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小儿胸锁关节后脱位的闭合复位及治疗。

Pediatric Posterior Sternoclavicular Dislocation Closed Reduction and Management.

机构信息

Departments of Orthopaedic Surgery, and.

Educational Technologies, University of South Alabama, College of Medicine, Mobile, AL.

出版信息

J Orthop Trauma. 2021 Aug 1;35(Suppl 2):S11-S12. doi: 10.1097/BOT.0000000000002167.

Abstract

Posterior sternoclavicular joint (SCJ) dislocations are rare shoulder girdle injuries. Despite the paucity of cases, posterior SCJ dislocations pose an important threat to patient safety because of the proximity of the medial clavicle to the mediastinum, resulting in possible compression and/or injury to these structures. Current guidelines recommend attempting closed reduction in the acute setting followed by open reduction if closed reduction is unsuccessful. This video highlights a case of posterior SCJ dislocation in a pediatric patient who presented with dyspnea after a football injury.

摘要

胸锁关节后脱位较为罕见,属于肩部损伤。尽管此类病例较少,但由于锁骨内侧靠近纵隔,可能导致这些结构受压和/或损伤,因此胸锁关节后脱位对患者安全构成重要威胁。目前的指南建议在急性发作时尝试闭合复位,如果闭合复位不成功,则进行开放复位。本视频重点介绍了一名儿童患者的胸锁关节后脱位病例,该患者在足球受伤后出现呼吸困难。

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