PDF(Pubmed)
Abstract：
Posterior sternoclavicular joint (SCJ) dislocations are rare but serious injuries. We report our experience with a patient with hemophilia who experienced posterior dislocation of the SCJ and was treated with an open repair technique. A 17-year-old man with hemophilia had a posterior dislocation of the SCJ and the proximal clavicle was an approximation to the brachiocephalic artery. Cardiovascular surgeons and pediatricians were consulted on the day of injury. The patient underwent open reduction of the SCJ and the SCJ was stabilized with strong sutures using a tension-band technique. The patient returned to playing rugby three months after surgery. Posterior dislocation of the SCJ has a risk of vascular injury. Although our patient required more attention because of his hemophilia, the surgery was successful through collaboration with other departments. Reconstruction of the SCJ using a tension-band technique with strong sutures was useful and allowed early return to sports.
摘要：
后胸锁关节（SCJ）脱位很少见，但损伤严重。我们报告了一名血友病患者的经验，该患者经历了SCJ的后脱位并接受了开放修复技术治疗。一名17岁的血友病患者SCJ后脱位，锁骨近端接近头臂动脉。在受伤当天咨询心血管外科医师和儿科医生。患者接受了SCJ切开复位术，并使用张力带技术通过强力缝线稳定了SCJ。手术三个月后，患者恢复了橄榄球运动。SCJ的后脱位具有血管损伤的风险。虽然我们的病人因为血友病需要更多的关注，通过与其他部门的合作，手术取得了成功。使用张力带技术和强力缝线重建SCJ很有用，并且可以早日恢复运动。
