Simultaneous clavicular hook plate fixation in bilateral distal clavicle fractures (Neer type II): A case report.

IF 1.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Medicine Pub Date : 2024-11-01 DOI:10.1097/MD.0000000000040398

Bedrettin Akar, Fatih Ugur

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引用次数: 0

Abstract

Rationale: Bilateral distal clavicle fractures (BDCF) are exceedingly rare types of fractures. This study aimed to evaluate the surgical treatment under a single anesthesia for trauma-induced BDCF (Neer type II) through a case report.

Patient concerns: The patient brought to the emergency department due to a motor vehicle accident exhibited severe pain, tenderness, swelling, and deformity in both shoulder regions upon physical examination. No significant pain or tenderness was detected in other areas of the body. There were also no signs of additional neurological deficits or vascular pathology in the extremities.

Diagnoses: Radiographic examinations led to a diagnosis of BDCF (Neer type II).

Interventions: Surgical intervention involved the simultaneous application of a neutral-angled hook plate to both clavicles via open reduction.

Outcomes: Postoperative radiographs taken at the 12th week demonstrated complete healing in both fractures and no functional limitations in shoulder movements.

Lessons: BDCF can compromise the stability of the shoulder girdle, necessitating surgical intervention with anatomical reduction and rigid fixation.

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双侧锁骨远端骨折（Neer II 型）的同时锁骨钩钢板固定：病例报告。

理由：双侧锁骨远端骨折（BDCF）是极为罕见的骨折类型。本研究旨在通过病例报告，评估在单一麻醉下对创伤所致 BDCF（Neer II 型）的手术治疗：患者因机动车事故被送至急诊科，体格检查时表现为双肩剧烈疼痛、压痛、肿胀和畸形。身体其他部位无明显疼痛或压痛。四肢也没有其他神经功能障碍或血管病变的迹象：影像学检查诊断为BDCF（尼尔II型）：干预措施：手术治疗包括通过切开复位术在双侧锁骨上同时安装中性角钩钢板：结果：术后第12周的X光片显示两处骨折完全愈合，肩部活动功能未受任何限制：启示：BDCF 会影响肩关节的稳定性，因此有必要通过解剖复位和刚性固定进行手术干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medicine 医学-医学：内科

CiteScore

2.80

自引率

0.00%

发文量

4342

审稿时长

>12 weeks

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