不可吸收的5号锁骨缝合线重建胸锁关节后脱位

S. Jaura, P. Tiwari, Navneet Singh, H. Kaur
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引用次数: 0

摘要

后胸锁关节脱位(PSCJD)是罕见的。它通常是由接触性运动或创伤引起的,通常伴有多种危及生命的并发症。我们报告一名卡巴迪运动员(一项印度身体接触运动)被对手推后右肩摔倒的案例。患者主诉右肩疼痛,右胸骨区可见畸形。在最初的x光检查后,计算机断层扫描证实了右胸锁关节后脱位。闭合复位失败后,采用5号双袢缝线进行切开复位内固定。采用双链5.0乙键不可吸收缝线的切开复位和重建技术可以在PSCJD中获得良好的效果。
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Reconstruction of posterior dislocation of the sternoclavicular joint with nonabsorbable No. 5 ethibond sutures
Posterior sternoclavicular joint dislocation (PSCJD) is rare. It is usually due to contact sports or trauma and is often associated with multiple life-threatening complications. We report a case of a Kabaddi player (an Indian contact sport) who was pushed by an opponent and fell on his right shoulder. The patient complained of right shoulder pain and visible deformity over the right sternal area. After initial X-rays, the right posterior dislocation of the sternoclavicular joint was confirmed with computed tomography scan. After the attempts of closed reduction failed, open reduction and internal fixation were done with a double loop of No. 5 ethibond sutures. Excellent results can be achieved in PSCJD using open reduction and reconstruction techniques with double-stranded 5.0 ethibond nonabsorbable sutures.
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