Cope R
Department of Radiology, University of Missouri Hospital and Clinics, Columbia 65212.
Skeletal Radiol. 1993;22(4):233-8. doi: 10.1007/BF00197665.
Dislocations of the sternoclavicular joint are uncommon, with the posterior variety having a potential for considerable morbidity. Radiologic management and diagnosis can be difficult. In this review article, the joint anatomy and mechanisms of dislocation are discussed and the incidence and clinical manifestations described. Six case reports are presented to illustrate causative mechanisms, diagnoses, and radiologic appearances. Computed tomography is the best method of demonstrating the sternoclavicular joint, but a number of specialized plain film projections are also described and illustrated; these should be more widely known. Treatment of the joint dislocations is briefly discussed.
胸锁关节脱位并不常见,其中后脱位型有引发相当程度并发症的可能性。放射学管理和诊断可能具有挑战性。在这篇综述文章中,讨论了关节解剖结构和脱位机制,并描述了发病率和临床表现。呈现了6例病例报告以说明病因机制、诊断和放射学表现。计算机断层扫描是显示胸锁关节的最佳方法,但也描述并展示了一些特殊的平片投照方法;这些方法应该更广为人知。本文还简要讨论了关节脱位的治疗。