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胸锁关节弹响

Snapping Sternoclavicular Joint.

作者信息

Romeo Paul V, Papalia Aidan G, Gambhir Neil, Styles Stuart T, Virk Mandeep S

机构信息

Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, USA.

Department of Orthopedic Surgery, Somers Orthopedic Surgery and Sports Medicine Group, Carmel Hamlet, USA.

出版信息

Cureus. 2023 May 4;15(5):e38557. doi: 10.7759/cureus.38557. eCollection 2023 May.

Abstract

Snapping sternoclavicular joint (SCJ) is a rare presentation in the SCJ. We present a case report detailing the presentation and treatment of unilateral snapping SCJ in a 14-year-old male patient. Clinical findings included the subluxation of the medial end of the clavicle in the anterior-posterior direction following a specific maneuver by the patient that involved repetitive external rotation with the arm in horizontal abduction. Dynamic ultrasound demonstrated an asymmetric widening of the right sternoclavicular joint in the neutral position with a pronounced subluxation in provocative positioning. At 3.5-year follow-up, he continued to remain pain-free without static deformity of the SCJ. Snapping SCJ is a benign phenomenon that does not require any intervention and is not associated with ligament laxity.

摘要

胸锁关节弹响是一种罕见的胸锁关节表现。我们报告一例14岁男性单侧胸锁关节弹响的病例,详细介绍其临床表现及治疗过程。临床检查发现,患者在特定动作(即手臂水平外展时重复进行外旋)后,锁骨内侧端出现前后方向的半脱位。动态超声显示,中立位时右侧胸锁关节不对称增宽,激发位时出现明显半脱位。随访3.5年,患者持续无疼痛,胸锁关节无静态畸形。胸锁关节弹响是一种良性现象,无需任何干预,且与韧带松弛无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7db3/10241662/10d825b2f928/cureus-0015-00000038557-i01.jpg

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