Die sternoklavikuläre Luxation

Abstract

Distorsions of the sternoclavicular joints are probably underdiagnosed and often mildly symptomatic. Conservative treatment usually leads to satisfying functional results with significant pain reduction. Non-reducible dislocations and dislocation fractures have to be treated operatively. Many different open procedures have been described, such as ligament reconstructions and osteosynthesis. The postoperative results are generally good, but operative treatment may be difficult and at risk for complications. Indications for operative treatment of joint subluxation should be strictly limited because of the high risk of accompanying neurovascular impairment during manipulation and fixation.