切换至 "中华医学电子期刊资源库"

中华肩肘外科电子杂志 ›› 2025, Vol. 13 ›› Issue (02) : 101 -106. doi: 10.3877/cma.j.issn.2095-5790.2025.02.006

病例报告

锁骨双极脱位合并同侧肩峰骨折一例病案报道
王超群1,2, 董胜男1, Ulrich Stöckle2, 凌泽喜1, 孟乘飞1,()   
  1. 1. 430079 武汉中西医结合骨科医院(武汉体育学院附属医院)创伤骨科
    2. 13353 柏林,柏林夏洛特医科大学Charité医院Virchow院区肌肉骨骼研究中心
  • 收稿日期:2025-01-07 出版日期:2025-05-05
  • 通信作者: 孟乘飞

Chaoqun Wang, Shengnan Dong, Zexi Ling, Chengfei Meng   

  • Received:2025-01-07 Published:2025-05-05
引用本文:

王超群, 董胜男, Ulrich Stöckle, 凌泽喜, 孟乘飞. 锁骨双极脱位合并同侧肩峰骨折一例病案报道[J/OL]. 中华肩肘外科电子杂志, 2025, 13(02): 101-106.

Chaoqun Wang, Shengnan Dong, Zexi Ling, Chengfei Meng. [J/OL]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2025, 13(02): 101-106.

