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中华肩肘外科电子杂志 ›› 2018, Vol. 06 ›› Issue (03) : 219 -221. doi: 10.3877/cma.j.issn.2095-5790.2018.03.010

所属专题: 经典病例 经典病例 文献

病例报告

锁骨骨折合并锁骨下动脉及臂丛神经损伤一例
张鹏1, 周志强1, 杨杰2, 钱爱明3, 周晓中1,()   
  1. 1. 215000 苏州大学附属第二医院骨科
    2. 215000 苏州大学附属第二医院高级病房
    3. 215000 苏州大学附属第二医院血管外科
  • 收稿日期:2017-11-21 出版日期:2018-08-05
  • 通信作者: 周晓中
  • Received:2017-11-21 Published:2018-08-05
引用本文:

张鹏, 周志强, 杨杰, 钱爱明, 周晓中. 锁骨骨折合并锁骨下动脉及臂丛神经损伤一例[J]. 中华肩肘外科电子杂志, 2018, 06(03): 219-221.

图1 术前X线片(2013-03-08)提示右锁骨中外1/3处粉碎性骨折伴一骨折块向下移位
图2 术中见锁骨下动脉断裂
图3 术后第1次X线片(2013-03-15)示整体骨折块分别与原骨折远近端固定
图4 术后第2次X线片(2013-07-25)示9枚锁定钉固定骨折端,并将人工骨放置于骨折处
图5 术后18个月随诊X线片(2014-11-20)示内固定位置良好
图6 术后51个月随诊,患侧5个手指近侧指间关节伸直困难[双侧手掌侧照片(A);双侧手背侧照片(B);站立双手自然垂直正面照片(C);站立双手上举合掌正面照片(D);站立双手向后伸展手掌朝上侧面照片(E);站立双手上举手掌朝前正面照片(F)]
图7 术后51个月随诊X线片(2017-11-23)示锁骨骨折术后钢板断裂
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