RESUMO
Most published reports of a floating clavicle consist of a dislocation of both ends of the clavicle and are associated with a high-energy injury. We report a 71 year old patient with a fracture of the medial end of the clavicle with anterior sternoclavicular dislocation and a nondisplaced fracture of the lateral end of the same clavicle distal to the insertion of coracoclavicular ligaments due to a low velocity fall.
Assuntos
Clavícula/lesões , Fraturas Ósseas , Luxações Articulares , Traumatismo Múltiplo/diagnóstico por imagem , Articulação Esternoclavicular/lesões , Idoso , Fraturas Ósseas/diagnóstico por imagem , Fraturas Ósseas/terapia , Humanos , Luxações Articulares/diagnóstico por imagem , Luxações Articulares/terapia , Masculino , Traumatismo Múltiplo/terapia , RadiografiaRESUMO
A 68-year-old woman presented with an osteolytic image on the metacarpal head of the ring finger, first attributed to inflammatory or septic arthritis. She had experienced increasing pain three months before presentation, requiring orthopaedic treatment. At the time of clinical assessment, there was some limitation in the range of movement, accompanied by local pain and chronic swelling. Inflammatory arthritis was not confirmed on laboratory testing or scintigraphy. A diagnosis of Dieterich's disease was established based on the evolution of the condition, with chronic limitation of movement and no associated findings. Surgical treatment by arthroplasty was suggested, but was not accepted by the patient, given her satisfactory functional status.