Van Tongel Alexander, Toussaint Arnaud, Herregods Sofie, Van Damme Stijn, Marrannes Jesse, De Wilde Lieven
Acta Orthop Belg. 2018 Mar;84(1):62-67.
Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to other classification systems and to evaluate the clinical outcome of nonoperative treated fractures. 55 acute medial clavicle fractures (55 patients) were 3D reconstructed and evaluated using the Edinburgh (ED), Throckmorton (TR) and new AB classification. The AB classification classified the fracture as medial (Type 1) or lateral (Type 2) to the costoclavicular ligament and no or minimal displaced (Type A) or displaced (Type B). Next, a consecutive retrospective clinical evaluation of 38 of these patients was performed using the Oxford Shoulder and Constant Score. An anatomically based classification shows the highest inter- and intra-observer reliability. In case the fracture line originate medial to the costoclavicular ligament and is displaced the Constant and Oxford scores are significantly less.
内侧锁骨骨折占所有锁骨损伤的比例不到5%。本研究的目的是评估一种新的基于解剖学的（AB）分类系统与其他分类系统相比的可靠性，并评估非手术治疗骨折的临床结果。对55例急性内侧锁骨骨折（55例患者）进行三维重建，并使用爱丁堡（ED）、思罗克莫顿（TR）和新的AB分类系统进行评估。AB分类系统将骨折分为锁骨下韧带内侧（1型）或外侧（2型），无移位或轻微移位（A型）或移位（B型）。接下来，使用牛津肩部评分和常量评分对其中38例患者进行了连续的回顾性临床评估。基于解剖学的分类显示出最高的观察者间和观察者内可靠性。如果骨折线起源于锁骨下韧带内侧且有移位，则常量评分和牛津评分显著降低。
