Clinic for Orthopedics and Trauma Surgery of the University Hospital Bonn, Venusberg Campus 1, 53127, Bonn, Germany.
Clinic for General, Visceral, Thoracic and Vascular Surgery of the University Hospital Bonn, Venusberg Campus 1, 53127, Bonn, Germany.
J Med Case Rep. 2024 Nov 10;18(1):528. doi: 10.1186/s13256-024-04877-6.
Only a few cases of bilateral traumatic sternoclavicular dislocations have been reported in the literature. This injury is considered one of the rarest injuries of the human musculoskeletal system. Therefore, we present the first documented case of a cyclist with a third-degree open thoracic trauma (Gustilo-Anderson 3a) associated with a dislocated manubrium sterni fracture in the upper thoracic aperture, bilateral anterior dislocations of the sternoclavicular joints, rib fractures, and pleural ruptures.
The patient, a 27-year-old Caucasian male, incurred this injury while participating in a professional cycling race at Nürburgring, Germany and received immediate interdisciplinary surgical treatment and has encountered no complications. We conducted a 1-year follow-up and present the clinical findings of this follow up. Additionally, we conducted a comprehensive review of the existing literature on this injury.
Immediate interdisciplinary intervention, including surgical repair and meticulous postoperative care, facilitated successful patient recovery. This underscores the critical role of comprehensive trauma management in complex polytrauma cases. In conclusion, this case report highlights the rarity and complexity of a traumatic injury involving bilateral sternoclavicular dislocation, with this case being the first case reported with concomitant open thorax trauma. Our patient benefited greatly from immediate air-bound transportation to an interdisciplinary care provider, which houses both thoracic and trauma surgery departments.
仅有少数几例双侧创伤性胸锁关节脱位的病例在文献中报道过。这种损伤被认为是人体肌肉骨骼系统中最罕见的损伤之一。因此，我们报告了首例有记录的与胸壁开放性创伤（Gustilo-Anderson 3a 型）相关的胸骨柄骨折、双侧胸锁关节前脱位、肋骨骨折和胸膜破裂的自行车运动员病例。
患者为 27 岁白人男性，在德国纽博格林参加职业自行车比赛时受伤，立即接受了多学科手术治疗，无并发症发生。我们进行了为期 1 年的随访，并介绍了此次随访的临床结果。此外，我们对该损伤的现有文献进行了全面复习。
立即进行多学科干预，包括手术修复和细致的术后护理，有助于患者成功康复。这突显了综合创伤管理在复杂多发伤病例中的关键作用。总之，本病例报告强调了涉及双侧胸锁关节脱位的创伤性损伤的罕见性和复杂性，本例是首例同时伴有开放性胸部创伤的病例。我们的患者从立即空运到拥有胸外科和创伤外科的多学科治疗机构中获益匪浅。
