Arthroscopic treatment of sternoclavicular joint osteoarthritis
10.3760/cma.j.cn112434-20230630-00134
- VernacularTitle:胸锁关节骨性关节炎的关节镜治疗研究
- Author:
Hao XIE
1
;
Bowen LI
;
Fangfang DUAN
;
Qiang ZHANG
Author Information
1. 首都医科大学附属北京积水潭医院胸外科，北京 100035
- Keywords:
Sternoclavicular joint;
Osteoarthritis;
Arthroscope
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(12):754-757
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To report the results of a study of 7 patients with osteoarthritis who underwent arthroscopic sternoclavicular arthroplasty in response to conservative treatment.Methods:Arthroscopic sternoclavicular arthroplasty was performed in 7 patients with sternoclavicular osteoarthritis. There were 3 males and 4 females.The age ranges from 34 to 62, with an average age of 43. Patients were evaluated before surgery and at follow-up using the Constant score and Rockwood sternoclavicular joint score system. The postoperative follow-up lasted from 1 to 10 months, with an average of 3.7 months. The surgery was performed under general anesthesia without shoulder joint fixation.Results:All patients recovered preoperative function or full activity within 2 weeks after operation. At the last follow-up, 6 patients had no pain and 1 had mild tension after activity. The median Constant score increased from 69.6 (62-80) to 94.3 (88-96); The median Rockwood score increased from 5.7 (on a scale of 3 to 8) to 14.3 (on a scale of 12 to 15)(maximum 15). Clinical efficacy: All 7 cases were excellent (13-15 points). There were no complications, especially no problems with joint stability.Conclusion:Arthroscopic sternoclavicular arthroplasty is a new method for the treatment of sternoclavicular osteoarthritis which failed to respond to conservative treatment.
