Kawaguchi Kohei, Tanaka Sayo, Yoshitomi Hiroki, Nagai Ichiro, Sato Wakyo, Karita Tasturo, Kondo Taiji
Department of Orthopaedics Surgery, Tokyo Metropolitan Tama Medical Center, 2-8-29 Musashidai, Fuchu-shi, Tokyo, Japan.
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1559-1562. doi: 10.1007/s00167-014-2979-4. Epub 2014 Apr 11.
Sternoclavicular joint dislocations account for <5 % of all dislocations of the shoulder girdle. Whereas most cases of anterior dislocation do not experience symptoms, some patients with anterior instability remain symptomatic and require reconstructive surgery to stabilize the sternoclavicular joint. We present the case of a 57-year-old male diagnosed with sternoclavicular joint anterior dislocation and unusual swallowing difficulty while bending the neck forward. The patient was treated using a new and effective surgical technique of sternoclavicular joint reconstruction named "double figure-of-eight" using the ipsilateral gracilis tendon. Surgical outcome was successful, based on the Rockwood SC joint rating scale, and the patient maintained excellent stability even after 2 years. This new surgical technique offers superior stability, without harvest site morbidity, to patients with rare, severe, and chronic sternoclavicular joint dislocation. Level of evidence IV.
胸锁关节脱位占肩胛带所有脱位的比例不到5%。虽然大多数前脱位病例没有症状，但一些前不稳定患者仍有症状，需要进行重建手术来稳定胸锁关节。我们报告一例57岁男性，诊断为胸锁关节前脱位，且在向前弯曲颈部时出现异常吞咽困难。该患者采用一种新的有效的胸锁关节重建手术技术治疗，即使用同侧股薄肌腱的“双8字”技术。根据Rockwood胸锁关节评分量表，手术结果成功，患者即使在2年后仍保持极佳的稳定性。这种新的手术技术为罕见、严重和慢性胸锁关节脱位患者提供了卓越的稳定性，且没有供区并发症。证据等级为IV级。
