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双侧锁骨远端骨折（Neer Ⅱ型）锁骨钩钢板内固定：1 例报告。

Simultaneous clavicular hook plate fixation in bilateral distal clavicle fractures (Neer type II): A case report.

机构信息

Department of Orthopedics and Traumatology, Sakarya Yenikent State Hospital, Sakarya, Turkey.

Department of Orthopedics and Traumatology, Kastamonu University Faculty of Medicine, Kastamonu, Turkey.

出版信息

Medicine (Baltimore). 2024 Nov 1;103(44):e40398. doi: 10.1097/MD.0000000000040398.

DOI:10.1097/MD.0000000000040398
PMID:39496045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11537652/
Abstract

RATIONALE

Bilateral distal clavicle fractures (BDCF) are exceedingly rare types of fractures. This study aimed to evaluate the surgical treatment under a single anesthesia for trauma-induced BDCF (Neer type II) through a case report.

PATIENT CONCERNS

The patient brought to the emergency department due to a motor vehicle accident exhibited severe pain, tenderness, swelling, and deformity in both shoulder regions upon physical examination. No significant pain or tenderness was detected in other areas of the body. There were also no signs of additional neurological deficits or vascular pathology in the extremities.

DIAGNOSES

Radiographic examinations led to a diagnosis of BDCF (Neer type II).

INTERVENTIONS

Surgical intervention involved the simultaneous application of a neutral-angled hook plate to both clavicles via open reduction.

OUTCOMES

Postoperative radiographs taken at the 12th week demonstrated complete healing in both fractures and no functional limitations in shoulder movements.

LESSONS

BDCF can compromise the stability of the shoulder girdle, necessitating surgical intervention with anatomical reduction and rigid fixation.

摘要

背景

双侧锁骨远端骨折（BDCF）是一种极其罕见的骨折类型。本研究旨在通过病例报告评估创伤性 BDCF（Neer Ⅱ型）单次麻醉下的手术治疗。

患者关注

因车祸被送至急诊的患者体格检查时，双侧肩部均出现严重疼痛、压痛、肿胀和畸形。身体其他部位无明显压痛或压痛。四肢也没有其他神经功能缺损或血管病理学迹象。

诊断

影像学检查诊断为 BDCF（Neer Ⅱ型）。

干预措施

手术干预包括通过切开复位，同时在两侧锁骨上应用角度中性钩钢板。

结果

术后第 12 周拍摄的 X 线片显示，两处骨折均完全愈合，肩部活动无功能受限。

教训

BDCF 会影响肩带的稳定性，需要进行解剖复位和刚性固定的手术干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/419b9b4102c6/medi-103-e40398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/b3637696ee26/medi-103-e40398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/064235003811/medi-103-e40398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/3b7bc9980ba0/medi-103-e40398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/419b9b4102c6/medi-103-e40398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/b3637696ee26/medi-103-e40398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/064235003811/medi-103-e40398-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/3b7bc9980ba0/medi-103-e40398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d99c/11537652/419b9b4102c6/medi-103-e40398-g004.jpg

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本文引用的文献

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2
An effective nonabsorbable suture technique for distal clavicle fractures.一种用于治疗锁骨远端骨折的有效非吸收性缝合技术。
Jt Dis Relat Surg. 2022;33(2):359-366. doi: 10.52312/jdrs.2022.544. Epub 2022 Jul 6.
3
Treatment of distal clavicle fracture of Neer type II with locking plate in combination with titanium cable under the guide.
带锁钢板联合钛缆在引导下治疗Neer II型锁骨远端骨折
Sci Rep. 2021 Mar 2;11(1):4949. doi: 10.1038/s41598-021-84601-2.
4
Clavicle fractures.锁骨骨折。
Br J Hosp Med (Lond). 2020 Jul 2;81(7):1-7. doi: 10.12968/hmed.2020.0158. Epub 2020 Jun 30.
5
Current Concepts for Classification and Treatment of Distal Clavicle Fractures.当前远端锁骨骨折的分类和治疗概念。
Clin Orthop Surg. 2020 Jun;12(2):135-144. doi: 10.4055/cios20010. Epub 2020 May 14.
6
Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures.回顾性研究采用肩峰前上钢板治疗不稳定型（Neer 2型）锁骨远端骨折。
Rev Bras Ortop. 2017 May 18;53(3):306-313. doi: 10.1016/j.rboe.2017.05.010. eCollection 2018 May-Jun.
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Double-plate fixation in double clavicle fractures: A case report.双钢板固定治疗双侧锁骨骨折：一例报告。
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