[锁骨骨折:诊断和适当治疗方法的选择]。

Zeitschrift fur Orthopadie und Unfallchirurgie Pub Date : 2023-12-01 Epub Date: 2023-12-04 DOI:10.1055/a-1958-7147
Sarah Langenbrunner, Christof A Müller
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引用次数: 0

摘要

锁骨骨折是肩带最常见的损伤之一。除了有针对性的临床检查外,还必须开始进行适当的影像学检查,以制定正确的诊断并随后应用适当的治疗方法。在娱乐和体育事故中,间接力冲击是最常见的事故机制,例如在伸展或内收的手臂上摔倒。发病率呈双部聚类。一方面是年轻的男性患者,另一方面是65岁以上的女性患者。因此,具有不同并发症概况和不同功能需求的异质患者群体呈现出来。锁骨是肩关节与胸骨之间的唯一连接,因此骨折后锁骨需要稳定且尽可能的解剖性恢复。长期以来,保守治疗是标准的治疗方法,但由于手术治疗的进一步发展,现在经常使用。儿童锁骨骨折仍然是保守治疗的领域。肩带的早期功能锻炼对手术和保守治疗的结果至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clavicle Fractures: Diagnosis and Choice of the Appropriate Therapeutic Procedure].

Clavicle fractures are one of the most common injuries of the shoulder girdle. In addition to the targeted clinical examination, the appropriate imaging must be initiated to formulate the correct diagnosis and subsequently apply an appropriate therapeutic method. Indirect force impact in recreational and sports accidents, such as falling on the outstretched or adducted arm, is the most common accident mechanism. The prevalence shows a bipartite clustering. On the one hand, there are young male patients and, on the other hand, female patients from the age of 65. Thus, a heterogeneous patient population with different complication profiles and different functional demands presents itself.The demand for a stable and, as far as possible, anatomical restoration after clavicle fracture results from its function as the sole connection between the shoulder joint and the sternum. Conservative therapy was the standard procedure for a long time, but due to further development of surgical therapy is now frequently used. Pediatric clavicle fracture remains the domain of conservative therapy. Early functional exercise of the shoulder girdle is essential for outcome in both surgical and conservative therapy.

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