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使用腘绳肌和尸体腓骨皮质同种异体移植物进行胸锁关节重建：病例报告

Sternoclavicular Joint Reconstruction Using a Hamstring and Cadaveric Fibular Cortical Allograft: A Case Report.

作者信息

Gaetano Andrew, Boubekri Amir, Chen Andrew, Garbis Nickolas, Salazar Dane

机构信息

Stritch School of Medicine, Loyola University Medical Center, Maywood, Illinois.

Department of Orthopaedic Surgery and Rehabilitation, Loyola University Health System, Maywood, Illinois.

出版信息

JBJS Case Connect. 2025 Jan 16;15(1). doi: 10.2106/JBJS.CC.24.00398. eCollection 2025 Jan 1.

DOI:10.2106/JBJS.CC.24.00398
PMID:39820195
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11737100/
Abstract

CASE

A 49-year-old woman with sternoclavicular insufficiency following medial clavicle resection underwent sternoclavicular joint reconstruction using a hamstring allograft and a cadaveric fibular cortical allograft. After 4 months of follow-up, the patient was pain-free, with radiographic evidence of graft incorporation by 8 months.

CONCLUSION

Medial clavicle resection is a rare procedure with broad indications. The necessity and optimal technique for subsequent sternoclavicular reconstruction remain debated. We demonstrate a figure-of-eight reconstructive technique that may provide acceptable clinical results when addressing large medial clavicle defects.

LEVEL OF EVIDENCE

IV.

摘要

病例

一名49岁女性，在进行内侧锁骨切除术后出现胸锁关节功能不全，采用腘绳肌同种异体移植物和尸体腓骨皮质同种异体移植物进行胸锁关节重建。随访4个月后，患者无疼痛，8个月时影像学显示移植物融合。

结论

内侧锁骨切除术是一种罕见的手术，适应证广泛。后续胸锁关节重建的必要性和最佳技术仍存在争议。我们展示了一种8字形重建技术，在处理较大的内侧锁骨缺损时可能提供可接受的临床结果。

证据等级

四级。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/33f0e4ee7d1b/jbjscc-15-e24.00398-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/fbe8ed9b877e/jbjscc-15-e24.00398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/bf4894170036/jbjscc-15-e24.00398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/f931bb3ae198/jbjscc-15-e24.00398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/33f0e4ee7d1b/jbjscc-15-e24.00398-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/fbe8ed9b877e/jbjscc-15-e24.00398-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/bf4894170036/jbjscc-15-e24.00398-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/f931bb3ae198/jbjscc-15-e24.00398-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5157/11737100/33f0e4ee7d1b/jbjscc-15-e24.00398-g007.jpg

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本文引用的文献

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Sternoclavicular Joint Reconstruction With Gracilis Tendon Autograft.采用自体股薄肌腱重建胸锁关节
Arthrosc Tech. 2023 Jul 3;12(8):e1281-e1288. doi: 10.1016/j.eats.2023.03.019. eCollection 2023 Aug.
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Sternoclavicular Joint Instability and Reconstruction.胸锁关节不稳定与重建
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Reconstruction of the Sternoclavicular Joint After Excessive Medial Clavicle Resection.锁骨内侧过度切除术后胸锁关节的重建
Arthrosc Tech. 2021 Nov 18;10(12):e2733-e2739. doi: 10.1016/j.eats.2021.08.020. eCollection 2021 Dec.
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Is clavicular reconstruction imperative for total and subtotal claviculectomy? A systematic review.锁骨重建对于全锁骨切除术和次全锁骨切除术是否必需？一项系统评价。
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Double figure-of-eight reconstruction technique for chronic anterior sternoclavicular joint dislocation.用于慢性胸锁关节前脱位的双“8”字重建技术
Knee Surg Sports Traumatol Arthrosc. 2015 May;23(5):1559-1562. doi: 10.1007/s00167-014-2979-4. Epub 2014 Apr 11.
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Arthroscopic excision of the sternoclavicular joint for the treatment of sternoclavicular osteoarthritis.关节镜下切除胸锁关节治疗胸锁关节炎。
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Clavicular reconstruction with free fibula flap: a report of four cases and review of the literature.游离腓骨瓣重建锁骨：4例报告并文献复习
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Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series.胸锁关节脱位的治疗：对24个病例系列中251例脱位的系统评价
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Surgical treatment of clavicular malignancies.锁骨恶性肿瘤的外科治疗。
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