Samenvatting
Een 16-jarige meisje presenteerde zich op de spoedeisende hulp met een pijnlijke schouder na een sportongeval. Uiteindelijk werd, zeven maanden na de eerste presentatie, de juiste diagnose gesteld. Epifysiolyse van de mediale clavicula is een aandoening die zelden voorkomt en die vaak wordt verward met een sternoclaviculaire luxatie. Een eventuele posterieure dislocatie kan ernstige complicaties veroorzaken. Gesloten of open repositie is dan geïndiceerd. Conservatieve behandeling geeft in de overige gevallen vaak het gewenste resultaat.
Abstract
A 16-year-old girl presented to the emergency room with a painful shoulder after a sports accident. Seven months after the first presentation, a correct diagnoses was made. A medial epiphyseal clavicle fracture is an uncommon injury; it is easily confused with a dislocation of the sternoclavicular joint. Posterior displacement can cause serious complications, for which a closed or open reduction is indicated. In other cases conservative treatment will often lead to an acceptable result.
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coassistent orthopedie Onze Lieve Vrouwe Gasthuis, Amsterdam
orthopedisch chirurg Onze Lieve Vrouwe Gasthuis, Amsterdam
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Kahmann, O.N.H., Willems, W.J. Patiënte met pijnlijke schouder na sportongeval. TVTR 18, 136–139 (2010). https://doi.org/10.1007/BF03089841
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DOI: https://doi.org/10.1007/BF03089841