Balai E, Sabharwal S, Griffiths D, Reilly P
St Mary's Hospital, Imperial College Healthcare NHS Trust, London, UK.
Ann R Coll Surg Engl. 2020 Nov;102(9):e1-e3. doi: 10.1308/rcsann.2020.0157. Epub 2020 Jul 31.
The Rockwood type VI acromioclavicular joint injury describes subcoracoid dislocation of the distal end of the clavicle. This injury pattern is exceedingly rare, with only 12 cases described in the literature. Diagnosis can be challenging; it is often the result of a high-energy mechanism and patients frequently have other severe distracting injuries. We report the case of a 23-year-old man who presented to our department after falling from a fifth-floor balcony. Alongside multiple intra-abdominal and musculoskeletal injuries, the patient sustained a type VI acromioclavicular joint dislocation. This injury was not picked up on the initial clinical assessment or described in the initial radiology report, with the diagnosis only made upon subsequent repeat review of the imaging by the admitting team. Fortunately, this delay did not increase the time to the patient receiving appropriate treatment. Despite its rarity, awareness of this injury pattern and its association with polytrauma is essential to reduce the risk of the diagnosis being overlooked in the acute setting.
罗克伍德VI型肩锁关节损伤指的是锁骨远端喙突下脱位。这种损伤模式极为罕见，文献中仅描述了12例。诊断可能具有挑战性；它通常由高能量机制导致，患者常伴有其他严重的干扰性损伤。我们报告一例23岁男性病例，该患者从五楼阳台坠落后来到我们科室。除了多处腹部和肌肉骨骼损伤外，患者还发生了VI型肩锁关节脱位。在最初的临床评估中未发现此损伤，最初的放射学报告中也未描述，诊断是在收治团队随后对影像进行再次复查时才做出的。幸运的是，这一延误并未增加患者接受适当治疗的时间。尽管这种损伤罕见，但了解这种损伤模式及其与多发伤的关联对于降低急性情况下漏诊的风险至关重要。
