Clinical value of high-frequency ultrasound combined with MIPO technique in preserving the supraclavicular nerve in clavicle fractures
10.3969/j.issn.1673-9701.2025.30.004
- VernacularTitle:高频超声联合MIPO技术在锁骨骨折中保留锁骨上神经的临床价值
- Author:
Jiakai GAO
1
;
Wenwei DONG
Author Information
1. 宁波大学医学部,浙江宁波 315211
- Publication Type:Journal Article
- Keywords:
Clavicle fracture;
Supraclavicular nerve;
High-frequency ultrasound;
Minimally invasive plate osteosynthesis;
Cutaneous paraesthesia
- From:
China Modern Doctor
2025;63(30):16-19,97
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical value of high-frequency ultrasound combined with minimally invasive plate osteosynthesis(MIPO)in preserving the supraclavicular nerve in clavicle fractures.Methods Sixty patients with mid-clavicle fractures who were treated at the First Affiliated Hospital of Ningbo University from September 2022 to May 2024 were selected.Patients were divided into minimally invasive incision group(n=30)treated with high-frequency ultrasound combined with MIPO and traditional incision group(n=30)treated with open reduction and locked plate fixation.The perioperative indicators,visual analogue scale scores for pain,Constant-Murley shoulder scoring scale(CMS),and incidence of complications were compared between two groups.Results All patients completed the surgery and were followed up for 6 months.The bone call formation time and incision length in minimally invasive incision group were lower than those in traditional incision group(P＜0.05);The CMS at 3 months and 6 months after surgery in minimally invasive incision group were higher than those in traditional incision group(P＜0.05).The incidence of skin sensory abnormalities in minimally invasive incision group at 2 weeks,1 month,and 3 months after surgery was lower than that in traditional incision group(P＜0.05).Conclusion Compared with traditional open reduction and plate internal fixation,the high-frequency ultrasound combined with MIPO technique can effectively reduce the iatrogenic injury of the supraclavicular nerve during surgery,reduce the incidence of postoperative skin sensory abnormalities,and also have significant advantages in terms of shoulder aesthetics,shoulder joint function,and fracture healing.
