Odorizzi Marco, FitzGerald Maurice, Gonzalez Jorge, Giunchi Dario, Hamitaga Flurim, De Rosa Vincenzo
Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, Switzerland.
Case Rep Orthop. 2020 Apr 23;2020:4069431. doi: 10.1155/2020/4069431. eCollection 2020.
Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Initial conservative treatment by sling immobilization demonstrated radiologically confirmed healing at 3 months. However, at 1-year follow-up, she presented with painful nonunion. Diagnostic MRI and CT exams confirmed a pseudoarthrosis, requiring elective open reduction and internal fixation with the aid of an ipsilateral iliac crest bone graft.
锁骨骨折是儿科人群中最常见的骨损伤之一，但18岁以下儿童骨折不愈合的发生率非常低。据我们所知，儿科人群中锁骨创伤后不愈合的情况鲜有报道。我们报告一例11岁女孩，其右锁骨中轴至近端三分之一处发生无移位骨折。最初采用吊带固定进行保守治疗，3个月时影像学检查证实骨折愈合。然而，在1年随访时，她出现了疼痛性骨折不愈合。诊断性MRI和CT检查证实为假关节，需要择期切开复位并在同侧髂嵴骨移植的辅助下进行内固定。
