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使用高阻力缝线的“8”字形环扎术加内部支撑治疗胸锁关节后脱位:一例报告

Figure-of-Eight Cerclage With High-Resistance Sutures Plus InternalBrace as Treatment for Posterior Dislocation of the Sternoclavicular Joint: A Case Report.

作者信息

Millet-Herrera Jose L, Pérez-Navarrete Adrián, Echeverría-Ortegón Ermilo, Alejos-Gómez Ricardo, Mendez-Dominguez Nina

机构信息

Clinical Sciences, Universidad Marista de Mérida, Mérida, MEX.

Orthopedic Surgery, Centro Médico de las Américas, Mérida, Yucatán, MEX.

出版信息

Cureus. 2024 Jul 12;16(7):e64400. doi: 10.7759/cureus.64400. eCollection 2024 Jul.

Abstract

The sternoclavicular joint dislocation is a very infrequent injury that can put the patient's life at risk if it is not diagnosed and treated properly. This can present as an anterior or posterior dislocation, the latter being less common and more dangerous due to its proximity to visceral structures of the thoracic cavity. Herein, we present the case of a 19-year-old male athlete diagnosed with a posterior dislocation of the right sternoclavicular joint due to indirect trauma during a soccer match, who was successfully treated with a figure-of-eight cerclage with high-resistance sutures plus an InternalBrace technique. After recovery, he has been able to get back to sports with a complete range of motion and experiencing no instability after a two-year follow-up. Figure-of-eight cerclage with high-resistance sutures plus an InternalBrace could be a good technique for surgical treatment of this rare injury, especially in young and physically active patients.

摘要

胸锁关节脱位是一种非常罕见的损伤,如果诊断和治疗不当,可能会危及患者生命。它可表现为前脱位或后脱位,后者由于靠近胸腔内脏结构,较为少见且更危险。在此,我们报告一例19岁男性运动员的病例,该患者在一场足球比赛中因间接创伤被诊断为右胸锁关节后脱位,通过使用高强度缝线的8字环扎术加InternalBrace技术成功治疗。恢复后,经过两年随访,他能够以全关节活动范围恢复运动且无不稳定感。使用高强度缝线的8字环扎术加InternalBrace可能是治疗这种罕见损伤的一种良好手术技术,尤其适用于年轻且身体活跃的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a2cf/11317032/b39c478be677/cureus-0016-00000064400-i01.jpg

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