胸锁钩钢板治疗胸锁关节脱位的临床观察  

Clinical applications of sternoclavicular hook plate for the treatment of sternoclavicular joint dislocation

作　　者：陈方虎[1] 赵小平[1] 郑文标 曾晗冰[1] 冉波[1] 黄辉[1] 王海宝[1] 

机构地区：[1]台州市立医院骨科,浙江台州318000

出　　处：《中国骨伤》2013年第5期380-382,共3页China Journal of Orthopaedics and Traumatology

摘　　要：目的:观察应用胸锁钩钢板治疗胸锁关节脱位患者的临床治疗效果。方法:2010年6月至2012年6月对7例胸锁关节脱位患者行胸锁钩钢板复位固定术治疗,其中男5例,女2例;年龄38～54岁,平均42.3岁;病程1～4周。术前患者均有外伤史,患侧胸锁关节肿胀、疼痛明显,患侧肩关节活动明显受限。术前X线片及CT证实为胸锁关节脱位,根据Rockwood评分法对术后疗效进行评价。结果:本组7例胸锁关节脱位患者按Rockwood评分法进行评价,优6例,良1例。术后未出现内固定松动、断裂,未出现再次脱位,肩关节功能良好,胸锁关节无疼痛,外观无畸形,患肢活动自如无疼痛。结论:胸锁钩钢板治疗胸锁关节脱位,手术操作简单,固定可靠,疗效肯定,值得临床推广。Objective ： To observe the clinical therapeutic effects of sternoclavicular hook plate for the treatment of stern- oelavicular joint dislocation. Methods：From June 2010 to June 2012,7 patients with sternoclavicular joint dislocation were treated with sternoclavicular hook plate fixation. Among the 7 patients, 5 patients were male and 2 patients were female, and the average age was 42.3 years ,ranging from 38 to 54 years. The course of the disease ranged from 1 to 4 weeks. All the pa- tients had trauma history. The clinical manifestations included ： obvious swelling and pain of sternoelavicular joint, restricted shoulder joint activity. The sternoclavieular joint dislocation was proved by preoperative X-ray and CT. The postoperative cura- tive effect was evaluated according to Roekwood scoring method. Results ： According to Rockwood scoring method, the excel- lent results obtained in 6 cases, good in 1. There were no complications such as internal fixation loosening or broken, second dislocation, pain in the sternoelavicular joint, and deformity. The function of shoulder joint was good, and the limb activity was free and no pain appeared. Conclusion：The sternoclavicular hook plate for the treatment of sternoelavicular joint dislocation has follow advantages ： simple procedure, stable fixation, definite therapeutic effects.

关 键 词：胸锁关节 脱位 骨折固定术 

分 类 号：R684.7[医药卫生—骨科学]