Operative Reduction and Fixation of a Sternomanubrial Dislocation: A Case Report and Literature Review

• Published in: Journal of orthopaedics, trauma and rehabilitation trauma and rehabilitation, 2017-12, Vol.23 (1), p.1-4
• Main Authors: Wood, Thomas J., Stephens, Kellee, Denkers, Matthew
• Format: Article
• Language: English
• Subjects: dislocation; fixation; orthopedics; sternomanubrial; trauma
• ISSN: 2210-4917; 2210-4925
• DOI: 10.1016/j.jotr.2016.08.001

A dislocation of the sternomanubrial joint is a rare injury with varied treatment methods including both nonoperative and operative described methods. There is a paucity of literature regarding the optimal method of treatment as well as a lack of consensus on the best surgical construct. This case demonstrates the successful use of dual locking plate fixation for an acute type II sternomanubrial dislocation in a 22-year-old man. In principle, locking plate fixation affords greater unicortical fixation than traditional nonlocking fixation, and allows for minimising the risk of damage to pulmonary tree structures. The patient achieved good pain relief and regained physical function. 胸骨柄錯位是罕見的創傷，有很多不同的治療方法，包括非手術和手術的方法。 討論什麼是最佳的治療方法，以及公認最佳的外科手術的文獻很少。本病例說明如何在一個22歲患有急性II型胸骨柄錯位的男性病人身上，應用雙鎖定綱板固定手術。原則上，鎖定綱板固定法提供比傳統的非鎖定綱板固定法更大的單側固定，並且允許減少對肺結構造成損害的風險。病人最終獲得了良好的疼痛緩解並恢復身體功能。