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[Characteristics of fractures of the distal part of the clavicle in children].

Fractures of the clavicle are frequent in children and mostly affect the middle third. On the other hand, traumatic fractures of both medial and lateral thirds of the clavicle are rare. The lesions have special characteristics: difficulty in diagnosis for the medial third; risk of callus formation in the absence of surgical reduction of the lateral third. The authors report two observations of fractures of the medial and lateral thirds of the clavicle; they insist on the value of investigation by CT scan.

Child↗

Scintigraphic findings in ankylosing spondylitis.

A prospective study of bone scintigraphic findings has been carried out in 63 patients, firmly diagnosed as having ankylosing spondylitis. In addition to abnormal uptake of the radiotracer at the sacroiliac joints, a peripheral arthropathy has been a common finding, particularly in the proximal joints, occurring in up to 50% of patients. Increased uptake of radiotracer in the spine has also been found both diffusely and focally. Focal increases have been noted at the apophyseal joints in 40% of patients and in three patients with a sterile intervertebral diskitis, an unusual complication of this disease only diagnosed in two patients after bone scintigraphy.

Evaluation Studies as Topic↗

Anterior sternoclavicular dislocation: a long-term follow-up study.

The long-term follow-up results of 13 patients with traumatic anterior sternoclavicular dislocations are described. The patients had a mean age of 36.2 (SD 17.9) years. Nine patients had serious concomitant injuries. Radiological examination had limited diagnostic value. For 12 patients, nonoperative treatment consisted of analgesics and immobilization. The results of treatment of 10 patients were evaluated after a mean follow-up period of 62.9 (SD 53.4) months. The results of treatment were good in seven patients, fair in two patients, and poor in one patient. We concluded that radiological examination has a limited value in diagnosing anterior sternoclavicular dislocations and that nonoperative management is the treatment of choice.

Adolescent↗

Shoulder pain.

A review of conditions producing shoulder pain in the adult indicates the diverse nature of the various processes. Particularly important are diseases leading to articular abnormalities of the glenohumeral, acromioclavicular, and sternoclavicular articulations as well as surrounding structures such as the rotator cuff. Accurate diagnosis of the conditions requires careful radiographic examination supplemented with specialized techniques, including fluoroscopy, arthrography, and conventional or computed tomography.

Acromioclavicular Joint↗

The shoulder girdle in ankylosing spondylitis.

We report the clinical findings in the shoulders of fifty-two patients who had ankylosing spondylitis. The three major patterns that were found included limitation of scapulothoracic motion (forty-one patients), acute inflammatory arthropathy of the sternoclavicular or acromioclavicular joint (six patients), and severe restriction of glenohumeral motion (five patients). Although radiographic abnormalities were common, they correlated with the clinical findings in only minor respects.

Acromioclavicular Joint↗