Clavicular hook plate for treatment of anterior dislocation of sternoclavicular joint.docVIP

 PAGE \* MERGEFORMAT 8 Clavicular hook plate for treatment of anterior dislocation of sternoclavicular joint Of: Wu Jianjun, Liang Guiqing Xiaozhan Hao Chi Wing Lung, Wu Yao Sen [Keywords:] clavicular hook plate anterior dislocation of sternoclavicular joint Sternoclavicular joint dislocation is rare, treatment is more difficult. Conservative treatment due to reset fixed problems, and many more failed. Now take a more clinical surgery, such as the use of Kirschner wire, reconstruction plate, steel wires, etc., but the effects are quite controversial [1,2]. this group since May 2006 -2008 in January with clavicular hook plate in the treatment of sternoclavicular joint dislocation in 18 cases before and achieved good effect. 1 Clinical data 1.1 General Information A total of 18 patients in this group, 11 males and 7 females; aged 28 to 65 years old, average 41.3 years old. Right in 10 cases, 8 cases the left, are former dislocation. Including 10 cases of traffic accidents, heavy 5 injured cases, 1 case of sports injuries, fall injuries in 2 cases. All patients were blunt trauma, neurovascular injury do not merge. sternoclavicular joint injury are pain, deformity, and the typical signs of a sense of floating. X-ray film or CT examination confirmed before the sternoclavicular joint dislocation. all patients after injury 4 h ~ 10 d within the surgical treatment, an average of 42 h. 1.2 Treatment Patients after general anesthesia, supine position, raise the risk of pad pillow, head turned to the healthy side. To dislocation of the sternoclavicular joint for the center to do 6 ~ 7 cm long curved incision, cut the skin, subcutaneous tissue to expose the sternoclavicular joint , before the reset disk articular cartilage fracture and soft tissue removed. to make appropriate clavicle subperiosteal proximal dissection in the proximal clavicle and first rib 1, the lock between the ribs of some ligaments cut off, exposing the side ipsilateral sternal