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胸锁关节后脱位:罕见但严重损伤的闭合治疗的简要综述及技术

Posterior sternoclavicular dislocations: a brief review and technique for closed management of a rare but serious injury.

作者信息

Deren Matthew E, Behrens Steve B, Vopat Bryan G, Blaine Theodore A

机构信息

Department of Orthopedic Surgery, Warren Alpert Medical School of Brown University , Providence, RI, USA.

Yale University Shoulder and Elbow Service , New Haven, CT, USA.

出版信息

Orthop Rev (Pavia). 2014 Mar 12;6(1):5245. doi: 10.4081/or.2014.5245. eCollection 2014 Jan 20.

DOI:10.4081/or.2014.5245
PMID:24744842
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3980158/
Abstract

Posterior sternoclavicular dislocations are rare but serious injuries. The proximity of the medial clavicle to the vital structures of the mediastinum warrants caution with management of the injury. Radiographs are the initial imaging test, though computed tomography and magnetic resonance imaging are essential for diagnosis and preoperative planning. This paper presents an efficient diagnostic approach and effective technique of closed reduction of posterior sternoclavicular dislocations with a brief review of open and closed reduction procedures.

摘要

胸锁关节后脱位虽罕见但伤势严重。内侧锁骨靠近纵隔的重要结构,因此在处理该损伤时需谨慎。X线片是初步的影像学检查,不过计算机断层扫描和磁共振成像对于诊断及术前规划至关重要。本文介绍了一种有效的诊断方法和胸锁关节后脱位闭合复位的有效技术,并简要回顾了开放复位和闭合复位的操作方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/84044b5e8bd2/or-2014-1-5245-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/95d5df76bffb/or-2014-1-5245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/3564267d77f5/or-2014-1-5245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/40626cfd1fbd/or-2014-1-5245-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/84044b5e8bd2/or-2014-1-5245-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/95d5df76bffb/or-2014-1-5245-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/3564267d77f5/or-2014-1-5245-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/40626cfd1fbd/or-2014-1-5245-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd5a/3980158/84044b5e8bd2/or-2014-1-5245-g004.jpg

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本文引用的文献

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J Shoulder Elbow Surg. 2013 Jan;22(1):64-9. doi: 10.1016/j.jse.2012.02.009. Epub 2012 May 18.
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Sternoclavicular joint reconstruction--a systematic review.
胸锁关节后脱位:一例报告
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Sternoclavicular Joint Instability: Symptoms, Diagnosis And Management.胸锁关节不稳定:症状、诊断与治疗
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Medial third clavicular fracture in combination with a posterior sternoclavicular dislocation in skeletally immature patients: 2 cases of a new proximal clavicular injury.骨骼未成熟患者的锁骨中三分之一骨折合并胸锁关节后脱位:2例新型近端锁骨损伤
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