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被忽视的肩峰骨折导致慢性创伤后肩部疼痛——病例报告

Neglected Acromion Fracture Causing Chronic Post-traumatic Shoulder Pain - A Case Report.

作者信息

Amirthalingam Sivabalaganesh, Suriyakumar Sundar, Harshavardhan J K Giriraj, Sameer Mohamed

机构信息

Department of Orthopaedic, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India.

出版信息

J Orthop Case Rep. 2022 Oct;12(10):39-43. doi: 10.13107/jocr.2022.v12.i10.3358.

DOI:10.13107/jocr.2022.v12.i10.3358
PMID:36874898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9983393/
Abstract

INTRODUCTION

Patient presented with persistent shoulder pain 8 months following an injury which was diagnosed to be an old non-united missed acromion fracture. The difficulties in diagnosing such fracture, the functional and radiological outcome of surgical fixation of this type of missed acromion fracture with 6-month follow-up has been discussed in this case report.

CASE REPORT

We report a case of 48-year-old male who presented to us with chronic shoulder pain following an injury which was later diagnosed to be a missed non-united acromion fracture.

CONCLUSION

Acromion fractures are commonly missed. Non-united acromion fractures can cause significant chronic post-traumatic shoulder pain. Reduction and internal fixation can alleviate the pain with a good functional result.

摘要

引言

患者在受伤8个月后出现持续性肩部疼痛，经诊断为陈旧性未愈合的漏诊肩峰骨折。本病例报告讨论了诊断此类骨折的困难，以及对这种漏诊肩峰骨折进行手术固定并随访6个月后的功能和影像学结果。

病例报告

我们报告一例48岁男性患者，其受伤后出现慢性肩部疼痛，后来被诊断为漏诊的未愈合肩峰骨折。

结论

肩峰骨折常被漏诊。未愈合的肩峰骨折可导致严重的创伤后慢性肩部疼痛。复位内固定可缓解疼痛并取得良好的功能效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/63d4142ad791/JOCR-12-39-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/376925797942/JOCR-12-39-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/f82dd9ad9b74/JOCR-12-39-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/2aa921b4b438/JOCR-12-39-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/c58ef296cef1/JOCR-12-39-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/72aa8d7d6349/JOCR-12-39-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/8506183adf01/JOCR-12-39-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/76ab79b75db5/JOCR-12-39-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/0372ac449a79/JOCR-12-39-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/63d4142ad791/JOCR-12-39-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/376925797942/JOCR-12-39-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/c58ef296cef1/JOCR-12-39-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/72aa8d7d6349/JOCR-12-39-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/8506183adf01/JOCR-12-39-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/76ab79b75db5/JOCR-12-39-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/0372ac449a79/JOCR-12-39-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57be/9983393/63d4142ad791/JOCR-12-39-g011.jpg

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