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青少年患者罕见节段性锁骨骨折的非手术治疗:一例报告

Non-operative Management of a Rare Segmental Clavicle Fracture in an Adolescent Patient: A Case Report.

作者信息

Harimtepathip Peter, Puneky George, Lomax Justin, Bryan Cory

机构信息

Department of Orthopedics, Augusta University Medical College of Georgia, Augusta, USA.

出版信息

Cureus. 2023 Jul 26;15(7):e42508. doi: 10.7759/cureus.42508. eCollection 2023 Jul.

Abstract

A 12-year-old Caucasian male presented to the clinic with a displaced, segmental left clavicle fracture involving the distal clavicle after falling from a zip line. He was treated non-operatively in a sling and returned to normal activities without restrictions after three months. At one year, the patient was able to maintain his pre-injury baseline function without limitations of his left shoulder. While no clear guidelines for operative treatment of segmental clavicle fractures in the adolescent population exist in the current literature, this report illustrates an excellent patient outcome following conservative therapy of a segmental clavicle fracture involving the middle one-third and distal clavicle in a young adolescent with open physis.

摘要

一名12岁的白种男性因从高空滑索坠落导致左锁骨中段及远端移位、节段性骨折,前来诊所就诊。他接受了吊带非手术治疗,三个月后恢复正常活动,无任何限制。一年后,患者能够保持受伤前的基线功能,左肩无任何受限。虽然目前文献中没有关于青少年节段性锁骨骨折手术治疗的明确指南,但本报告展示了一名骨骺未闭的青少年,其涉及锁骨中三分之一和远端的节段性骨折经保守治疗后获得了极佳的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/773a/10457149/eb03c5717cce/cureus-0015-00000042508-i01.jpg

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