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病例报告：一名年轻成年人中，内侧锁骨骨骺损伤酷似锁骨后脱位。

Case Report: Medial Clavicle Physeal Injury Mimicking a Posterior Clavicular Dislocation in a Young Adult.

作者信息

Angachekar Dhruva, Nemade Pradip, Patel Shivam, Nakade Swastik, Angachekar Utkarsh

机构信息

Department of Orthopedics, Vedantaa Institute of Medical Sciences, Palghar, Maharashtra, India.

Department of Orthopedics, Seth GS Medical College and KEM Hospital, Mumbai, Maharashtra, India.

出版信息

J Orthop Case Rep. 2024 Oct;14(10):50-54. doi: 10.13107/jocr.2024.v14.i10.4808.

DOI:10.13107/jocr.2024.v14.i10.4808
PMID:39381273
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458253/
Abstract

INTRODUCTION

Sternoclavicular injuries are rare and account for 1 % of all dislocations. Medial clavicular physeal separation is another rare entity and may sometimes mimic a sternoclavicular dislocation. Diagnosis is usually missed in young adults due to lack of clinical suspicion.

CASE REPORT

A 22-year-old male patient sustained a right shoulder girdle injury due to a motorcycle accident. He was clinically diagnosed as a posterior sternoclavicular dislocation. On further imaging a medial clavicular physeal injury was suspected. An attempt of closed reduction was attempted but not successful so it was converted to an open reduction. Physeal injury was confirmed and reduction was fixed with transosseous sutures using low cost polyglactin suture material. Patient had a good clinical recovery.

CONCLUSION

Medial clavicle physeal injury may mimic sternoclavicular dislocations and should be clinically suspected in young adult patients.

摘要

引言

胸锁关节损伤较为罕见，占所有脱位的1%。内侧锁骨骨骺分离是另一种罕见情况，有时可能类似胸锁关节脱位。由于缺乏临床怀疑，年轻成年人的诊断通常会被漏诊。

病例报告

一名22岁男性患者因摩托车事故导致右肩带损伤。临床诊断为胸锁关节后脱位。进一步影像学检查怀疑为内侧锁骨骨骺损伤。尝试进行闭合复位但未成功，因此改为切开复位。确认存在骨骺损伤，使用低成本的聚乙醇酸缝线材料通过骨内缝线进行复位固定。患者临床恢复良好。

结论

内侧锁骨骨骺损伤可能类似胸锁关节脱位，年轻成年患者应在临床上予以怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad64/11458253/2a22245b0eeb/JOCR-14-50-g009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ad64/11458253/2a22245b0eeb/JOCR-14-50-g009.jpg
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本文引用的文献

1
Posterior sternoclavicular Salter-Harris fracture-dislocation in a patient with unossified medial clavicle epiphysis.一名内侧锁骨骨骺未骨化患者的后胸锁关节Salter-Harris骨折脱位。
Skeletal Radiol. 2016 Aug;45(8):1123-7. doi: 10.1007/s00256-016-2399-2. Epub 2016 Apr 23.
2
Incidence, characteristics, and long-term follow-up of sternoclavicular injuries: An epidemiologic analysis of 92 cases.胸锁关节损伤的发病率、特征及长期随访：92例病例的流行病学分析
J Trauma Acute Care Surg. 2016 Feb;80(2):289-95. doi: 10.1097/TA.0000000000000888.
3
Management and functional outcomes following sternoclavicular joint dislocation.
胸锁关节脱位后的管理及功能结果
Injury. 2015 Oct;46(10):1906-13. doi: 10.1016/j.injury.2015.05.050. Epub 2015 Jun 20.
4
Posterior sternoclavicular joint injuries in skeletally immature patients.骨骼未成熟患者的胸锁关节后脱位损伤
J Pediatr Orthop. 2014 Jun;34(4):369-75. doi: 10.1097/BPO.0000000000000114.
5
Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series.胸锁关节脱位的治疗：对24个病例系列中251例脱位的系统评价
J Trauma. 2011 May;70(5):1294-8. doi: 10.1097/TA.0b013e3182092c7b.
6
Proximal clavicle physeal fracture-separation mimicking an anterior sterno-clavicular dislocation.锁骨近段骺-干骺端骨折-分离，类似前胸锁关节脱位。
Orthop Traumatol Surg Res. 2011 May;97(3):349-52. doi: 10.1016/j.otsr.2010.08.007. Epub 2011 Mar 24.
7
Tensile strength of absorbable suture materials: in vitro analysis of the effects of pH and bacteria.可吸收缝线材料的拉伸强度：pH 值和细菌影响的体外分析。
J Surg Educ. 2009 Jul-Aug;66(4):208-11. doi: 10.1016/j.jsurg.2009.06.007.
8
Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents.儿童和青少年创伤性后胸锁关节骨折脱位手术治疗后的短期疗效
J Pediatr Orthop. 2003 Jul-Aug;23(4):464-9.
9
Epidemiology of clavicle fractures.锁骨骨折的流行病学
J Shoulder Elbow Surg. 2002 Sep-Oct;11(5):452-6. doi: 10.1067/mse.2002.126613.
10
Pseudo-dislocation of the sternoclavicular joint.胸锁关节半脱位
J Orthop Trauma. 1999 Mar-Apr;13(3):222-5. doi: 10.1097/00005131-199903000-00012.