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锁骨先天性假关节的手术治疗技术

Surgical Technique for Management of Congenital Pseudarthrosis of the Clavicle.

作者信息

Da Silva Adrik, Radtke Logan, Chalmers Peter

机构信息

Department of Orthopaedics, University of Utah, Salt Lake City, Utah, U.S.A.

出版信息

Arthrosc Tech. 2024 May 30;13(9):103043. doi: 10.1016/j.eats.2024.103043. eCollection 2024 Sep.

DOI:10.1016/j.eats.2024.103043
PMID:39308581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11411332/
Abstract

Congenital pseudarthrosis of the clavicle is a rare phenomenon with multiple proposed causes. Surgical management is typically indicated either because of the cosmetic appearance of the irregularity or, less commonly, for pain, particularly in adolescent patients. Multiple surgical methods have previously described in the literature, which have raised concern owing to the persistently high rate of nonunion postoperatively. This article describes management of congenital pseudarthrosis of the clavicle with open reduction and internal fixation using a T-shaped iliac crest autograft.

摘要

先天性锁骨假关节是一种罕见现象,有多种可能的病因。手术治疗通常是由于外形不规则的美容需求,或者较少见的是因为疼痛,特别是在青少年患者中。此前文献中已描述了多种手术方法,但由于术后不愈合率持续居高不下,这些方法引发了关注。本文介绍了采用T形髂嵴自体骨移植切开复位内固定治疗先天性锁骨假关节的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/6402317b238d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/ffdddd55dd25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/b070707990b1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/f913e25e6076/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/6402317b238d/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/ffdddd55dd25/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/b070707990b1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/f913e25e6076/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29a9/11411332/6402317b238d/gr4.jpg

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本文引用的文献

1
Surgical treatment of congenital pseudarthrosis of the clavicle: A series of 10 cases.锁骨先天性假关节的外科治疗:10例系列报道
Orthop Traumatol Surg Res. 2024 Oct;110(6):103518. doi: 10.1016/j.otsr.2022.103518. Epub 2022 Dec 14.
2
Congenital pseudarthrosis of the clavicle: a systematic review.锁骨先天性假关节:系统评价。
Int Orthop. 2022 Nov;46(11):2577-2583. doi: 10.1007/s00264-022-05470-6. Epub 2022 Jun 15.
3
The Iliac Crest Top Hat Bone Graft for Challenging Metacarpal Nonunion.髂嵴顶帽状骨移植治疗掌骨难愈合。
J Hand Surg Am. 2022 Jul;47(7):694.e1-694.e4. doi: 10.1016/j.jhsa.2022.03.020. Epub 2022 May 18.
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Surgical treatment of congenital pseudoarthrosis of the clavicle: Our 22-year, single-center experience.锁骨先天性假关节的手术治疗:我们 22 年的单中心经验。
Jt Dis Relat Surg. 2021;32(1):224-229. doi: 10.5606/ehc.2021.79576. Epub 2021 Jan 6.
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Congenital pseudarthrosis of the clavicle: surgical decision making and outcomes.先天性锁骨假关节:手术决策与结果。
J Shoulder Elbow Surg. 2020 Feb;29(2):302-307. doi: 10.1016/j.jse.2019.06.002. Epub 2019 Aug 16.
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Congenital pseudoarthrosis of the clavicle: Should we reconsider timing and fixation method?先天性锁骨假关节:我们是否应该重新考虑手术时机和固定方法?
J Orthop Surg (Hong Kong). 2018 May-Aug;26(3):2309499018799539. doi: 10.1177/2309499018799539.
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Congenital pseudarthrosis of the clavicle: a report on 27 cases.先天性锁骨假关节:27例报告
J Shoulder Elbow Surg. 2017 Mar;26(3):e65-e70. doi: 10.1016/j.jse.2016.09.020. Epub 2016 Oct 27.
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The multifactorial aetiology of fracture nonunion and the importance of searching for latent infection.骨折不愈合的多因素病因及寻找潜在感染的重要性。
Bone Joint Res. 2016 Oct;5(10):512-519. doi: 10.1302/2046-3758.510.BJR-2016-0138.
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Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome.先天性锁骨假关节导致胸廓出口综合征。
BMJ Case Rep. 2013 Aug 23;2013:bcr2013010437. doi: 10.1136/bcr-2013-010437.
10
Bone grafts, bone substitutes and orthobiologics: the bridge between basic science and clinical advancements in fracture healing.骨移植材料、骨替代物和骨生物制剂:基础科学与骨折愈合临床进展之间的桥梁。
Organogenesis. 2012 Oct-Dec;8(4):114-24. doi: 10.4161/org.23306. Epub 2012 Oct 1.