Ao Rongguang, Zhu Yalong, Zhou Jianhua, Jian Zhen, Shi Jifei, Li Cheng, Hu Wankun, Yu Baoqing
Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, 2800 Gongwei Road, Huinan Town, Pudong, Shanghai, 201399, People's Republic of China.
BMC Musculoskelet Disord. 2018 Jan 9;19(1):7. doi: 10.1186/s12891-017-1903-8.
Traumatic sternoclavicular joint dislocations are rare; closed reduction is the primary treatment. The failure of closed reduction or a prominent insult to the skin may require surgery to ensure the best possible outcome.
The records of 5 patients operated at our institution for sternoclavicular joint dislocation were reviewed. All patients were treated with open reduction and single 3.5-mm locking plate was used for fixation. Outcomes were evaluated with the Constant Shoulder Score (CSS) and Disability of the Arm, Shoulder, and Hand (DASH) questionnaire. Intraoperative and postoperative complications were recorded.
All the patients had an average follow-up of 14 months (range, 11-16 months). At the final follow-up, the mean CSS score was 89.5 (range, 78-98) and the mean DASH score was 9.0 (range, 4-16). There were no early complications, including wound infection or neurologic or vascular deficits; there were also no broken or loosened screws or plates. No case of redislocation or arthrosis was observed.
Our study indicates that open reduction and fixation with a single locking plate for the treatment of traumatic sternoclavicular joint dislocation is a safe, relatively simple surgical procedure that can lead to satisfactory outcomes.
创伤性胸锁关节脱位较为罕见；闭合复位是主要治疗方法。闭合复位失败或皮肤严重损伤可能需要手术以确保获得最佳结果。
回顾了在我们机构接受胸锁关节脱位手术的5例患者的记录。所有患者均接受切开复位，使用单一3.5毫米锁定钢板进行固定。采用Constant肩关节评分（CSS）和上肢、肩部和手部功能障碍（DASH）问卷对结果进行评估。记录术中及术后并发症。
所有患者平均随访14个月（范围11 - 16个月）。末次随访时，CSS评分平均为89.5（范围78 - 98），DASH评分平均为9.0（范围4 - 16）。无早期并发症，包括伤口感染、神经或血管缺损；也没有螺钉或钢板断裂或松动。未观察到再脱位或关节病病例。
我们的研究表明，切开复位并用单一锁定钢板固定治疗创伤性胸锁关节脱位是一种安全、相对简单的手术方法，可获得满意的结果。
