鎖骨近位骨端線離開の治療経験

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In recent orthopedic literature, it has been stated that fractures through an open proximal clavicular epiphyseal plate have been misdiagnosed as dislocations of the proximal end of the clavicle, in patients younger than 25 years of ago. Two cases of epiphyseal separation of the medial end of the clavicle are presented.Case 1: 6-year-old girl. Chronic antero-superior displaced type. The epiphisis of the medial end of the clacicle ossified and appeared on X-ray films. At about three months after the injury, open reduction by a modified Burrow's method was performed and a modified Desault sling applyed for sixweeks postoperatively. The prognosis was excellent at three years after the operation.Case 2: 9-year-old boy. Acute posterior displaced type. The medial end of the right clavicle was displaced posterioly and appeared on a 40-degree cepharic tilt X-rey films taken by Rockwood's method. At six days after the injury, because of the unsuccssful closed reduction, open reduction, maintained by a Kirschner wire, was performed. And the figure-eight dressing was applyed for about three weeks postoperatively. The prognosis was excellent at four months after the operation.
西日本整形・災害外科学会の論文