Torrens C, Mestre C, Pérez P, Marin M
Hospital de l'Esperança de Barcelona, Spain.
Clin Orthop Relat Res. 1998 Mar(348):121-3.
Subcoracoid dislocation of the outer end of the clavicle in association with an acromial fracture is a rare injury usually produced by high energy trauma that moves the clavicle posterior to the conjoined tendon and inferior to the coracoid process. To restore the acromioclavicular joint, open reduction is needed. After the reduction is accomplished, the clavicle has to be stabilized with a coracoclavicular screw. The acromial fracture can be reduced and held with nonabsorbable sutures placed through the bone. To avoid osteolysis of the distal end of the clavicle and to be able to repair the torn ligaments, treatment should not be delayed.
锁骨外端喙突下脱位合并肩峰骨折是一种罕见的损伤，通常由高能创伤引起，这种创伤使锁骨移至联合肌腱后方和喙突下方。为恢复肩锁关节，需要切开复位。复位完成后，必须用喙锁螺钉固定锁骨。肩峰骨折可用穿过骨头的不可吸收缝线进行复位和固定。为避免锁骨远端骨质溶解并能够修复撕裂的韧带，治疗不应延迟。
