Yu Pengkun, Chi Zhang
College of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, China.
College of Health Preservation and Rehabilitation, Chengdu University of Traditional Chinese Medicine, 1166 Liutai Avenue, Wenjiang District, Chengdu, China.
Int J Surg Case Rep. 2023 Nov;112:108925. doi: 10.1016/j.ijscr.2023.108925. Epub 2023 Oct 11.
A rare case of a fracture of the medial third of the clavicle on the basis of the "floating clavicle" was hereby reported. To the best of our knowledge, this complex clavicle fracture has not yet been published. This article aims to describe, for the first time, a case of the diagnosis and treatment of this special clavicle fracture.
The 26-year-old male patient suffered from a right sternoclavicular dislocation, a fracture of the right medial third of the clavicle, and a dislocation of the right acromioclavicular joint due to a car accident. In the course of treatment, he was missed diagnosis, and after active adjustment of treatment plan, good therapeutic effect was achieved.
A special case of a floating clavicle was hereby reported. The missed diagnosis of sternoclavicular dislocation will cause great difficulties in the management of the disease. Based on the condition and clear diagnosis of the patient, surgical treatment was actively recommended for the patient. The selection of the implant for surgical treatment varied due to its specificity. A comprehensive literature review is also provided.
Clavicular bone fracture is common in clinical practice. At the same time, the injury of sternoclavicular joint and acromioclavicular joint should be vigilant. For the complex clavicle fracture reported in this paper, the computed tomography scan with 3D reconstruction can assist in diagnosis. In the case of definite diagnosis, the use of a contralateral distal clavicular plate in combination with the conventional clavicular hook plate is an appropriate choice.
本文报告了一例基于“浮动锁骨”的锁骨内侧三分之一骨折的罕见病例。据我们所知，这种复杂的锁骨骨折尚未见报道。本文旨在首次描述这一特殊锁骨骨折的诊断与治疗病例。
一名26岁男性患者因车祸导致右胸锁关节脱位、右锁骨内侧三分之一骨折及右肩锁关节脱位。在治疗过程中，曾出现漏诊情况，经积极调整治疗方案后，取得了良好的治疗效果。
本文报告了一例特殊的浮动锁骨病例。胸锁关节脱位的漏诊会给疾病的处理带来极大困难。根据患者病情及明确诊断，积极建议对患者进行手术治疗。由于其特殊性，手术治疗植入物的选择各异。同时还提供了全面的文献综述。
锁骨骨折在临床实践中较为常见。同时，应警惕胸锁关节和肩锁关节的损伤。对于本文报道的复杂锁骨骨折，三维重建计算机断层扫描有助于诊断。在明确诊断的情况下，使用对侧远端锁骨钢板联合传统锁骨钩钢板是一种合适的选择。
