胸鎖関節後方脱臼の２例

概要

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Dislocation of sternoclaviclar joint is rare. We reported two cases of traumatic posterior dislocation of sternoclaviclur joint.The first patient was a 17-years-old man who sustained his left shoulder by the collision played soccer and collided with other player. Immediately he noticed his left chest pain and motor disturbance of left shoulder joint. CT showed posterior dislocation of left sternoclavicular joint, and it had pressed the trachea. A vessel ultrasonography showed compressed left subclavian vein. We performed manual reduction under general anesthesia and repaired ligaments. The second patient was a 35-years-old man. He fell running at the athletic meet, and hit hard on his left shoulder. We made the diagnosis of posterior dislocation of left sternoclaviclar joint with a CT. We performed open reduction and internal fixation sternoclaviclar joint with a K-wire. It is necessary to take care about the damage of mediastinum organs.
中国・四国整形外科学会の論文