SURGICAL TREATMENT OF CHRONIC DISLOCATION OF THE STERNO-CLAVICULAR JOINT

摘要: The costo-clavicular ligament is always ruptured in dislocation at the sterno-clavicular joint. Anterior, superior or posterior displacement of medial end clavicle may occur. Acute usually responds to conservative treatment and operation seldom required. Chronic, recurrent, cause pain disability on strenuous activity necessitate surgical treatment. tenodesis subclavius tendon with capsulorrhaphy described by Burrows (1951) has been adopted. intraarticular meniscus often damaged displaced, block reduction; its removal then necessary. In addition, a threaded Steinmann pin transfixing joint found useful maintain stability reduction. performed five patients, four whom had excellent results. fifth patient disrupted repair drinking bout shortly after operation.