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成人锁骨骨折病例报告。

Adult Clavicular Fracture Case Report.

作者信息

Sea Jessica L, Zuabi Nadia, Wray Alisa

机构信息

University of California, Irvine, Department of Emergency Medicine, Orange, CA.

出版信息

J Educ Teach Emerg Med. 2020 Oct 15;5(4):V6-V11. doi: 10.21980/J8FM0T. eCollection 2020 Oct.

DOI:10.21980/J8FM0T
PMID:37465340
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332523/
Abstract

UNLABELLED

Clavicular fractures make up 2-4% of all fractures. While most are nondisplaced and easily managed, serious complications can arise from more severe fractures. In these cases, immediate surgical intervention is required. However, there lacks a consensus regarding the optimal treatment for fractures that are less severe. Here, we present a case of a 25-year-old male with a comminuted displaced mid-clavicular fracture. This report details the important clinical features of various types of clavicular fractures and discusses the current literature regarding indications for operative and nonoperative management.

TOPICS

Adult clavicular fracture; mid-clavicle fracture; orthopedics, trauma, upper extremity.

摘要

未标注

锁骨骨折占所有骨折的2% - 4%。虽然大多数骨折无移位且易于处理，但较严重的骨折可能会引发严重并发症。在这些情况下，需要立即进行手术干预。然而，对于不太严重的骨折，目前尚无关于最佳治疗方法的共识。在此，我们报告一例25岁男性的粉碎性移位锁骨中段骨折病例。本报告详细介绍了各类锁骨骨折的重要临床特征，并讨论了当前有关手术和非手术治疗指征的文献。

主题

成人锁骨骨折；锁骨中段骨折；骨科、创伤、上肢

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1
Adult Clavicular Fracture Case Report.成人锁骨骨折病例报告。
J Educ Teach Emerg Med. 2020 Oct 15;5(4):V6-V11. doi: 10.21980/J8FM0T. eCollection 2020 Oct.
2
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Elastic stable intramedullary nailing is best for mid-shaft clavicular fractures without comminution: results in 60 patients.弹性髓内钉治疗无粉碎的中段锁骨骨折最佳：60 例患者的结果。
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Online radiographic survey of midshaft clavicular fractures: no consensus on treatment for displaced fractures.锁骨中段骨折的在线影像学调查：对于移位骨折的治疗尚无共识。
Acta Orthop Belg. 2014 Mar;80(1):82-7.

本文引用的文献

1
Midshaft clavicle fractures: Current concepts.锁骨中段骨折：当前概念
EFORT Open Rev. 2018 Jun 20;3(6):374-380. doi: 10.1302/2058-5241.3.170033. eCollection 2018 Jun.
2
Distal clavicle fracture radiography and treatment: a pictorial essay.锁骨远端骨折的影像学检查与治疗：图文综述
Emerg Radiol. 2018 Jun;25(3):311-319. doi: 10.1007/s10140-018-1586-y. Epub 2018 Feb 3.
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Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study.锁骨骨折：瑞典骨折登记处2422例骨折的流行病学、分类及治疗；一项观察性研究
BMC Musculoskelet Disord. 2017 Feb 15;18(1):82. doi: 10.1186/s12891-017-1444-1.
4
Surgical Versus Nonsurgical Treatment for Midshaft Clavicle Fractures in Patients Aged 16 Years and Older: A Systematic Review, Meta-analysis, and Comparison of Randomized Controlled Trials and Observational Studies.16岁及以上患者中段锁骨骨折的手术与非手术治疗：一项系统评价、荟萃分析以及随机对照试验与观察性研究的比较
Am J Sports Med. 2017 Jul;45(8):1937-1945. doi: 10.1177/0363546516673615. Epub 2016 Nov 18.
5
Figure-of-eight bandage versus arm sling for treating middle-third clavicle fractures in adults: study protocol for a randomised controlled trial.8字绷带与手臂吊带治疗成人锁骨中段骨折的比较：一项随机对照试验的研究方案
Trials. 2016 May 4;17(1):229. doi: 10.1186/s13063-016-1355-8.
6
Comparison of simple arm sling and figure of eight clavicular bandage for midshaft clavicular fractures: a randomised controlled study.简单手臂吊带与“8”字形锁骨绷带治疗锁骨中段骨折的比较：一项随机对照研究。
Bone Joint J. 2015 Nov;97-B(11):1562-5. doi: 10.1302/0301-620X.97B11.35588.
7
Fracture of distal end clavicle: A review.锁骨远端骨折：综述
J Clin Orthop Trauma. 2014 Jun;5(2):65-73. doi: 10.1016/j.jcot.2014.05.007. Epub 2014 Jun 19.
8
Interventions for treating displaced midshaft clavicular fractures: a Bayesian network meta-analysis of randomized controlled trials.治疗移位型锁骨中段骨折的干预措施：一项随机对照试验的贝叶斯网络荟萃分析
Medicine (Baltimore). 2015 Mar;94(11):e595. doi: 10.1097/MD.0000000000000595.
9
The long-term outcome of displaced mid-third clavicle fractures on scapular and shoulder function: variations between immediate surgery, delayed surgery, and nonsurgical management.锁骨中1/3移位骨折对肩胛骨及肩部功能的长期影响：一期手术、延期手术及非手术治疗的差异
J Shoulder Elbow Surg. 2015 May;24(5):669-76. doi: 10.1016/j.jse.2014.09.037. Epub 2014 Nov 18.
10
Management of distal clavicle fractures.锁骨远端骨折的治疗。
J Am Acad Orthop Surg. 2011 Jul;19(7):392-401. doi: 10.5435/00124635-201107000-00002.