儿童锁骨凹陷性骨折导致静脉充血的不寻常表现。

IF 1.7 4区 医学 Q3 SURGERY
A C Pillai, J T Shajan, A Varma, A A Ishaq, M Z Farook
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引用次数: 0

摘要

锁骨骨折在儿童中很常见,占急诊骨折病例的15%。通常情况下,小儿中骨干锁骨骨折的治疗是保守的,在少数情况下推荐手术治疗。一个12岁的男孩表现为锁骨中轴凹陷性骨折,伴同侧颈肋,表现为静脉充血。该病例使用吊带保守处理,患者入院观察过夜,鼓励早期活动。4周后,患者再次骨折,术后恢复较为复杂,经保守治疗,临床结果良好。这是首次报道与同侧颈肋相关的此类骨折。本病例强调,这种有血管问题的损伤可以保守处理,结果良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An unusual presentation of a depressed clavicle fracture in a child leading to venous congestion.

Clavicle fractures are common in children, comprising up to 15% of fractures presenting to the emergency department. Typically, mid-shaft clavicle fracture in the paediatric population is managed conservatively, with surgery recommended in a select few. A 12-year-old boy presented with a depressed mid-shaft clavicle fracture with an ipsilateral cervical rib exhibiting features of venous congestion. This case was managed conservatively using a sling and the patient was admitted for overnight observation with early mobilisation encouraged. His recovery was complicated by a re-fracture 4 weeks later, which was managed conservatively with a good clinical outcome. This is the first report of such a fracture associated with an ipsilateral cervical rib. This case highlights that such injuries with vascular concerns could be managed conservatively with good outcomes.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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