Kaufman R L
Glendale Chiropractic Clinic, Los Angeles College of Chiropractic, California, USA.
J Manipulative Physiol Ther. 1997 Jun;20(5):338-42.
To discuss the management of a patient suffering from an anterior sternoclavicular joint dislocation secondary to blunt trauma from a motor vehicle accident.
A 75-yr-old woman suffered from difficulty in swallowing and chest pain after release from a foreign medical facility. Anteroposterior chest X-rays demonstrated an anterior and superior displacement of the right sternoclavicular joint.
Specific joint manipulation for reduction of the dislocation was performed. Immobilization of the joint after reduction was accomplished by a reverse figure-8 bandage. Follow-up radiographic evaluation demonstrated reduction of the dislocation. Resolution of difficulty in swallowing and pain was dramatic and instantaneous after reduction.
Appropriate intervention of chiropractic examination procedures and imaging techniques culminated in successful resolution of this case. When such cases are recognized, appropriate management may occur conservatively with judicious application of joint manipulation and adjunctive procedures.
探讨一名因机动车事故钝性创伤继发前侧胸锁关节脱位患者的治疗方法。
一名75岁女性在国外医疗机构出院后出现吞咽困难和胸痛。胸部前后位X线片显示右胸锁关节向前上方移位。
进行了特定的关节手法复位。复位后通过反“8”字绷带固定关节。随访影像学评估显示脱位已复位。复位后吞咽困难和疼痛立即显著缓解。
整脊检查程序和影像技术的适当干预最终成功解决了该病例。当识别出此类病例时，通过明智地应用关节手法和辅助程序，可采用保守治疗。
