切换至 "中华医学电子期刊资源库"

中华肩肘外科电子杂志 ›› 2024, Vol. 12 ›› Issue (01) : 10 -13. doi: 10.3877/cma.j.issn.2095-5790.2024.01.002

所属专题: 文献

述评

胸锁关节脱位的诊治现状
郁凯1, 闵先军2,()   
  1. 1. 100074 北京,中国航天科工集团七三一医院创伤救治中心;100074 北京,中国航天科工集团七三一医院骨科
    2. 100074 北京,中国航天科工集团七三一医院创伤救治中心;100074 北京,中国航天科工集团七三一医院胸外科
  • 收稿日期:2024-01-15 出版日期:2024-02-05
  • 通信作者: 闵先军

The current status of diagnosis and treatment of dislocation of the sternoclavicular joint

Kai Yu, Xianjun Min()   

  • Received:2024-01-15 Published:2024-02-05
  • Corresponding author: Xianjun Min
引用本文:

郁凯, 闵先军. 胸锁关节脱位的诊治现状[J/OL]. 中华肩肘外科电子杂志, 2024, 12(01): 10-13.

Kai Yu, Xianjun Min. The current status of diagnosis and treatment of dislocation of the sternoclavicular joint[J/OL]. Chinese Journal of Shoulder and Elbow(Electronic Edition), 2024, 12(01): 10-13.

胸锁关节作为上肢与躯干连接的关键结构,不仅在维持肩部稳定和上肢运动中发挥重要作用,在呼吸运动中也扮演着不可或缺的角色。胸锁关节独特的解剖位置使得损伤可能对其周围血管、神经甚至上呼吸道造成影响进而妨害功能。胸锁关节脱位在临床上相对罕见,如何妥善治疗带来的挑战仍不容小觑。脱位通常由直接外力撞击或者间接机制(如肩部受到重力冲击)引起,从轻微的扭伤到严重的脱位和骨折都有可能。根据病史和体征,结合放射学检查,诊断一般并不困难,但如何治疗尚没有"金标准"。治疗方法与预后现有文献报道结果存在较大差异,本文旨在对胸锁关节脱位的诊治现况进行总结,以期为诊疗提供新的思路。

