Dev Ameesh, Prabhakar Gautham, Dutta Anil, Dang Khang
Department of Orthopaedic Surgery, UT Health San Antonio, San Antonio, TX, USA.
Case Rep Orthop. 2020 Aug 10;2020:8888818. doi: 10.1155/2020/8888818. eCollection 2020.
A bipolar clavicle separation is defined as a simultaneous dislocation of the ipsilateral sternoclavicular joint (SCJ) and acromioclavicular joint (ACJ). This rare injury pattern is usually the result of a high-energy mechanism, such as a motor vehicle collision or fall from height. While there are several treatment options such as screw fixation, sutures, or plate fixations, there is no single standard approach for this infrequent injury. We describe a unique case of bipolar clavicle dislocation, specifically an anteriorly displaced SCJ and posteriorly displaced ACJ, treated with a novel surgical technique-a TightRope technique (Arthex®) and semitendinosus allograft.
双极锁骨分离被定义为同侧胸锁关节(SCJ)和肩锁关节(ACJ)同时脱位。这种罕见的损伤模式通常是由高能量机制导致的,比如机动车碰撞或高处坠落。虽然有多种治疗选择,如螺钉固定、缝线或钢板固定,但对于这种不常见的损伤尚无单一的标准治疗方法。我们描述了一例独特的双极锁骨脱位病例,具体为胸锁关节向前移位和肩锁关节向后移位,采用了一种新颖的手术技术——TightRope技术(Arthex®)和半腱肌同种异体移植物进行治疗。