The double plate technique combined with the cable technique for treating sternoclavicular joint dislocation: a case report.

Autor: Xu Y; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China., Zhu J; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China., Huang L; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China., Huang C; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China., Huang Z; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China., Dai H; Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China. daihai2022@126.com.
Jazyk: angličtina
Zdroj: BMC musculoskeletal disorders [BMC Musculoskelet Disord] 2024 Dec 19; Vol. 25 (1), pp. 1025. Date of Electronic Publication: 2024 Dec 19.
DOI: 10.1186/s12891-024-08142-1
Abstrakt: Background: Sternoclavicular joint dislocation (SJD) is rare, and joint instability after dislocation easily leads to deformity, pain, and limitations in performing activities, often requiring surgical treatment. Currently, there is no ideal internal fixation method for SJD.
Case Presentation: We report the case of a 38-year-old female patient with anterior dislocation of the right sternoclavicular joint (SJ) caused by a car accident who underwent open reduction and internal fixation using the double plate technique combined with the cable technique. Postoperative follow-up showed good mobility of the right shoulder joint, with a Rockwood SJ score of 15, and no complications such as loss of joint repositioning, localized pain, and vascular and nerve injuries. At the last follow-up at 6 months after surgery, the wire was found to be broken without displaced, and the internal fixation was removed.
Conclusion: The double plate technique combined with the cable technique may be an effective treatment option for SJD, and 1.2 mm titanium cables may be more advantageous for cable fixation.
Competing Interests: Declarations. Ethical approval and consent to participate: The study protocol was approved by the Institutional Ethics Committee of the Fifth Affiliated Hospital of Guangxi Medical University (Approval Number: LW2023-005). All procedures involving human participants in this study conformed to the ethical standards of the institutional and/or national research councils as well as the 1964 Declaration of Helsinki and its subsequent amendments or similar ethical standards. Written consent was obtained from all individual participants included in the study. Consent for publication: All authors approved the manuscript. Written informed consent for publication of their therapeutic images was obtained from the patients. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE