自然整復された胸鎖関節後方脱臼の一例
スポンサーリンク
概要
- 論文の詳細を見る
68-year-old man who was brought to our hospital after a motorcycle crash complained of difficulty breathing, right chest pain, and right shoulder pain. An anteroposterior roentgenogram of the chest revealed a markedly inferior displacement of the medial end of theright clavicle as well as subcutaneous emphysema. Computed tomography (CT) demonstrated left multiple rib fractures, posterior dislocation of the medial end of the right clavicle with compression of the adjacent structures, and mediastinal emphysema. We consulted with an anesthetist and a thoracic specialist about immediate reduction of posterior dislocation of the medial end of the clavicle. They suggested that they had to confirm whether there was a serious injury to the trachea before administering general anaesthesia, because mediastinal emphysema was present. They suggested delayed bronchoscopy for fear that further fatal injuries to the trachea, which might already exist, by emergency bronchoscopy were induced. Because the patient complained of dyspnea after the bronchoscopy on the third day, an anteroposterior roentgenogram of the chest was taken. It showed a normal relationship between the medial end of the right clavicle and the sternum, although the subcutaneous emphysema had increased and a right pneumothorax was present. A chest tube was inserted to treat the increased pneumothorax. CT showed a complete reduction of the dislocation of the right sternoclavicular joint. A follow-up evaluation 1 year later showed complete resolution of the pain with normal shoulder motion and no limitation.Posterior sternoclavicular dislocation is a rare injury. To our knowledge, there are no reports of an unexpected reduction of posterior sternoclavicular dislocation. Therefore, this report appears to be the first documented case of unexpected reduction of a posterior sternoclavicular dislocation. A mechanism for the unexpected reduction of the dislocation was proposed.
- 日本肩関節学会の論文
- 2008-06-30
著者
関連論文
- 外傷性肩関節脱臼に合併した腕神経叢損傷症例の検討
- 月状骨周囲脱臼の治療経験
- 鏡視下腱板縫合術のラーニングカーブ
- ロッキングを呈した膝関節限局型色素性絨毛結節性滑膜炎の2例
- 肩関節色素性絨毛結節性滑膜炎に対する鏡視下手術の1例
- 経験と考察 踵骨骨折治療後遺残痛に対する距踵関節鏡視下デブリドマンの経験
- 大腿骨近位部骨折における術後深部静脈血栓症と D-dimer について
- 月状骨周囲脱臼の治療経験
- 自然整復された胸鎖関節後方脱臼の一例
- 臨床室 距骨に発生した類骨骨腫の1例
- 肩腱板断裂に対する鏡視下腱板修復術の治療成績
- 鏡視下腱板修復術後の再断裂に関与する因子の検討
- 成人上腕骨顆部骨折に対する LCP distal humerus plate の使用経験
- 舟状骨偽関節に伴う変形性手関節症に対する部分手関節固定術の治療成績
- 先天性内反足治療後の距骨下関節および距腿関節形態の関連性について
- 遠位脛腓関節部に主病巣を有した足関節色素性絨毛結節性滑膜炎の一例
- 症例報告 踵骨骨折術後骨髄炎に対する鏡視下手術の1例
- 症例報告 肩関節に発生した滑膜骨軟骨腫症に対し鏡視下手術を施行した1例
- Acutrak screw を用いた鏡視下足関節固定術の小経験