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[反式肩关节置换术后锁骨应力性骨折]

[Clavicle stress fracture following reverse shoulder arthroplasty].

作者信息

Streck Laura Elisa, Seefried Lothar, Genest Franca, Reichel Thomas, Rudert Maximilian, Rueckl Kilian

机构信息

Lehrstuhl für Orthopädie der Julius-Maximilians-Universität Würzburg, Orthpädische Klinik König-Ludwig-Haus, Brettreichstr. 11, 97074, Würzburg, Deutschland.

出版信息

Orthopade. 2022 Mar;51(3):246-250. doi: 10.1007/s00132-021-04205-6. Epub 2022 Jan 6.

Abstract

We present a rare case of clavicle fracture following reverse shoulder arthroplasty (RSA). This complication may be caused by the higher tension of the deltoid muscle after RSA, similarly to stress fractures of the acromion. Associated bone disease, i.e. osteoporosis, may contribute. In the few case reports available, the affected patients showed significant functional impairments. In the current case, the fracture was addressed with plate fixation. Despite good intraoperative results, osteosynthesis failure with secondary dislocation of the fracture occurred.

摘要

我们报告一例罕见的反肩关节置换术(RSA)后锁骨骨折病例。这种并发症可能是由于RSA后三角肌张力增加所致,类似于肩峰应力性骨折。相关的骨病,即骨质疏松症,可能起了一定作用。在现有的少数病例报告中,受影响的患者出现了明显的功能障碍。在本例中,骨折采用钢板固定治疗。尽管术中效果良好,但仍发生了骨合成失败及骨折继发性脱位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6fe3/8894215/ec34406a3afd/132_2021_4205_Fig1_HTML.jpg

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