[一名14岁国家水球运动员的喙突孤立性骨折：病例示例]
[Isolated fracture of the coracoid process in a 14-year-old national water polo player : Case example].
作者信息
Wollstein Johannes, Tegtbur Uwe, Meller Rupert, Hanke Alexander A, Berndt Thomas, Krettek Christian, Weber-Spickschen Thomas S
机构信息
Institut für Sportmedizin, Medizinische Hochschule Hannover, Carl-Neuberg Str. 1, 30625, Hannover, Deutschland.
Klinik für Orthopädie, Unfallchirurgie, Sportmedizin, Agnes Karll Krankenhaus Laatzen, Hildesheimer Str. 158, 30880, Laatzen, Deutschland.
出版信息
Unfallchirurg. 2019 Jan;122(1):79-82. doi: 10.1007/s00113-018-0547-y.
BACKGROUND
Isolated fractures of the coracoid process during sporting activities are very rare. There are a few case studies and retrospective studies with low numbers of cases.
OBJECTIVE
Presentation of an initially neglected fracture and conservative treatment.
METHODS
Case study of a 14-year-old national water polo player with a non-dislocated fracture of the coracoid process and conservative therapy using focused shockwave therapy.
RESULT
Return to sports after conservative therapy was after 13 weeks and return to competitive sport after 14 weeks.
CONCLUSION
In cases with therapy refractory shoulder pain after trauma and unremarkable native X‑ray, extended 3D imaging by magnetic resonance imaging (MRI) or computed tomography (CT) should be done early. Conservative therapy of a non-dislocated fracture in this case showed a good outcome.
背景
在体育活动中，喙突孤立性骨折非常罕见。仅有少数病例研究和回顾性研究，且病例数量较少。
目的
介绍一例最初被忽视的骨折及保守治疗情况。
方法
对一名14岁的国家水球运动员进行病例研究，该运动员患有喙突无移位骨折，并采用聚焦冲击波疗法进行保守治疗。
结果
保守治疗后13周恢复运动，14周后恢复竞技运动。
结论
对于创伤后出现治疗难治性肩部疼痛且X线平片无明显异常的病例，应早期进行磁共振成像（MRI）或计算机断层扫描（CT）的扩展三维成像检查。该病例中无移位骨折的保守治疗取得了良好效果。
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