Lesão oculta da articulação manúbrio-esternal associada à fratura da coluna torácica

Herrero, Carlos Fernando Pereira da Silva; Porto, Maximiliano Aguiar; Nogueira-Barbosa, Marcello Henrique; Defino, Helton Luíz Aparecido

doi:10.1590/s0102-36162011000200017

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…The conservative treatment is associated with significant rates of recurrent subluxations or luxations, and can lead to chronic pain, periarticular calcification and progressive deformity. [7] However, there are reports demonstrating good outcomes with conservative treatment that is carried out only with observation of the lesion or manipulations to obtain a reduction (Table 1). [6,18,19] Decisions to pursue surgery should take into account the stability of the joint, the overall health of the patient and associated injuries, patient preference, and the experience of the surgeon.…”

Section: Resultsmentioning

confidence: 99%

New reduction technique simplified for surgical stabilisation of isolated manubriosternal dislocation: A case report and literature review

Razafimanjato

Rabezanahary

Ratsimarisolo

et al. 2020

Afr J Thorac Crit Care Med

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Manubriosternal joint (MSJ) dislocation is often poorly tolerated, with pain, and both static and dynamic dysfunction in breathing. This injury is rare, and treatment includes both surgical and non-surgical interventions. Moreover, the treatment needs to be personalised to a specific case. We present a case of a 19-year-old Comorian man who had chest pains that were exacerbated by movements after falling from a tree. Careful physical examination revealed that the man had a 'stair step'-looking deformity located at the anterior chest wall at the level of the MSJ. A computed tomography scan confirmed the diagnosis of manubriosternal disruption. The patient underwent a surgical intervention under general anaesthesia and had an uneventful recovery.

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Section: Resultsmentioning

confidence: 99%

New reduction technique simplified for surgical stabilisation of isolated manubriosternal dislocation: A case report and literature review

Razafimanjato

Rabezanahary

Ratsimarisolo

et al. 2020

Afr J Thorac Crit Care Med

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show abstract

“…In our table, most patients had type 2 dislocation of manubriosternal joint and thoracic fracture. Some studies recommended conservation treatment for sternal fracture and MSJ dislocation [7, 8, 13]; while others prefered to open reduction and fixation [5, 9–12]. In Jones’s study [9], they had patients combined with MSJ dislocation and lower cervical and lumbar fractures.…”

Section: Discussionmentioning

confidence: 99%

Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report

Jiang

Chen

et al. 2019

BMC Surg

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Background Spine fractures combined with sternal injury are most commonly occur in the thoracic region. Lower cervical and thoracolumbar injuries have also been reported, especially for the patients with manubriosternal dislocation. The type of spine injury is easily recognized in initial presentation, but we may miss the sternal fracture and manubriosternal dislocation. Case presentation A 23-year-old male patient complained with chest, right ankle, and lumbar pain after a fall at ground level, with diagnosis of right distal tibial fracture, sternal fracture, calcaneus fracture, and L2 vertebral fracture. However, neurologically he was completely normal. He underwent the operation for his lower extremity and spine, but we missed his manubriosternal dislocation after discharged. After one month, he came to the clinic with complained of chest pain, the imaging exams showed anterior dislocation of manubriosternal joint. We chose conservative treatment for manubriosternal dislocation. He was followed up at monthly intervals and radiographs along with computerized tomography showed satisfactory in fracture healing of lumber and the sternal fracture. However, the manubriosternal dislocation was malunioned. The patient had appearance deformity of the manubriosternal joint. Conclusion This case supports the concept of the existence and clinical relevance of the thoracic cage theory, the thoracolumbar vertebrae should also be included in the thoracic cage theory.

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Lesão oculta da articulação manúbrio-esternal associada à fratura da coluna torácica

Cited by 2 publications

References 10 publications

New reduction technique simplified for surgical stabilisation of isolated manubriosternal dislocation: A case report and literature review

New reduction technique simplified for surgical stabilisation of isolated manubriosternal dislocation: A case report and literature review

Missed manubriosternal dislocation in patient with thoracolumbar fracture, a case report

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