Ferrandez L, Yubero J, Usabiaga J, No L, Martin F
University of Salamanca, Spain.
Ital J Orthop Traumatol. 1988 Sep;14(3):349-55.
Based on Allman's classification, the authors conducted a critical study on the results of treatment of 17 sternoclavicular dislocations, 14 anterior and 3 posterior. They propose conservative treatment for subluxations and operative treatment for total dislocations, particularly when posterior. Tomography was required for precise diagnosis. The advantages of open reduction are stressed and the complication of intra-thoracic migration of crossed Kirschner wires used to stabilise reduction and capsular suturing is described.
基于奥尔曼分类法，作者对17例胸锁关节脱位的治疗结果进行了批判性研究，其中14例为前脱位，3例为后脱位。他们建议对半脱位采用保守治疗，对完全脱位采用手术治疗，尤其是后脱位时。精确诊断需要进行断层扫描。强调了切开复位的优点，并描述了用于稳定复位和关节囊缝合的交叉克氏针向胸腔内移位的并发症。
