用腿筋和尸体腓骨皮质异体移植重建胸锁骨关节一例报告。

Q4 Medicine JBJS case connector Pub Date : 2025-01-16 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00398

Andrew Gaetano, Amir Boubekri, Andrew Chen, Nickolas Garbis, Dane Salazar

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引用次数: 0

摘要

病例：一名49岁女性在锁骨内侧切除术后出现胸锁骨功能不全，她接受了用同种异体腿筋和尸体腓骨皮质同种异体移植重建胸锁骨关节。随访4个月后，患者无痛，8个月时有移植物合并的影像学证据。结论：内侧锁骨切除术是一种少见的手术，适应症广泛。后续胸锁骨重建的必要性和最佳技术仍存在争议。我们展示了8字形重建技术，可提供可接受的临床结果，当解决大内侧锁骨缺损。证据等级：四级。

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Sternoclavicular Joint Reconstruction Using a Hamstring and Cadaveric Fibular Cortical Allograft: A Case Report.

Case: A 49-year-old woman with sternoclavicular insufficiency following medial clavicle resection underwent sternoclavicular joint reconstruction using a hamstring allograft and a cadaveric fibular cortical allograft. After 4 months of follow-up, the patient was pain-free, with radiographic evidence of graft incorporation by 8 months.

Conclusion: Medial clavicle resection is a rare procedure with broad indications. The necessity and optimal technique for subsequent sternoclavicular reconstruction remain debated. We demonstrate a figure-of-eight reconstructive technique that may provide acceptable clinical results when addressing large medial clavicle defects.

Level of evidence: IV.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.