Savastano A A, Stutz S J
Int Surg. 1978 Jan;63(1):10-3.
Traumatic dislocations of the sternoclavicular joint may be anterosternal or retrosternal. Anterior dislocation is due to forces which retract and depress the clavicle. Posterior dislocation is due to either direct force on the medial end of the clavicle or to a force acting on the posterolateral aspect of the shoulder. From 1950 to 1974 we treated 16 patients with traumatic complete sternoclavicular dislocations. Twelve patients were followed and their cases are discussed. Treatment may be closed or open. In some cases we did not attempt reduction because it may be very difficult to maintain and dislocation may recur. Open reduction is extremely difficult and not recommended unless a serious intrathoracic problem also exists. Based on our cases, we conclude that stability of the sternoclavicular joint is not necessary to ensure normal function of the involved limb. The residual prominence of the medial portion of the clavicle does not cause pain and does not interfere with chest or shoulder function.
胸锁关节创伤性脱位可分为胸骨前脱位和胸骨后脱位。前脱位是由于使锁骨回缩和下压的力量所致。后脱位则是由于锁骨内侧端受到直接外力，或作用于肩部后外侧的力量引起。1950年至1974年间，我们治疗了16例创伤性完全胸锁关节脱位患者。对其中12例患者进行了随访，并讨论了他们的病例。治疗方法可分为闭合复位或切开复位。在某些情况下，我们未尝试进行复位，因为复位后可能很难维持，脱位可能复发。切开复位极其困难，除非同时存在严重的胸腔内问题，否则不建议采用。根据我们的病例，我们得出结论，胸锁关节的稳定性对于确保受累肢体的正常功能并非必要。锁骨内侧部分的残留突出不会引起疼痛，也不会干扰胸部或肩部功能。
