鎖骨近位骨端線離開 5 症例の検討
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概要
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Although posteriorly displaced epiphyseal separation of the medial end of the clavicle is a rare injury, representing only 1% of clavicle injuries in children, epiphyseal separation is the most common injury around sternoclavicular joint in children because of the fear that the fusion of the physis of the medial clavicle ends between ages 22-25. In this paper, we reported five cases of these injuries. 4 boys and 1 girl with a mean age of 16.5years (range 14-17) who suffered from this injury while playing contact sports. Although radiographs and computed tomography showed the posterior displacement of the medial clavicle, it was difficult to differentiate the epiphyseal separation of the medial end of the clavicle from sternoclavicular dislocation. Two cases were treated conservatively while open reduction was performed in three cases. Computed tomography showed callus formation around medial clavicle because they consulted us more than one week after the injury in the conservative treatment group. Although their fragment of the clavicle remain displaced, their clinical scores cases were excellent. Open reduction was performed pulling out the distal clavicle by grasping the clavicle using bone forceps. Fixation was not necessary because rigid stability was acquired after reduction. Although most of the epiphyseal separations of the clavicle should be treated reduced with open or closed reduction, clinical results of our two conservative cases were excellent. From our series, not only open reduction but also conservative treatment should be considered in a case by case basis.
- 日本肩関節学会の論文
日本肩関節学会 | 論文
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