Takahashi Hiroshi, Takeda Shinsuke, Shibata Ryutaro, Kurahashi Shingo, Ito Hiroki, Matsumoto Koshiro, Mitsuya So, Yamauchi Ken-Ichi
Trauma and Microsurgery Center, Toyohashi Municipal Hospital, Toyohashi, Japan.
Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.
Trauma Case Rep. 2023 Jan 9;43:100766. doi: 10.1016/j.tcr.2023.100766. eCollection 2023 Feb.
A 59-year-old man presented with posterior sternoclavicular joint dislocation concomitant with fracture-dislocations of multiple thoracic costovertebral joints caused by traumatic injury. The posterior sternoclavicular joint dislocation was treated using an ultra-high molecular weight polyethylene fiber cable and the joint was stabilized. The degree of malpositioning of the thoracic costovertebral joints was difficult to reduce.
The patient achieved an excellent shoulder range of motion at 12 months postoperatively; however, chronic shoulder stiffness and posterior neck discomfort persisted.
一名59岁男性因外伤导致后胸锁关节脱位并伴有多个胸肋椎关节骨折脱位。采用超高分子量聚乙烯纤维缆线治疗后胸锁关节脱位并使关节稳定。胸肋椎关节的错位程度难以复位。
患者术后12个月肩部活动范围极佳;然而,慢性肩部僵硬和后颈部不适仍然存在。