远端锁骨骨折畸形愈合伴肩胛运动障碍采用 3D 术前规划治疗。
Distal clavicle fracture malunion associated with scapular dyskinesis treated with 3D preoperative planning.
机构信息
Orthopedic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan
Orthopedic Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, Japan.
出版信息
BMJ Case Rep. 2021 Mar 2;14(3):e240234. doi: 10.1136/bcr-2020-240234.
A 44-year-old woman with distal clavicular malunion and scapular dyskinesis, causing limited shoulder elevation, underwent clavicular osteotomy 2 years postinjury. We used three-dimensional (3D) surface data from both injured and intact sides for correction of the distal clavicular shape by closing wedge osteotomy. The plate position and screw directions were decided preoperatively. Surgery was performed with reference to a 3D-printed, reduced model. Range of shoulder motion and scapular dyskinesis improved by 1 year postoperatively. Precise corrective osteotomy for distal clavicular malunion, referencing a 3D-printed, reduced model, improved scapular dyskinesis and range of shoulder motion 2 years postinjury.
一位 44 岁女性，因锁骨远端畸形愈合伴肩胛运动障碍，导致肩部抬高受限，在受伤后 2 年接受锁骨切开复位内固定术。我们使用受伤侧和健侧的三维（3D）表面数据，通过闭合楔形截骨术矫正锁骨远端的形状。术前确定了钢板的位置和螺钉的方向。手术参考了 3D 打印的缩小模型进行。术后 1 年，肩关节活动范围和肩胛运动障碍得到改善。参考 3D 打印缩小模型进行精确的锁骨远端畸形矫正，可改善术后 2 年的肩胛运动障碍和肩关节活动范围。
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