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脊柱中一种不寻常的肩胛盂撕脱骨折模式:病例研究

An Unusual Pattern of Scapular Avulsion Fracture in the Spine: A Case Study.

作者信息

Deshmukh Ashwin, Shevate Ishan, Salunkhe Rahul, Gupta Archit, Chopra Shubhankar

机构信息

Orthopaedics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth, Pune (Deemed to Be University), Pune, IND.

出版信息

Cureus. 2024 Jun 11;16(6):e62132. doi: 10.7759/cureus.62132. eCollection 2024 Jun.

DOI:10.7759/cureus.62132
PMID:38993457
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11238760/
Abstract

Acromion fractures, particularly isolated cases, are uncommon but significant in shoulder injuries. There is no universally accepted treatment protocol, but the classification of the fracture helps to guide clinical decisions. We present a case report aiming to contribute to the understanding of treatment options for acromion fractures. A 22-year-old male sustained a left shoulder injury during a wrestling match, resulting in a type 2 acromion fracture. Conservative treatment was initiated with regular follow-ups. Serial imaging showed no further displacement. Gradual rehabilitation exercises were introduced based on healing progress. The rarity of isolated acromion fractures complicates their management. Conservative management, coupled with rehabilitation exercises, yielded positive outcomes in our case, suggesting its efficacy as a primary treatment option for isolated displaced acromion fractures. Further research is needed to establish standardized protocols for managing such fractures, but until then, conservative care remains a viable approach, potentially preferred over surgical intervention.

摘要

肩峰骨折,尤其是孤立性骨折,虽不常见,但在肩部损伤中较为重要。目前尚无普遍接受的治疗方案,但骨折的分类有助于指导临床决策。我们报告一例病例,旨在增进对肩峰骨折治疗选择的理解。一名22岁男性在摔跤比赛中左肩受伤,导致2型肩峰骨折。开始进行保守治疗并定期随访。系列影像学检查显示无进一步移位。根据愈合进展逐步引入康复锻炼。孤立性肩峰骨折的罕见性使其治疗复杂化。在我们的病例中,保守治疗结合康复锻炼取得了积极效果,表明其作为孤立性移位肩峰骨折的主要治疗选择具有有效性。需要进一步研究以建立此类骨折的标准化治疗方案,但在此之前,保守治疗仍是一种可行的方法,可能比手术干预更受青睐。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/2a018238f8bd/cureus-0016-00000062132-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/5adbd3befc44/cureus-0016-00000062132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/ce6f27cd0008/cureus-0016-00000062132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/b1be59c34611/cureus-0016-00000062132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/016df581dadc/cureus-0016-00000062132-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/d414c9e58146/cureus-0016-00000062132-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/434c545ddb94/cureus-0016-00000062132-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/573a0cb2c340/cureus-0016-00000062132-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/2a018238f8bd/cureus-0016-00000062132-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/5adbd3befc44/cureus-0016-00000062132-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/ce6f27cd0008/cureus-0016-00000062132-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/b1be59c34611/cureus-0016-00000062132-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/016df581dadc/cureus-0016-00000062132-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/d414c9e58146/cureus-0016-00000062132-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/434c545ddb94/cureus-0016-00000062132-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/573a0cb2c340/cureus-0016-00000062132-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3bd0/11238760/2a018238f8bd/cureus-0016-00000062132-i08.jpg

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本文引用的文献

1
Outcomes of conservative treatment of acromial and scapular spine stress fracture post reverse shoulder arthroplasty: a systematic review with meta-analysis.反式肩关节置换术后肩峰和肩胛冈应力性骨折的保守治疗结果:一项荟萃分析的系统评价
J Shoulder Elbow Surg. 2023 Dec;32(12):2613-2630. doi: 10.1016/j.jse.2023.07.011.
2
Clinical results of conservative versus operative treatment of acromial and scapular spine fractures following reverse total shoulder arthroplasty.反式全肩关节置换术后肩峰和肩胛冈骨折保守治疗与手术治疗的临床结果
J Shoulder Elbow Surg. 2022 Oct;31(10):2076-2081. doi: 10.1016/j.jse.2022.03.005. Epub 2022 Apr 18.
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Isolated Fracture of the Acromion Process: A Case Report.
肩峰突孤立性骨折:一例报告
Cureus. 2021 Mar 22;13(3):e14032. doi: 10.7759/cureus.14032.
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Displaced acromion fracture: A rare injury, case report.移位性肩峰骨折:一种罕见损伤,病例报告。
Int J Surg Case Rep. 2017;39:313-316. doi: 10.1016/j.ijscr.2017.08.051. Epub 2017 Sep 1.
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