Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center

doi:10.5847/wjem.j.1920-8642.2025.047

World Journal of Emergency Medicine ›› 2025, Vol. 16 ›› Issue (3): 273-276.doi: 10.5847/wjem.j.1920-8642.2025.047

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Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center

Pengchao Guo¹, Nan Li², Huiming Zhong¹, Guangfeng Zhao¹, Zhijun Pan³()

¹Department of Emergency Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
²Department of Plastic Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
³Department of Orthopedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China

Received:2024-10-06 Accepted:2025-01-26 Online:2025-05-19 Published:2025-05-01
Contact: Zhijun Pan, Email: zrpzj@zju.edu.cn

Abstract

Pengchao Guo, Nan Li, Huiming Zhong, Guangfeng Zhao, Zhijun Pan. Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center[J]. World Journal of Emergency Medicine, 2025, 16(3): 273-276.

Figures/Tables 2

Table 1.

Figure 1.

References 21

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Characteristics	Sternoclavicular hook plate group (n=19)	Non-sternoclavicular hook plate group (n=23)	P-value
Age, years, mean±SD	49.7±15.6	44.2±15.5	0.682
Sex, n (%)			0.414
Male	9 (47.4)	11 (47.8)
Female	10 (52.6)	13 (52.2)
Injury severity score, n (%)			0.849
16-25	11 (57.9)	14 (60.9)
>25	8 (42.1)	9 (39.1)
Classification, n (%)			0.184
Edinburgh type 1B1	4 (21.1)	10 (43.5)
Edinburgh type 1B2	8 (42.1)	7 (30.4)
Dislocation, n (%)	7 (36.8)	6 (26.1)
Operative time, min, mean±SD	73.4±7.1	69.1±11.8	0.058
Intraoperative blood loss, mL, mean±SD	61.1±9.9	59.5±11.1	0.510
Incision length, cm, mean±SD	11.7±1.7	11.6±1.4	0.253
Follow-up, months, mean±SD	14.3±3.9	16.1±3.9	0.555
Postoperative posterior extension angle, °, mean±SD	49.7±7.3	52.0±6.3	0.907
Postoperative external rotation angle, °, mean±SD	154.7±15.7	138.7±23.2	0.008^*
Postoperative Constant-Murley score, mean±SD	88.3±13.5	80.6±16.6	0.049^*
Postoperative American Shoulder and Elbow Surgeons score, mean±SD	89.1±13.8	80.1±16.9	0.028^*
Postoperative patient satisfaction, %, mean±SD	95.7±2.2	91.4±7.1	0.022^*
Implant removal, n (%)	11 (57.9)	17 (73.9)	0.279
Complications, n (%)	2 (10.5)	8 (34.8)	0.070
Redislocation	1 (5.2)	3 (13.0)
Nonunion	1 (5.2)	5 (21.7)

Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center

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