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同侧Rockwood V型肩锁关节脱位合并锁骨中段骨折:一例报告

Ipsilateral Rockwood type V acromioclavicular joint dislocation and midshaft clavicle fracture: A case report.

作者信息

Korkoman Abdulrahman Jalwi, Alhamodi Abdullah, Alrusayni Saleh, Almalki Mohammed Musaed

机构信息

Department of Orthopedic Surgery, University of Bisha, Bisha 67714, Saudi Arabia.

Department of Orthopaedic Surgery, Prince Sultan Military Medical City, Riyadh 61415, Saudi Arabia.

出版信息

World J Orthop. 2024 Dec 18;15(12):1208-1213. doi: 10.5312/wjo.v15.i12.1208.

Abstract

BACKGROUND

Clavicle fractures are among the most common fractures seen in the emergency department. While acromioclavicular (AC) joint injuries are much less common. However, ipsilateral combinations of these injuries are quite rare with only a few cases reported in the literature.

CASE SUMMARY

A 29-year-old man who sustained a combination of ipsilateral AC joint dislocation and midshaft clavicle fracture. He underwent open reduction and plate fixation of the clavicle fracture, as well as semi-rigid surgical implants used to restore both the AC ligaments and the coracoclavicular joint. one year follow-up revealed that the patient had a complete range of motion and excellent shoulder scores. This case presents a rare presentation of such combination of injuries, contributing valuable insights to the literature on such rare injuries.

CONCLUSION

Combined midshaft clavicle fractures and AC joint dislocations are considered quite rare. Timely diagnosis of such injuries leads to great functional outcomes. AC joint dislocation should be suspected with midshaft clavicle fractures and should be investigated radiologically and clinically in an appropriate manner. Still, there is no consensus on the optimal management of such injuries.

摘要

背景

锁骨骨折是急诊科最常见的骨折之一。而肩锁关节损伤则要少见得多。然而,这些损伤的同侧组合非常罕见,文献中仅报道了少数病例。

病例摘要

一名29岁男性,同侧肩锁关节脱位合并锁骨中段骨折。他接受了锁骨骨折的切开复位钢板固定,以及用于修复肩锁韧带和喙锁关节的半刚性手术植入物。一年的随访显示,患者活动范围完全正常,肩部评分优异。本病例展示了这种损伤组合的罕见表现,为关于此类罕见损伤的文献提供了有价值的见解。

结论

锁骨中段骨折合并肩锁关节脱位相当罕见。及时诊断此类损伤可带来良好的功能预后。锁骨中段骨折时应怀疑肩锁关节脱位,并应以适当方式进行放射学和临床检查。不过,对于此类损伤的最佳治疗方法尚无共识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d270/11686529/e099f2adfcd4/WJO-15-1208-g001.jpg

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