tailieunhanh - báo cáo hóa học:" Difficulty in diagnosing the pathological nature of an acute fracture of the clavicle: a case report"

Tuyển tập các báo cáo nghiên cứu về hóa học được đăng trên tạp chí sinh học quốc tế đề tài : Difficulty in diagnosing the pathological nature of an acute fracture of the clavicle: a case report | Journal of Orthopaedic Surgery and Research BioMed Central Open Access Difficulty in diagnosing the pathological nature of an acute fracture of the clavicle a case report Sheraz S Malik 1 Saiqah Azad2 Shahbaz Malik3 and Caroline B Hing1 Address Department of Trauma Orthopaedics Watford General Hospital West Hertfordshire Hospitals NHS Trust Watford UK 2Department of Medicine Watford General Hospital West Hertfordshire Hospitals NHS Trust Watford UK and 3Department of Trauma Orthopaedics Barnet General Hospital Barnet Chase Farm Hospitals NHS Trust Barnet UK Email Sheraz S Malik - smalik888@ Saiqah Azad - saiqahazad@ Shahbaz Malik - Caroline B Hing - Corresponding author Published 25 June 2009 Received 10 May 2009 Journal of Orthopaedic Surgery and Research 2009 4 21 doi l749-799X-4-21 Accepted 25 June 2009 This article is available from http content 4 1 21 2009 Malik et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Fractures of the clavicle comprise between 5 to10 of all fractures. Medial clavicular fractures are uncommon and are normally caused by high-energy trauma. A low impact mechanism of injury should raise suspicion of a pathological fracture but this case report highlights the difficulty in diagnosing the pathological nature of an acute fracture of the clavicle. We describe a patient who presented with a medial clavicular fracture after a simple fall but the fracture was diagnosed as pathological in retrospect four months after the initial presentation. We would also like to emphasise that the medial clavicle is the most frequent site of pathological fractures of the clavicle and the possibility of an .