【摘要】 目的 :通过对创伤性胸锁关节损伤解剖结构的改变、致伤机理、诊断及不同治疗方法的研究 ,而寻求一种简便、有效的治疗方法。方法 :69例 71个创伤性胸锁关节 ,其中半脱位 14个 ,新鲜脱位 3 6个 ,陈旧性脱位 13个 ,骨骺骨折8个 ,应用非手术治疗和手术治疗。随访 6～ 18个月。结果 :非手术治疗 48个关节 ,47个关节功能正常 ,不伴疼痛等不适 ;手术治疗 2 3个关节 ,17个关节功能正常 ,6个关节功能受限伴或不伴疼痛等不适。结论 :非手术治疗是创伤性胸锁关节损伤首选治疗方法 ,且新鲜损伤优于陈旧性损伤。因此对创伤性胸锁关节损伤要求尽早诊断及治疗 ,以提高治疗效果更多还原

【Abstract】 Objective: A more simple and effective treatment is sought to study the changes of anatomic structure,mechanisms of traumatic injury,diagnosis as well as different treatments.Methods:71 sternoclavicular joints (in 69 patients)that include subluxation(14 joints),acute joint dislocation (36 joints),chronic joint dislocation (13 jonts)and the epiphyseal fracture (8 joints)were treated by nonoperative or operative treatments.All the patients were followed-up (6-18months).Results:47 joints function are normal without pain and other complaints in 48 joints by nonoperative treatments.17 joints function are normal,but 6 joints movement have some restriction with or withot pain in the 23 sternoclavicular joints by operative treatments.Conclusion:Nonoperative treatment is not only the initial treatment of choice for traumatic sternoclavicular joint injuries,but also it is the first choice for most sternoclavicular joint injuries.The results in acute joint injuries are more excellent than chronic joint injuries and early diagnosis and treatment can result in a good long-term prognosis.更多还原