- 期刊
Cervical Pin Migration Following Open Reduction and Pinning of a Distal Clavicular Fracture: A Case Report
遠端鎖骨骨折術後併發鋼釘移行至頸部：一病例報告
並列摘要
Fractures of the clavicle are common bony injuries and account for 10%-12% of all fractures. Among the three groups of clavicular fractures, distal clavicular fracture may have a high incidence of nonunion, and surgery is required if there is an open fracture, gross displacement, neurovascular injury or floating shoulder. We report on a case in which the pin migrated through the mid-cervical posterior column, following open reduction and internal fixation of a fracture of the distal clavicle. Pin migration following surgery on the shoulder girdle is more common than in other locations. Reports of wires and pins migrating to other distant sites have been published. No adequate explanation has been given but, in our case, shoulder overuse was detected as a result of crop cultivation by the patient who was a farmer. When deciding to perform an open reduction and internal fixation, the better choice is to use a plate. A threaded pin is a preferable choice if one needs to use pinning. In addition, avoid moving the pin to-and-fro and do not forget to bend the pin laterally.
延伸閱讀
- Ling, T. T., Chan, K. C., Wu, Y. L., Yu, J. M., & Tsai, T. P. (2011). 以鎖骨下動脈損傷經包覆醫源性支架術血管內修補：病例報告. Formosan Journal of Surgery, 44(3), 107-111. https://doi.org/10.29833/FJS.201106.0004
- Chen, C. E., & Liu, H. C. (1999). 擴腔骨髓內釘療法治療閉鎖性股骨幹骨折. 中華民國急救加護醫學會雜誌, 10(1), 19-28. https://doi.org/10.30018/JECCM.199903.0003
- Lin, J. C. T., Lieow, S. W., Wang, A. M., & Wong, L. Y. (1988). 以電腦斷層掃描檢查評估頸部後縱韌帶骨化. 中華放射線醫學雜誌, 13(2), 117-124. https://www.airitilibrary.com/Article/Detail?DocID=10188940-198806-201809210019-201809210019-117-124
- Liu, H. C., Chen, C. E., & Chen, F. C. (2001). 閉鎖式骨髓內骨釘治療股骨幹兩截式骨折之手術經驗. 中華民國急救加護醫學會雜誌, 12(2), 70-78. https://doi.org/10.30018/JECCM.200106.0004
- Huang, C. J., Shih, C. S., Lo, P. H., Lee, P. C., Ting, C. C., & Hsu, N. Y. (2001). 成功地治療因鎖骨下靜脈穿刺而引起的鎖骨下偽性動脈瘤：一病例報告. Mid-Taiwan Journal of Medicine, 6(1), 52-56. https://doi.org/10.6558/MTJM.2001.6(1).8