[1]
Renfree KJ, Wright TW. Anatomy and biomechanics of the acromioclavicular and sternoclavicular joints[J]. Clin Sports Med, 2003,22(2):219-237.
[2]
Spencer EE, Kuhn JE, Huston LJ, et al. Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint[J]. J Shoulder Elbow Surg,2002,11(1):43-47.
[3]
Sewell MD, Al-Hadithy N, Le Leu A, et al. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes[J]. Bone Joint J,2013,95-B (6):721-731.
[4]
Martetschlager F, Warth RJ, Millett PJ. Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review[J]. Am J Sports Med,2014,42(4):999-1007.
[5]
Groh GI, Wirth MA. Management of traumatic sternoclavicular joint injuries[J]. JAAOS,2011,19(1):1-7.
[6]
Morell DJ, Thyagarajan DS. Sternoclavicular joint dislocation and its management: A review of the literature[J]. World J Orthop,2016,7(4):244-250.
[7]
Ponce BA, Kundukulam JA, Pflugner R, et al. Sternoclavicular joint surgery: how far does danger lurk below?[J]. J Shoulder Elbow Surg,2013,22(7):993-999.
[8]
Bearn J. Direct observations on the function of the capsule of the sternoclavicular joint in clavicular support[J]. J Anat,1967,101(Pt1):159.
[9]
Bicos J, Nicholson GP. Treatment and results of sternoclavicular joint injuries[J]. Clin Sports Med,2003,22(2):359-370.
[10]
Wirth MA, Rockwood CA Jr. Acute and Chronic Traumatic Injuries of the Sternoclavicular Joint[J]. J Am Acad Orthop Surg,1996,4(5):268-278.
[11]
Van Holsbeeck M, Van Melkebeke J, Dequeker J, et al. Radiographic findings of spontaneous subluxation of the sternoclavicular joint[J]. Clin Rheumatol,1992,11(3):376-381.
[12]
Rajaratnam S, Kerins M, Apthorp L. Posterior dislocation of the sternoclavicular joint: a case report and review of the clinical anatomy of the region[J]. Clin Anatomy,2002,15(2):108-111.
[13]
Yeh GL, Williams GR Jr. Conservative management of sternoclavicular injuries[J]. Orthop Clin North Am,2000,31(2):189-203.
[14]
Salgado R, Ghysen D. Post-traumatic posterior sternoclavicular dislocation: case report and review of the literature[J]. Emerg Radiol,2002,9(6):323-325.
[15]
de Jong KP, Sukul DM. Anterior sternoclavicular dislocation: a long-term follow-up study[J]. J Orthop Trauma, 1990,4(4):420-423.
[16]
Deren ME, Behrens SB, Vopat BG, et al. Posterior sternoclavicular dislocations: a brief review and technique for closed management of a rare but serious injury[J]. Orthop Rev,2014,6:1.
[17]
Sabatini JB, Shung JR, Clay TB, et al. Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction[J]. J Shoulder Elbow Surg, 2015, 24(6):902-907.
[18]
Castropil W, Ramadan LB, Bitar AC, et al. Sternoclavicular dislocation-reconstruction with semitendinosus tendon autograft: a case report[J]. Knee Surg Sports Traumatol Arthrosc,2008,16(9):865-868.
[19]
Lacheta L, Dekker TJ, Goldenberg BT, et al. Minimum 5-year clinical outcomes, survivorship, and return to sports after hamstring tendon autograft reconstruction for sternoclavicular joint instability[J]. Am J Sports Med,2020,48(4):939-946.
[20]
Plancher KD, Lipnick SL. Analysis of evidence-based medicine for shoulder instability[J]. Arthroscopy,2009,25(8):897-908.
[1] 谢佳乐, 李琦, 芦升升, 姜劲松. 内侧膝骨关节炎伴胫股关节冠状半脱位的手术治疗[J/OL]. 中华关节外科杂志(电子版), 2024, 18(05): 653-657.
[2] 黄晓文, 吕天润, 左强, 李翔, 刘久翔. 肩锁韧带缝线稳定联合锁骨钩钢板固定与袢钢板韧带全修复治疗肩锁关节脱位的疗效比较[J/OL]. 中华损伤与修复杂志(电子版), 2024, 19(02): 127-133.
[3] 陈利, 王锦海, 董浩男, 李利军. 锁骨钩钢板在肩锁关节脱位治疗中的不足及改良[J/OL]. 中华肩肘外科电子杂志, 2024, 12(04): 377-381.
[4] 王利航, 孙官文, 包呼和, 倪熙宇, 张万印, 黄斐, 杨鹏波. 三种手术方式治疗肩锁关节脱位疗效的网状Meta 分析[J/OL]. 中华肩肘外科电子杂志, 2024, 12(04): 332-343.
[5] 蒋永东, 耿启砥, 吴宇峰, 高世华. 肩锁关节脱位的文献计量学分析[J/OL]. 中华肩肘外科电子杂志, 2024, 12(03): 246-256.
[6] 唐晓俞, 唐小高, 王小芃, 冯剑, 邹义源, 郑新波, 邓凯文. 喙锁韧带重建治疗肩锁关节脱位的趋势及争议[J/OL]. 中华肩肘外科电子杂志, 2024, 12(02): 103-106.
[7] 杨仁豪, 庄澄宇, 王蕾. Rockwood III型肩锁关节脱位的治疗研究进展[J/OL]. 中华肩肘外科电子杂志, 2024, 12(01): 88-93.
[8] 李丹妹, 许鉴. 基于CT三维重建技术的正常关节盂宽度和高度关系及形态学研究[J/OL]. 中华肩肘外科电子杂志, 2024, 12(01): 69-74.
[9] 郭飞达, 陈晓俊, 邢文钊, 孙常胜, 李一然, 鹿青, 吴昊天. 非镜下专用定位/复位器辅助袢钢板治疗锁骨远端骨折和肩锁关节脱位的疗效分析[J/OL]. 中华肩肘外科电子杂志, 2024, 12(01): 40-48.
[10] 燕飞, 赵东旭, 金泽鉴, 胡斯乐, 王永刚, 苗雷, 宋鹤天, 刘斌, 赵胡日查. TightRope锥状韧带单束重建联合两种肩锁关节修复方式治疗急性肩锁关节脱位临床效果对比观察[J/OL]. 中华肩肘外科电子杂志, 2024, 12(01): 27-33.
[11] 王昌兵, 赵立连, 许挺, 李彦锦, 张朝鸣, 刘泳坚. 髂骨精准截骨肩盂植骨治疗复发性肩关节前脱位的临床研究[J/OL]. 中华肩肘外科电子杂志, 2023, 11(04): 313-320.
[12] 刘有才, 张义君, 赵欣磊, 周家玄. Endobutton带袢钛板与钩钢板治疗肩锁关节脱位病例的疗效比较[J/OL]. 中华肩肘外科电子杂志, 2023, 11(03): 212-217.
[13] 崔壮, 魏宽海, 陈滨, 胡岩君, 余斌. Rockwood III型肩锁关节脱位治疗策略[J/OL]. 中华肩肘外科电子杂志, 2023, 11(03): 279-283.
[14] 李其鑫, 陈蔚. 关注数字疗法在眼健康领域的应用[J/OL]. 中华眼科医学杂志(电子版), 2023, 13(03): 129-133.
[15] 安亚楠, 王端然, 郭甜甜, 武希润. 幽门螺杆菌阴性胃黏膜相关淋巴组织淋巴瘤的研究进展[J/OL]. 中华消化病与影像杂志(电子版), 2024, 14(03): 268-274.
阅读次数
全文


摘要


AI


AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?