Tariq Maariya A, Dragonas Christos G, Nadimi Joshua, Abbakr Lina, Leivadiotou Dimitra
Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR.
Trauma and Orthopedics, Royal London Hospital, London, GBR.
Cureus. 2024 Nov 7;16(11):e73229. doi: 10.7759/cureus.73229. eCollection 2024 Nov.
This systematic review aimed to assess the literature on the treatment modalities used for acute sternoclavicular joint (SCJ) dislocation injuries. We aimed to review the clinical outcomes following these modalities by assessing functional scores, range of motion (ROM), patient satisfaction, complications, and revisions. A thorough literature search was conducted on four databases (Cochrane Library, Embase, MEDLINE, and Google Scholar) for studies published from January 2000 to May 2024 that focused on surgical treatment of sternoclavicular joint dislocation in patients over the age of 18 years. Of 1509 studies identified, 16 met our inclusion criteria and were selected as eligible. The studies included a total of 245 patients with an average age of 42.7 years ranging from 15 to 75 years. A total of 247 acute SCJ dislocations were treated with an average follow-up period of 45.7 months. Our research demonstrated that operative treatment for both anterior and posterior SCJ dislocations is beneficial and has been shown to improve functional outcomes and patient satisfaction, with few complications and a low revision rate. There is a wide range of implants and devices available, and detailed diagnostics of injury type and patient demographics would help to aid in the selection of an optimal device. In order to have comparable data between these interventions, further research, including randomized controlled trials and comparable studies, needs to be conducted. This, in turn, would contribute to more specific guidelines in the future for the treatment of these injuries.
本系统评价旨在评估用于急性胸锁关节（SCJ）脱位损伤的治疗方式的相关文献。我们旨在通过评估功能评分、活动范围（ROM）、患者满意度、并发症及翻修情况来回顾这些治疗方式后的临床结局。我们在四个数据库（Cochrane图书馆、Embase、MEDLINE和谷歌学术）中进行了全面的文献检索，以查找2000年1月至2024年5月发表的聚焦于18岁以上患者胸锁关节脱位手术治疗的研究。在识别出的1509项研究中，16项符合我们的纳入标准并被选为合格研究。这些研究共纳入245例患者，平均年龄42.7岁，年龄范围为15至75岁。共治疗247例急性胸锁关节脱位，平均随访期为45.7个月。我们的研究表明，胸锁关节前脱位和后脱位的手术治疗均有益，且已证明可改善功能结局和患者满意度，并发症少且翻修率低。有多种植入物和器械可供选择，详细诊断损伤类型和患者人口统计学特征将有助于选择最佳器械。为了在这些干预措施之间获得可比数据，需要进行进一步的研究，包括随机对照试验和可比研究。这反过来将有助于未来制定更具体的这些损伤的治疗指南。
