双侧锁骨骨折1例

Dr. Kiran Kalaiah, Dr Sridhar D K, D. J, Dr. Baibhav Kumar Agarwal
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引用次数: 1

摘要

锁骨是人体中一种常见的骨折部位。它占所有肩带骨折的44%,占所有骨折的2.6%。双侧锁骨骨折比较少见,发生率仅占所有锁骨骨折的0.48%。未移位和轻度移位骨折大多采用保守治疗。移位性骨折采用手术治疗,可改善功能预后,降低畸形愈合和不愈合的发生率。一名45岁男性遭遇道路交通事故,被送到我们的急诊科。诊断为双侧锁骨中轴移位骨折。双侧骨折分类为Allman 1组,Robinson 2B1型。两例骨折均采用经典上切口预塑形锁骨锁定钢板固定,间隔1周,两次不同坐位。锁定加压钢板治疗双侧锁骨骨折是一种安全有效的方法。它有助于早期疼痛缓解,快速恢复,良好的功能结果和缩短发病期。
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Bilateral Clavicle Fracture : A Case Report
Clavicle is a frequently fractured bone in the body. It accounts for 44% of all fractures around the shoulder girdle and 2.6% of all fractures. Bilateral clavicle fracture is rare with incidence of 0.48% of all clavicle fracture. Undisplaced and minimally displaced fractures are mostly managed conservatively. Displaced fractures are treated operatively which improves the functional outcome and lowers the rate of malunion and non-union. A 45 years old male met with a road traffic accident and was brought to our emergency department. He was diagnosed to have bilateral displaced midshaft fracture of clavicle. Fracture was classified as Allman Group 1, Robinson type 2B1 bilaterally. Both fractures were fixed with precontoured clavicle locking plate by classical superior incision in two different sitting 1 week apart. Treating bilateral clavicle fracture with locking compression plates is a safe and effective method. It helps in early pain relief, rapid recovery, good functional outcome and decreases the period of morbidity.
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