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[胸锁关节后脱位]

[Posterior dislocation of the sternoclavicular joint].

作者信息

Mäkinen Tatu, Madanat Rami, Heinänen Mikko, Brinck Tuomas, Pajarinen Jarkko

机构信息

HUS, Töölön sairaala, ortopedian ja traumatologian klinikka.

出版信息

Duodecim. 2013;129(11):1186-91.

Abstract

Posterior dislocation of the sternoclavicular joint is a rare injury. It can be associated with life-threatening complications. Computed tomography is the imaging modality of choice with which possible associated injuries can be detected. Acute injuries are managed with closed reduction under general anaesthesia. A fracture-dislocation is inherently more unstable than an isolated dislocation. Surgical treatment is advocated in cases of delayed diagnosis or failed closed reduction. With early diagnosis and treatment, the long-term outcome of this injury is good.

摘要

胸锁关节后脱位是一种罕见的损伤。它可能伴有危及生命的并发症。计算机断层扫描是首选的成像方式,通过它可以检测出可能存在的相关损伤。急性损伤采用全身麻醉下的闭合复位进行处理。骨折脱位本质上比单纯脱位更不稳定。对于延迟诊断或闭合复位失败的病例,主张进行手术治疗。通过早期诊断和治疗,这种损伤的长期预后良好。

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