报道。我们的病例表明，双钢板固定成功实现了优异的长期治疗效果。
