Chen Fang-Hu, Zhao Xiao-Ping, Zheng Wen-Biao, Zeng Han-Bing, Ran Bo, Huang Hui, Wang Hai-Bao
Department of Orthopaedics, Taizhou Municipal Hospital, Taizhou 318000, Zhejiang, China.
Zhongguo Gu Shang. 2013 May;26(5):380-2.
To observe the clinical therapeutic effects of sternoclavicular hook plate for the treatment of sternoclavicular joint dislocation.
From June 2010 to June 2012, 7 patients with sternoclavicular joint dislocation were treated with sternoclavicular hook plate fixation. Among the 7 patients, 5 patients were male and 2 patients were female, and the average age was 42.3 years, ranging from 38 to 54 years. The course of the disease ranged from 1 to 4 weeks. All the patients had trauma history. The clinical manifestations included: obvious swelling and pain of sternoclavicular joint, restricted shoulder joint activity. The sternoclavicular joint dislocation was proved by preoperative X-ray and CT. The postoperative curative effect was evaluated according to Rockwood scoring method.
According to Rockwood scoring method, the excellent results obtained in 6 cases, good in 1. There were no complications such as internal fixation loosening or broken, second dislocation, pain in the sternoclavicular joint, and deformity. The function of shoulder joint was good, and the limb activity was free and no pain appeared.
The sternoclavicular hook plate for the treatment of sternoclavicular joint dislocation has follow advantages: simple procedure, stable fixation, definite therapeutic effects.
观察锁骨钩钢板治疗胸锁关节脱位的临床疗效。
2010年6月至2012年6月，采用锁骨钩钢板固定治疗7例胸锁关节脱位患者。7例患者中，男性5例，女性2例，平均年龄42.3岁，年龄范围为38至54岁。病程为1至4周。所有患者均有外伤史。临床表现包括：胸锁关节明显肿胀、疼痛，肩关节活动受限。术前经X线及CT证实为胸锁关节脱位。术后疗效按Rockwood评分法进行评价。
按Rockwood评分法，优6例，良1例。未出现内固定松动或断裂、再次脱位、胸锁关节疼痛及畸形等并发症。肩关节功能良好，肢体活动自如，无疼痛。
锁骨钩钢板治疗胸锁关节脱位具有以下优点：手术操作简单，固定稳定，疗效确切。
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