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双侧锁骨骨折——一种罕见的损伤。

Bilateral Clavicle Fractures - A Rare Injury.

作者信息

Vellingiri Kishore, Seenappa Hariprasad

机构信息

Department of Orthopaedics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Education and Research, Kolar, IND.

Department of Orthopaedics, Sri Devaraj Urs Medical College, Sri Devaraj Urs Academy of Higher Eduacation and Research, Kolar, IND.

出版信息

Cureus. 2020 Nov 11;12(11):e11449. doi: 10.7759/cureus.11449.

DOI:10.7759/cureus.11449
PMID:33329948
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7733778/
Abstract

Both surgical or nonsurgical management of bilateral clavicle fractures have advantages and disadvantages. Hence a patient must be advised for shared decision making. Our patient was a painter by occupation with a left-sided dominant hand. Considering his job and financial constraints, we fixed his left clavicle fracture surgically and treated his right-sided clavicle fracture conservatively. We suggest based on our report concerning this rare injury, is that not all fractures need to be fixed surgically. Patient needs and other factors should be taken into consideration before taking the patient for surgical management.

摘要

双侧锁骨骨折的手术或非手术治疗都有优缺点。因此,必须建议患者进行共同决策。我们的患者职业是画家,惯用左手。考虑到他的工作和经济限制,我们对他的左侧锁骨骨折进行了手术固定,对右侧锁骨骨折进行了保守治疗。基于我们关于这种罕见损伤的报告,我们建议并非所有骨折都需要手术固定。在对患者进行手术治疗之前,应考虑患者的需求和其他因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/6abb50f7af53/cureus-0012-00000011449-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/9ad1f998d5e5/cureus-0012-00000011449-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/768bd45c8ee4/cureus-0012-00000011449-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/6abb50f7af53/cureus-0012-00000011449-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/9ad1f998d5e5/cureus-0012-00000011449-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/768bd45c8ee4/cureus-0012-00000011449-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e084/7733778/6abb50f7af53/cureus-0012-00000011449-i03.jpg

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本文引用的文献

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Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.手术与保守干预治疗锁骨中1/3骨折的对比
Cochrane Database Syst Rev. 2019 Jan 22;1(1):CD009363. doi: 10.1002/14651858.CD009363.pub3.
2
Results and Outcomes After Midshaft Clavicle Fracture: Matched Pair Analysis of Operative Versus Nonoperative Management.锁骨中段骨折后的结果与转归:手术治疗与非手术治疗的配对分析
Orthopedics. 2018 Sep 1;41(5):e689-e694. doi: 10.3928/01477447-20180724-04. Epub 2018 Jul 27.
3
Bilateral Clavicle Fractures: A Case Report.
双侧锁骨骨折:一例报告
Malays Orthop J. 2018 Mar;12(1):60-62. doi: 10.5704/MOJ.1803.015.
4
Open Reduction and Internal Fixation Versus Nonsurgical Treatment in Displaced Midshaft Clavicle Fractures: A Meta-Analysis.切开复位内固定与非手术治疗移位的锁骨中段骨折的比较:一项荟萃分析。
J Orthop Trauma. 2018 Jul;32(7):e276-e283. doi: 10.1097/BOT.0000000000001174.
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Double-plate fixation in double clavicle fractures: A case report.双钢板固定治疗双侧锁骨骨折:一例报告。
Trauma Case Rep. 2017 Sep 28;11:1-4. doi: 10.1016/j.tcr.2017.09.001. eCollection 2017 Oct.
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Bilateral Clavicle Fractures: A Report of Three Cases.双侧锁骨骨折:三例报告
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Bilateral Fracture Clavicles occurring Simultaneously and treated with Intramedullary Fixation.双侧锁骨同时骨折并采用髓内固定治疗。
J Orthop Case Rep. 2011 Oct-Dec;1(1):29-32.
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Midshaft Clavicle Fractures: A Critical Review.锁骨中段骨折:一项批判性综述
Orthopedics. 2016 Sep 1;39(5):e814-21. doi: 10.3928/01477447-20160517-06. Epub 2016 May 25.
9
Fractures of the clavicle in the adult. Epidemiology and classification.成人锁骨骨折。流行病学与分类。
J Bone Joint Surg Br. 1998 May;80(3):476-84. doi: 10.1302/0301-620x.80b3.8079.