锁骨外侧钢板倒置非跨关节固定锁骨内侧骨折的诊疗分析

Diagnosis and treatment of medial clavicular fracture with lateral clavicular plate inversion without transarticular fixation

目的 探讨应用锁骨外侧钢板,不跨关节固定锁骨内侧骨折的诊疗疗效。方法 回顾分析2019年2月至2022年10月我院收治的8例锁骨内侧骨折患者的临床资料,采用锁骨外侧钢板倒置、不跨关节固定于锁骨内侧,术后应用Constant-Murley评分对患者治疗后的肩关节功能及疼痛进行评价。结果 8例患者术后均无切口感染,均达到骨折复位及骨折愈合,平均愈合时间为术后9.5周,术后患者均无胸锁关节慢性疼痛,Constant-Murley评分为平均88分。结论 对于不稳定的锁骨内侧骨折,若至少存在一块有效骨块面积超过2 cm,则可采用锁骨外侧钢板倒置、不跨关节固定锁骨,并可以取得较为满意的治疗效果。

Objective To investigate the diagnosis and treatment of medial clavicle fracture by lateral clavicle plate without transarticular fixation.Methods A retrospective analysis of 8 patients with medial clavicle fractures admitted to the Third People’s Hospital of Jining from February 2019 to August 2021 was performed using an inverted lateral clavicle plate without transarticular fixation to the medial clavicle,and the Constant-Murley score was applied postoperatively to evaluate the shoulder function and pain of the patients after treatment.Results None of the 8 patients had postoperative incision infection,and all achieved fracture reduction and fracture healing,with an average healing time of 3 months.None had postoperative chronic sternoclavicular joint pain,with an average Constant-Murley score of 88.Conclusions For unstable medial clavicle fractures,lateral clavicle plate inversion can be used without transarticular fixation of the clavicle if there is at least one effective bone block with an area of more than 2 cm.Satisfactory therapeutic results will be obtained.