Al-Dahiri Ahmed, Pallister Ian
Department of Trauma and Orthopaedics, Morriston Hospital, Swansea SA6 6NL, UK.
Eur J Cardiothorac Surg. 2006 Jan;29(1):119-21. doi: 10.1016/j.ejcts.2005.10.031. Epub 2005 Dec 6.
Osteoarthritis of the manubriosternal joint is rare. The diagnosis is not easy to make, and more serious causes of chest pain have to be ruled out first. We report one case that was treated with arthrodesis of the manubriosternal joint using double locking screw compression plating (LCP) with excellent results. Pre-operative CT-scan images with 3D reconstruction were used to measure the screw length and the drill stop depth. In this case report, we have shown that arthrodesis can be an effective way of treating osteoarthritis of the manubriosternal joint, when other measures fail. Furthermore, the use of a locking compression plate with appropriate and careful pre-operative planning affords a safe surgical technique, rapid pain relief and ultimately sound and asymptomatic union of the joint.
胸锁关节骨关节炎较为罕见。诊断不易，必须首先排除更严重的胸痛病因。我们报告一例采用双锁定加压接骨板（LCP）行胸锁关节融合术治疗的病例，效果良好。术前利用CT扫描图像进行三维重建以测量螺钉长度和钻孔止点深度。在此病例报告中，我们表明当其他措施无效时，关节融合术可以成为治疗胸锁关节骨关节炎的有效方法。此外，使用锁定加压接骨板并进行适当且仔细的术前规划可提供一种安全的手术技术，能迅速缓解疼痛并最终实现关节稳固且无症状的愈合。
