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锁骨骨折是训练伤中常见骨折之一。我院于1995年1月～2000年12月收治56例此类伤,占同期训练所致骨折的11.3%,明显高于一般情况下锁骨骨折占全身骨折约6%的发生率(陆裕朴,胥少汀,葛宝丰等主编.实用骨科学.北京:人民军医出版社,1991:561—562)。本文对训练中骨折发生的相关因素进行了分析,并提出了预防对策,以减少这种训练伤的发生。 1 临床资料本组56例,均为男性,年龄17～26岁;单纯性骨折14例,粉碎性骨折42例,伴肩锁关节脱位6例,胸锁关节脱位1例,臂丛神经损伤2例。 56例中手术治疗32例,均为粉碎性骨折,其中钢板内固定15例,克氏针钢丝内固定17例;“8”字绷带外固定
Clavicle fracture is one of the common fractures in training injuries. 56 cases of these injuries were admitted to our hospital from January 1995 to December 2000, accounting for 11.3% of the fractures caused by training in the same period, which was significantly higher than the incidence of fractures of the whole body about 6% in the general case (Lu Yupu and Xu Shaoting , Ge Baofeng and other editors. Practical orthopedics. Beijing: People’s Medical Publishing House, 1991: 561-562). In this paper, the relevant factors of fracture in training were analyzed and preventive measures were proposed to reduce the occurrence of such training injuries. 1 Clinical data The group of 56 patients, both men, aged 17 to 26 years old; simple fracture in 14 cases, comminuted fracture in 42 cases, with acromioclavicular joint dislocation in 6 cases, sternoclavicular dislocation in 1 case, brachial plexus injury 2 example. Among the 56 cases, 32 cases were treated surgically, all of whom were comminuted fractures, including 15 cases of internal fixation and 17 cases of internal fixation with Kirschner wire;