Xu Yinglong, Zhu Jin, Huang Li, Huang Caili, Huang Zonggui, Dai Hai
Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
BMC Musculoskelet Disord. 2024 Dec 19;25(1):1025. doi: 10.1186/s12891-024-08142-1.
Sternoclavicular joint dislocation (SJD) is rare, and joint instability after dislocation easily leads to deformity, pain, and limitations in performing activities, often requiring surgical treatment. Currently, there is no ideal internal fixation method for SJD.
We report the case of a 38-year-old female patient with anterior dislocation of the right sternoclavicular joint (SJ) caused by a car accident who underwent open reduction and internal fixation using the double plate technique combined with the cable technique. Postoperative follow-up showed good mobility of the right shoulder joint, with a Rockwood SJ score of 15, and no complications such as loss of joint repositioning, localized pain, and vascular and nerve injuries. At the last follow-up at 6 months after surgery, the wire was found to be broken without displaced, and the internal fixation was removed.
The double plate technique combined with the cable technique may be an effective treatment option for SJD, and 1.2 mm titanium cables may be more advantageous for cable fixation.
胸锁关节脱位（SJD）较为罕见，脱位后关节不稳定易导致畸形、疼痛及活动受限，常需手术治疗。目前，对于胸锁关节脱位尚无理想的内固定方法。
我们报告一例38岁女性患者，因车祸导致右胸锁关节（SJ）前脱位，采用双钢板技术联合缆线技术进行切开复位内固定。术后随访显示右肩关节活动良好，Rockwood胸锁关节评分为15分，未出现关节复位丢失、局部疼痛以及血管和神经损伤等并发症。在术后6个月的最后一次随访中，发现钢丝断裂但未移位，遂取出内固定物。
双钢板技术联合缆线技术可能是治疗胸锁关节脱位的有效选择，1.2毫米钛缆用于缆线固定可能更具优势。
