The sternoclavicular joint: a review of anatomy, injury and management

Q4 Medicine

Orthopaedics and Trauma Pub Date : 2023-10-01 DOI:10.1016/j.mporth.2023.07.010

Rosie Helen Broadbent, Sarah Mary Barkley, Margo Dirckx, Hassaan Sheikh

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引用次数: 0

Abstract

The sternoclavicular joint is the only true joint connecting the upper limb with the axial skeleton and is reliant on its capsular and ligamentous attachments for stability. Injuries to the sternoclavicular joint are uncommon and include sprains, dislocations, and fractures. Dislocations and medial clavicle fractures are often associated with high-energy trauma and can lead to life-threatening complications secondary to mediastinal injuries, particularly with posterior sternoclavicular joint dislocations. Given the rarity of these injuries, there are multiple case reports and retrospective studies detailing novel surgical techniques for managing injuries of the sternoclavicular joint and no single option has been implemented. We conducted a literature search on Medline, EMBASE and CINAHL to identify relevant articles focusing on sternoclavicular joint dislocation and subluxation, and medial clavicle fractures in adults. This review article aims to describe: the anatomy of the sternoclavicular joint; injuries including dislocation and medial clavicle fractures; and current investigation and management options including closed and open reduction techniques.

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胸锁关节:解剖学、损伤和治疗综述

胸锁关节是连接上肢和轴骨的唯一真正关节，它依赖于其囊和韧带附件来保持稳定性。胸锁关节损伤并不常见，包括扭伤、脱位和骨折。脱位和锁骨内侧骨折通常与高能创伤有关，并可能导致纵隔损伤继发的危及生命的并发症，尤其是胸锁后关节脱位。鉴于这些损伤的罕见性，有多份病例报告和回顾性研究详细介绍了治疗胸锁关节损伤的新手术技术，但没有实施单一的选择。我们对Medline、EMBASE和CINAHL进行了文献检索，以确定关注成人胸锁关节脱位和半脱位以及锁骨内侧骨折的相关文章。这篇综述文章旨在描述：胸锁关节的解剖学；损伤包括脱位和锁骨内侧骨折；以及目前的调查和管理选择，包括封闭式和开放式还原技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

1.00

自引率

0.00%

发文量

期刊介绍： Orthopaedics and Trauma presents a unique collection of International review articles summarizing the current state of knowledge and research in orthopaedics. Each issue focuses on a specific topic, discussed in depth in a mini-symposium; other articles cover the areas of basic science, medicine, children/adults, trauma, imaging and historical review. There is also an annotation, self-assessment questions and a second opinion section. In this way the entire postgraduate syllabus will be covered in a 4-year cycle.