Dartoy C, Fenoll B, Hra B, Le Nen D, Dubrana F, Jehannin B
Service de Chirurgie Pédiatrique, CHU Morvan, Brest.
Ann Radiol (Paris). 1993;36(2):125-8.
Fracture of the clavicle is the commonest fracture in children. It is generally due to direct trauma to the shoulder. Orthopaedic usually ensures consolidation within three weeks. Fractures of the lateral third is uncommon and unusual. It corresponds to an epiphyseal avulsion of the distal extremity of the clavicle, equivalent to an acromioclavicular "pseudodislocation". The coracoclavicular ligaments remain intact. Surgical reduction of the clavicle into its periosteal sheath is necessary. The authors report a case of fracture of the lateral third of the clavicle in a 5 and a half year old child with spontaneous formation of a "neoclavicle".
锁骨骨折是儿童最常见的骨折。通常是由于肩部受到直接创伤所致。骨科治疗一般能确保在三周内实现骨愈合。锁骨外侧三分之一骨折并不常见且较为特殊。它相当于锁骨远端的骨骺撕脱,等同于肩锁关节“假性脱位”。喙锁韧带保持完整。有必要将锁骨手术复位至其骨膜鞘内。作者报告了一例5岁半儿童锁骨外侧三分之一骨折且自发形成“新锁骨”的病例。