Kalideen J M, Satyapal K S
Medical Centre, Isipingo Beach, South Africa.
Clin Radiol. 1994 Aug;49(8):563-5. doi: 10.1016/s0009-9260(05)82938-1.
Avulsion fractures of the acromion [corrected] are described in 10 patients with severe tetanus neonatorum. Typically bilateral and invariably contemporaneous, they result from isometric contraction. Forced abduction of the arm against adductor resistance leads to avulsion of that segment of the acromium where the multipenate fibres of the deltoid muscle originate. To our knowledge this unique and ominous orthopaedic complication of severe neonatal tetanus has not been documented previously.
10例重症新生儿破伤风患者出现了肩峰撕脱性骨折[校正后]。通常为双侧且总是同时发生，由等长收缩引起。手臂在对抗内收肌阻力的情况下被迫外展，会导致三角肌多羽状纤维起始处的肩峰部分发生撕脱。据我们所知，这种重症新生儿破伤风独特且严重的骨科并发症此前尚无文献记载。
