Samenvatting
Type II distale claviculafracturen komen relatief weinig voor. Indien er geen sprake is van dislocatie, neurovasculaire complicaties, bedreiging van de huid of open fracturen wordt conservatief behandeld met goede klinische uitkomsten. Bij gedisloceerde fracturen is operatieve therapie aangewezen vanwege een hoge kans op delayed of non-union.
We zullen twee casus bespreken van patiënten met een type IIb claviculafractuur met reconstructie van het coracoclaviculaire ligament met nadien een voorspoedig herstel.
Type II distal clavicle fractures are relatively rare. When there is no dislocation, neurovascular complications, tenting of the skin or open fractures, therapy is conservative with satisfying clinical results. In cases where there is a dislocation operative treatment is indicated because of high risk of delayed and non-union. We present two cases of patients with a type IIb clavicle fracture that are treated with the restoration of the coracoclavicular ligament with a good clinical outcome.
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1 coassistent, thans arts-onderzoeker
2 orthopaedisch chirurg Beide auteurs zijn verbonden aan het Martini Ziekenhuis, Groningen, afdeling Orthopaedie
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Rykov, K., van Raay, J. Diagnostiek en behandeling van type II distale claviculafracturen. TIJD. TRAUMACHIRURGIE 22, 125–128 (2014). https://doi.org/10.1007/s12506-014-0031-4
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DOI: https://doi.org/10.1007/s12506-014-0031-4