Eskola A, Vainionpää S, Vastamäki M, Slätis P, Rokkanen P
Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.
J Bone Joint Surg Br. 1989 Jan;71(1):63-5. doi: 10.1302/0301-620X.71B1.2915008.
Twelve patients were operated upon after unsuccessful conservative treatment for complete dislocation of the sternoclavicular joint. Three methods were used; stabilisation using fascial loops, reconstruction with a tendon graft, and resection of the sternal end of the clavicle. The results were good in only four patients, three treated with a tendon graft and one by fascial loops. Another four patients had fair results, but all four treated by resection of the medial end of the clavicle had poor results, with pain and weakness of the upper extremity. In our opinion resection of the sternal end of the clavicle should not be used in old traumatic dislocation.
12例胸锁关节完全脱位经保守治疗失败后接受了手术治疗。采用了三种方法：使用筋膜环固定、肌腱移植重建以及锁骨胸骨端切除术。仅4例患者效果良好，其中3例采用肌腱移植治疗，1例采用筋膜环治疗。另外4例效果尚可，但所有4例接受锁骨内侧端切除术的患者效果不佳，出现上肢疼痛和无力。我们认为，陈旧性创伤性脱位不应采用锁骨胸骨端切除术。