图1 患者术前影像学检查结果 图A:胸部正位X线,左侧胸锁关节、肩锁关节与右侧对比有异常表现;图B:左侧肩关节CT横断面图像,红色箭头标识左侧肩峰骨折,无显著移位;图C:左侧肩关节CT矢状面图像,红色箭头标识左侧肩峰骨折,无显著移位;图D:经Mimics软件三维重建模型,正面观,左侧胸锁关节脱位,锁骨近端向上方移位,左侧肩锁关节脱位,锁骨远端向上、向后移位;图E:经Mimics软件三维重建模型,背面观,左侧胸锁关节脱位合并锁骨近端关节内骨折,锁骨近端向上方移位;图F:经Mimics软件三维重建模型,上面观,左侧胸锁关节脱位,锁骨近端向前方移位,左侧胸锁关节脱位,锁骨远端向肩峰后方移位
图2 患者胸锁关节固定示意图,上方图像示锁骨近端骨隧道横截面
图3 患者术后影像学检查结果 图A:术后第2天双侧锁骨正位X线片,红圈区域示术后双侧胸锁关节结构基本对称,蓝圈示左侧肩锁关节对位关系正常,锁骨远端及喙突部位内固定在位;图B:左侧肩关节穿胸位X线片,红圈示术后左侧胸锁关节对位关系恢复正常,蓝圈示左侧锁骨远端及喙突部位内固定在位
图4 术后7个月随访影像学检查结果 图A:术后7个月随访时双侧锁骨正位X线片,双侧肩锁关节及胸锁关节结构基本对称,内固定在位;图B:左侧肩锁关节横断面影像显示,锁骨远端相对于肩峰未见水平面移位;图C:左侧肩锁关节冠状位影像示锁骨远端与肩峰对位关系良好,锁骨上表面及喙突基底部内固定均在位;图D:双侧胸锁关节横断面影像示双侧胸锁关节结构基本对称;图E:双侧胸锁关节冠状面影像示双侧胸锁关节结构基本对称 注:图B中红色轮廓标示锁骨远端与肩峰的对位关系;蓝色轮廓标示肱骨(摄片时患者取上肢上举姿势)
[1]
Porral A. Observation d'une double luxation de la clavicle droite[J].J Univ Hebd Med Chir Prat, 1983, 2: 78-82.
[2]
Hudak PL, Amadio PC, Bombardier C, et al. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder, and head)[J]. Am J Ind Med, 1996, 29(6):602-608.
[3]
田子睿, 姚敏, 王拥军, 等. 中文版Constant-Murley肩关节评分量表的研制与应用[J]. 中医正骨, 2019, 31(5): 20-21.
[4]
Provencher MT, Bernholt DL, Peebles LA, et al. Sternoclavicular Joint Instability and Reconstruction[J]. J Am Acad Orthop Surg,2022, 30(16):e1076-e1083.
[5]
Mansour J, Nassar JE, Estephan M, et al. Acromioclavicular joint dislocation and concomitant labral lesions: a systematic review[J].Clin Shoulder Elbow, 2024, 27(2):247-253.
[6]
Yubran AP, Pesquera LC, Juan ELS, et al. Presurgical perspective and postsurgical evaluation of acromioclavicular joint instability[J].Skeletal Radiol, 2024, 53(5):847-861.
[7]
Lee KW, Bae JY, Seo DK, et al. Bipolar Injury of the Clavicle[J].Orthopedics, 2018, 41(5):e681-e688.
[8]
Jiamton C, Taweekitikul P, Leelasestaporn T, et al. Traumatic Floating Clavicle: A Case Report and Updated Literature Review[J].Cureus, 2024, 16(8):e67630.
[9]
Marjoram TP, Chakrabarti A. Segmental clavicle fracture and acromio-clavicular joint disruption: an unusual case report[J].Shoulder Elbow, 2015, 7(3):187-189.
[10]
van de Voort JC, van Doesburg PG, Leijnen M. Ipsilateral Rockwood type IV acromioclavicular joint dislocation and midshaft clavicle fracture: a case report and review of the literature[J].JSES Rev Rep Tech, 2022, 3(2):236-241.
[11]
Okano I, Sawada T, Inagaki K. Bipolar Dislocation of the Clavicle:A Report of Two Cases with Different Injury Patterns and a Literature Review[J]. Case Rep Orthop, 2017, 2017:2935308.
[12]
Scapinelli R. Bipolar dislocation of the clavicle: 3D CT imaging and delayed surgical correction of a case[J]. Arch Orthop Trauma Surg, 2004, 124(6):421-424.
[13]
Zou R, Wu M, Guan J. Clavicle Shaft Fracture After Surgery for Bipolar Dislocation of the Clavicle[J]. Am J Case Rep, 2020,21:e924889.
[14]
Schemitsch LA, Schemitsch EH, McKee MD. Bipolar clavicle injury: posterior dislocation of the acromioclavicular joint with anterior dislocation of the sternoclavicular joint: a report of two cases[J]. J Shoulder Elbow Surg, 2011, 20(1):e18-e22.
[15]
Zhang H, Zhu Z, Lin L, et al. Application of a new sternoclavicular hook plate in bipolar clavicle injuries[J]. Front Surg, 2023,9:935653.
[16]
Feng D, Liu Y, Li Z, et al. Treatment of bipolar clavicle injury with internal plating: a case series and literature review[J]. BMC Musculoskelet Disord, 2023, 24(1):8.
[17]
de Ruiter KJ, Gardenbroek TJ, Bos K, et al. Bipolar clavicular fractures and treatment options[J]. Eur J Trauma Emerg Surg,2021, 47(5):1407-1410.
[18]
Moreno-Fenoll IB, Valencia H, Fahandezh-Saddi H, et al. Floating clavicle after a high velocity biking accident: A case report of an acromioclavicular dislocation with simultaneous proximal clavicle fracture managed surgically[J]. Int J Surg Case Rep, 2021,85:106115.
[19]
Bakir MS, Carbon R, Ekkernkamp A, et al. Monopolar and Bipolar Combination Injuries of the Clavicle: Retrospective Incidence Analysis and Proposal of a New Classification System[J]. J Clin Med, 2021, 10(24):5764.
[20]
Oladeji LO, Vivace B, Kelly S, et al. The Floating Clavicle: Surgical Technique for Management of an Ipsilateral Acromioclavicular and Sternoclavicular Joint Dislocation[J]. Arthrosc Tech, 2023, 12(5):e697-e702.
[21]
Salmas M, Angelis S, Chytas D, et al. Traumatic Floating Clavicle:Is This a Rare Injury?[J]. Cureus, 2020, 12(4):e7525.
[22]
Eni-Olotu DO, Hobbs NJ. Floating clavicle--simultaneous dislocation of both ends of the clavicle[J]. Injury, 1997, 28(4):319-320.
[23]
Sanders JO, Lyons FA, Rockwood CA Jr. Management of dislocations of both ends of the clavicle[J]. J Bone Joint Surg Am, 1990, 72(3):399-402.
[24]
Thyagarajan D, Webb M, Wallace A. A rare case of floating clavicle and a novel technique for stabilizing the sternoclavicular joint[J].Shoulder Elbow, 2015, 7(1):44-48.
[25]
Bansal H, Jain A, Mittal S, et al. Bipolar clavicular dislocation treated with biological anatomical repair and reconstruction: A case report with a literature review of management options[J]. Chin J Traumatol, 2022, 25(4):245-248.
[26]
Xu J, Liu H, Lu W, et al. A retrospective comparative study of arthroscopic fixation in acute Rockwood type IV acromioclavicular joint dislocation: single versus double paired Endobutton technique[J]. BMC Musculoskelet Disord, 2018, 19(1):170.
[27]
Gu F, Tan L, Wang T, et al. Comparison of single versus double TightRope system in the treatment of acute acromioclavicular joint dislocation[J]. J Shoulder Elbow Surg, 2021, 30(8):1915-1923.
[28]
Wu ZD, Jiang T, Wang HB, et al. Comparison of the effect of arthroscopy assisted TightRope plate and Triple-Endobutton plate and Double Endobutton plate in the treatment of acromioclavicular dislocation[J]. Zhongguo Gu Shang/China J Orthop Trauma,2020, 33(8):696-702.
[29]
Peng L, Zheng Y, Chen S, et al. Single tunnel technique versus coracoid sling technique for arthroscopic treatment of acute acromioclavicular joint dislocation[J]. Sci Rep, 2022, 12(1):4244.
[30]
Wang Y, Ren C, Niu J, et al. Surgical treatment of acromioclavicular joint dislocation of Rockwood III/IV: a retrospective study on clavicular hook plate versus arthroscopic TightRope loop titanium button[J]. BMC Musculoskelet Disord, 2024, 25(1):174.
[31]
Qi J, Fu S, Ping R, et al. Biomechanical testing of three coracoclavicular ligament reconstruction techniques with a 3D printing navigation template for clavicle-coracoid drilling[J].Ann Transl Med, 2021, 9(14):1121.
No related articles found!
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?