Cosic Filip, Ernstbrunner Lukas, Hoy Greg A, Ooi Keat S, Ek Eugene T
Department of Orthopaedic Surgery, Austin Health, Heidelberg, VIC, Australia.
Melbourne Orthopaedic Group, Windsor, VIC, Australia.
Front Surg. 2022 Aug 9;9:885378. doi: 10.3389/fsurg.2022.885378. eCollection 2022.
Concomitant acromioclavicular joint dislocation and midshaft clavicle fracture are rare injuries, generally resulting from high energy trauma, with limited previous experience in management.
A 30 year old male presented following a pushbike accident. He had suffered a head on collision with another cyclist. Radiographic examination demonstrated a displaced midshaft clavicle fracture with a Rockwood Type V acromioclavicular joint dislocation. Operative management was undertaken using a dual plating technique. At six month follow up the patient demonstrated full range of motion and had no pain.
Appropriate radiographic evaluation and careful intraoperative assessment are required using the principles of management for acromioclavicular joint injuries, along with stabilization of the mid-clavicular fracture to reduce the risk of non-union.
肩锁关节脱位合并锁骨中段骨折是罕见的损伤，通常由高能量创伤导致，以往在治疗方面经验有限。
一名30岁男性在骑自行车事故后就诊。他与另一名骑自行车者发生了正面碰撞。影像学检查显示锁骨中段骨折移位，伴有Rockwood V型肩锁关节脱位。采用双钢板技术进行手术治疗。术后6个月随访时，患者活动范围正常，无疼痛。
需要进行适当的影像学评估，并根据肩锁关节损伤的治疗原则进行仔细的术中评估，同时对锁骨中段骨折进行稳定固定，以降低不愈合的风险。
