Gangahar D M, Flogaites T
J Trauma. 1978 May;18(5):369-72. doi: 10.1097/00005373-197805000-00015.
Following traumatic retrosternal dislocation of the clavicle, the patient presented with thoracic outlet syndrome 6 months postinjury with swelling and cyanosis of the right upper extremity, and cramps of the right arm and forearm after heavy manual work. When open reduction of the dislocated clavicle failed, the medial half of the clavicle was resected. Four years postoperation, the patient is doing well, and is asymptomatic. A review of the literature, anatomy, mode of injury, mechanism of injury, pathology, clinical picture, diagnosis and treatment are discussed.
锁骨创伤性胸骨后脱位后，患者在受伤6个月后出现胸廓出口综合征，右上肢肿胀、发绀，繁重体力劳动后右臂和前臂痉挛。当锁骨脱位切开复位失败后，切除了锁骨内侧半。术后四年，患者情况良好，无任何症状。本文还讨论了相关文献回顾、解剖学、损伤方式、损伤机制、病理学、临床表现、诊断及治疗。
