Medial clavicular epiphysiolysis in children: The so-called sterno-clavicular dislocation

被引：22

作者：

Gobet R. ^{[1
]}

Meuli M. ^{[1
]}

Altermatt S. ^{[1
]}

Jenni V. ^{[1
]}

Willi U.V. ^{[2
]}

机构：

[1] Department of Surgery, University Children's Hospital, 8032 Zurich

[2] Department of Radiology, University Children's Hospital, 8032 Zurich

来源：

Emergency Radiology | 2004年 / 10卷 / 5期

关键词：

Internal Fixation; Open Reduction; Closed Reduction; Anterior Displacement; Posterior Displacement;

D O I：

10.1007/s10140-003-0285-4

中图分类号：

学科分类号：

摘要：

We retrospectively reviewed six pediatric cases of medial clavicular injury, i.e., epiphyseal separation (Salter/Harris type I or II injury), diagnosed between 1993 and 1997. The clavicular metaphysis was displaced posteriorly in three cases and anteriorly in three. On conventional radiographic views the diagnosis was initially missed in two of three retrosternal dislocations. A special X-ray projection (described by Heinig) or computed tomography (CT) permitted correct diagnosis. Anterior dislocations were immediately and correctly diagnosed. Closed reduction successfully treated retrosternal displacement in two of the three patients. The third patient needed open reduction and internal fixation. Open reduction and internal fixation had to be performed in all three patients with anterior displacement. Follow-up assessment showed perfect functional results in all cases. Direct visualization during open reduction, which was necessary in four of six cases, yielded clear evidence that the so-called sternoclavicular dislocation in children and young adults is, in fact, a fracture of the medial growth plate with posterior or anterior displacement of the metaphysis.

引用

页码：252 / 255

页数：3

共 12 条

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