Proximal clavicle physeal fracture-separation mimicking an anterior sterno-clavicular dislocation.

Autor: El Mekkaoui MJ; Department of Orthopaedic and Trauma Surgery, Delafontaine Hospital, 93205 Saint-Denis cedex, France. jalal_mekkaoui@hotmail.com, Sekkach N, Bazeli A, Faustin JM
Jazyk: angličtina
Zdroj: Orthopaedics & traumatology, surgery & research : OTSR [Orthop Traumatol Surg Res] 2011 May; Vol. 97 (3), pp. 349-52. Date of Electronic Publication: 2011 Mar 24.
DOI: 10.1016/j.otsr.2010.08.007
Abstrakt: Proximal physeal fracture-separation of the clavicle is a very rare injury occurring in the adolescent and in the young adult which involves a contact loss with fracture between the clavicle and its cartilaginous ossification center similar in appearance to a sternoclavicular dislocation. The authors report an unusual case of a proximal physeal fracture-separation of the clavicle with avulsion of sternoclavicular periosteal and ligamentous structures without vasculonervous injury in a 16-year-old young person. A CT scan examination is essential. Surgical management consisted in costoclavicular ligament and periosteum reattachment associated with reduction of the fracture-separation and pin fixation.This repair demonstrated a successful outcome at 8-month follow-up.
(Copyright © 2011 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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