使用克氏针创新阻挡技术进行临时胸锁关节稳定术治疗青少年患者胸锁关节后脱位：2例报告
Temporary Sternoclavicular Stabilization Using an Innovative Blocking Technique with Kirschner Wires for the Treatment of Posterior Sternoclavicular Joint Injury in Adolescent Patients: A Report of Two Cases.
作者信息
Ishii Nariyoshi, Matsumura Noboru, Iwamoto Takuji, Sato Kazuki, Nakamura Masaya, Matsumoto Morio
机构信息
Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.
出版信息
JBJS Case Connect. 2018 Jul-Sep;8(3):e76. doi: 10.2106/JBJS.CC.18.00010.
CASE
A 15-year-old boy with a posterior physeal fracture-dislocation of the medial aspect of the clavicle and a 14-year-old boy with a posterior sternoclavicular joint dislocation were successfully treated with temporary sternoclavicular stabilization using an innovative blocking technique with Kirschner wires.
CONCLUSION
When treating posterior sternoclavicular joint injuries, posterior instability should be securely stabilized. Temporary blocking stabilization of the sternoclavicular joint using Kirschner wires does not rigidly fix the sternoclavicular joint, but it prevents posterior displacement of the proximal aspect of the clavicle. This stabilizing technique is a simple, safe, and viable treatment option for adolescent patients with a posterior sternoclavicular joint injury.
病例
一名15岁男孩锁骨内侧后骨骺骨折脱位，一名14岁男孩胸锁关节后脱位，采用克氏针创新阻挡技术进行临时胸锁关节稳定术，治疗成功。
结论
治疗胸锁关节后脱位时，应牢固稳定后方不稳定。使用克氏针进行胸锁关节临时阻挡稳定术，虽未严格固定胸锁关节，但可防止锁骨近端向后移位。对于青少年胸锁关节后脱位患者，这种稳定技术是一种简单、安全且可行的治疗选择。
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