LIU Haibo , WANG Wenli , YE Hongwu , LI Xiaojun.
  • Department of Orthopaedics, the People’s Hospital of Daxian, Daxian Sichuan, 635000, P.R.China.;
Sternoclavicular joint dislocation; Clavicular hook plate; Cl inical effect
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Objective To analyze the treatment of the sternoclavicular joint dislocation by clavicular hook plate and investigate its cl inical value to find a theropy with more safety and stabil ity. Methods Between January 2003 and January 2007, 15 patients with sternoclavicular joint dislocation were involved, among whom there were 12 males and 3 females, aged 28-45 years old (34 on average). There were 12 cases of fall ing injury and 3 cases of vehicle accident injury. The course of disease was 1-12 hours. A total of 2 cases were on the left side and 13 were on the right side. There were 14 cases
of anterior dislocation and 1 of posterior dislocation. Two patients were compl icated by acromioclavicular joint dislocation
with no pneumothorax, and 2 patients had a l ittle pleural effusion without any special treatment. As to the damage degree,
according to the Grade system, there were 2 cases of type II and 13 cases of type III. Results All patients’ incisions
obtained heal ing by first intention after operation. The X-ray films showed that the reduction of joint dislocation and the
location of internal fixation were good. All the 15 patients were followed up for 6-18 months (14 months on average). All cases were scored by Rockwood after the operation to assess the curative effect, with 12 excellent, 2 good and 1 fair. There was no wound infection, neurovascular injury, hemopneumothorax, internal fixation failure, redislocation or other side injuries. The anatomical structure as well as appearances and functions were restored. Conclusion The fixation of clavicular hook plate in treating ternoclavicular joint dislocation has superiority over other methods with more stabil ity, less risk and small chances of cardiovascular injury. Besides, the patients can do functional exercises early and the shoulder joint function can be improved to the maximal degree.

Citation： LIU Haibo,WANG Wenli,YE Hongwu,LI Xiaojun.. CLINICAL OBSERVATION OF STERNOCLAVICULAR JOINT DISLOCATION FIXED BY CLAVICULAR HOOKPLATE. Chinese Journal of Reparative and Reconstructive Surgery, 2008, 22(10): 1193-1195. doi: Copy