Surgical treatment of sternoclavicular joint dislocation
DOI:
https://doi.org/10.1016/j.rccot.2016.11.006Keywords:
sternoclavicular dislocation, surgical treatment, open reduction and internal fixation, functional resultsAbstract
Background: Sternoclavicular dislocation is a rare lesion among joint trauma. Conservative management is commonly described and suggested by means of closed reduction and subsequent immobilization of the affected limb. The aim of the study is to review the patient outcomes in patients surgically treated with blocked plates.
Materials and methods: A case-series descriptive study was carried out, describing the cases of patients diagnosed with sternoclavicular dislocation between 2009 and 2010. The Constant scale was applied to objectively evaluate the functional performance of each patient until complete rehabilitation.
Results: Four patients met the inclusion criteria of the study, 3 male patients and one female patient. Postoperative evaluation posed very good results, since when measuring the functionality with the scale of constant the results were superior to the 90 points in all the cases.
Discussion: The fixation with blocked plates of the sternoclavicular dislocation seems to have very good functional results, although given the small number of patients included in the series, its true advantages can not be definitively concluded.
Evidence level: IV.
Downloads
References
MacDonald PB, Lapointe P. Acromioclavicular and sternoclavicular joint injuries. Orthop Clin North Am. 2008;39:535-45 https://doi.org/10.1016/j.ocl.2008.05.003
Ferrera PC. May Wheeling H. sternoclavicular joint injuries. Am J Emerg Med. 2000;18:58-61. https://doi.org/10.1016/S0735-6757(00)90050-0
Jaggard MKJ, Gupte CM, Reilly P. A comprehensive review of trauma and disruption to the sternoclavicular joint with the proposal of a new classification system. J Trauma. 2009;66:576-84. https://doi.org/10.1097/TA.0b013e31817fd96b
Thomas DP, Davies A, Hoddinott HC. Posterior sternoclavicular dislocations -a diagnosis easily missed. Ann R Coll Surg Engl. 1999;81:201-4.
Al-Yassari G, Hetzenauer M, Tauber M, Resch H. Novel method to treat sterno-clavicular joint instability and medial clavicle fracture symptomatic nonunion. J Shoulder Elbow Surg. 2009;18:553-5. https://doi.org/10.1016/j.jse.2008.11.011
Yeh GL, Williams GR Jr. Conservative management of sternoclavicular injuries. Orthop Clin North Am. 2000;31:189-203. https://doi.org/10.1016/S0030-5898(05)70140-1
Netter FH, Greene WB. Sternoclavicular joint dislocation. Netter's Orthopaedics. Philadelphia: Saunders; 2006. Chapter 14.
Terry S, Beaty JH. Acute Dislocations Campbell's Operative Orthopaedics. 11.a ed. Philadelphia: Mosby; 2007. Chapter 57.
Laffosse JM, Espié A, Bonnevialle N, Mansat P, Tricoire JL, Bonnevialle P, et al. Posterior dislocation of the sternoclavicular joint and epiphyseal disruption of the medial clavicle with posterior displacement in sports participants. J Bone Joint Surg Br. 2010;92-B:103-9. https://doi.org/10.1302/0301-620X.92B1.22186
Burrows HJ. Tenodesis of subclavius in the treatment of recurrent dislocation of the sterno-clavicular joint. J Bone Joint Surg Br. 1951;33:240-3. https://doi.org/10.1302/0301-620X.33B2.240
Lunseth PA, Chapman KW, Frankel VH. Surgical treatment of chronic dislocation of the sterno-clavicular joint. J Bone Joint Surg Br. 1975;57:193-6. https://doi.org/10.1302/0301-620X.57B2.193
Abiddin Z, Sinopidis C, Grocock CJ, Yin Q, Frostick SP. Suture anchors for treatment of sternoclavicular joint instability. J Shoulder Elbow Surg. 2006;15:315-8. https://doi.org/10.1016/j.jse.2005.07.005
Rotini R, Guerra E, Bettelli G, Marinelli A, Frisoni T. Sternoclavicular joint dislocation: a case report of a surgical stabilization technique. Musculoskelet Surg. 2010;94 Suppl 1:S91-4. https://doi.org/10.1007/s12306-010-0069-4
Matus Jiménez J, Suárez Guerrero J, Torres León R. Plastia esternoclavicular en luxación esternoclavicular anterior en pediatría. Caso clínico, nueva técnica quirúrgica y revisión de la literatura. Acta Ortoped Mex. 2007;21:344-8.
Yian EH, Aarun J, Ramappa Ameberg O, Gerber C. The Constant score in normal shoulders. J Shoulder Elbow Surg. 2005;14:128-33. https://doi.org/10.1016/j.jse.2004.07.003
Kirkley A, Griffin S, Dainty K. Scoring systems for the functional assessment of the shoulder. Arthroscopy. 2003;19:1109-20. https://doi.org/10.1016/j.arthro.2003.10.030
Groh GI, Wirth MA. Management of traumatic sternoclavicular joint injuries. J Am Acad Orthop Surg. 2011;19:1-7. https://doi.org/10.5435/00124635-201101000-00001
Spencer EE Jr, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am. 2004;86:98-100. https://doi.org/10.2106/00004623-200401000-00015
Eskola A, Vainionpää S, Vastamäki M, Slätis P, Rokkanen P. Operation for old sternoclavicular dislocation: Results in 12 cases. J Bone Joint Surg Br. 1989;71:63-5. https://doi.org/10.1302/0301-620X.71B1.2915008
Wettstein M, Borens O, Garofalo R, et al. Anterior subluxation after reduction of a posterior traumatic sterno-calvicular dislocation: a case report and a review of the literature. Knee Surg Sports Traumatol Arthrosc. 2004;12:453-6. https://doi.org/10.1007/s00167-004-0504-x
Nettles JL, Linscheid RL. Sternoclavicular dislocations. J Trauma. 1968;8:158-63. https://doi.org/10.1097/00005373-196803000-00004
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Revista Colombiana de ortopedia y traumatología
This work is licensed under a Creative Commons Attribution 3.0 Unported License.
