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Closed reduction of a posterior sternoclavicular joint dislocation: A case report

机译:闭合复位后锁骨后关节脱位1例

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摘要

Sternoclavicular joint dislocation (SCJD) is a rare injury; there are only two reported cases of SCJD that have occurred during judo practice. We present a case of an 18-year-old male athlete who fell while practicing judo and experienced upper left chest pain. He was diagnosed with posterior SCJD at another institute before being transferred to our hospital. Closed reduction was initially not possible using traditional methods. Reduction was eventually accomplished by clamping the proximal end of the clavicle using bone forceps and rotating it while pulling it upward. Many authors have reported that closed reduction is difficult if not performed within 48 h after SCJD injury. However, we were able to achieve closed reduction approximately 72 h after injury. We found that reduction might be easily accomplished by pulling the proximal end of the clavicle up and rotating it when other closed reduction methods are unsuccessful.
机译:肩锁关节脱位(SCJD)是一种罕见的损伤;在柔道练习中仅发生了两例SCJD病例。我们介绍了一个18岁的男运动员,他在练习柔道时摔倒并经历了左上胸痛。他在另一所医院被诊断出患有SCJD后,随后被转移到我们医院。最初使用传统方法不可能进行封闭式还原。最终通过用骨钳夹住锁骨的近端并向上旋转将其旋转来实现复位。许多作者报告说,如果SCJD损伤后48小时之内不进行闭合复位是困难的。但是,我们能够在受伤后约72 h达到闭合复位。我们发现,当其他闭合复位方法不成功时,可通过向上拉动锁骨的近端并旋转锁骨来轻松实现复位。

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