Dartoy C, Fenoll B, Paule R, Le Nen D, Colin D, Thoma M
Service de Chirurgie Pédiatrique, CHU Morvan, Brest, France.
Acta Orthop Belg. 1994;60(3):296-9.
Fractures of the clavicle are frequent in children and mostly affect the middle third. On the other hand, traumatic fractures of both medial and lateral thirds of the clavicle are rare. The lesions have special characteristics: difficulty in diagnosis for the medial third; risk of callus formation in the absence of surgical reduction of the lateral third. The authors report two observations of fractures of the medial and lateral thirds of the clavicle; they insist on the value of investigation by CT scan.
锁骨骨折在儿童中很常见,且大多累及中1/3。另一方面,锁骨内1/3和外1/3的创伤性骨折很少见。这些损伤有特殊特点:内1/3骨折诊断困难;外1/3骨折若不进行手术复位有骨痂形成的风险。作者报告了两例锁骨内1/3和外1/3骨折的病例;他们强调了CT扫描检查的价值。