Long-term outcome after joint reconstruction or medial resection arthroplasty for anterior SCJ instability

Panzica, Martin; Zeichen, J.; Hankemeier, Stefan; Gaulke, Ralph; Krettek, Christian; Jagodzinski, Michael

doi:10.1007/s00402-009-0911-z

Cited by 57 publications

(64 citation statements)

References 33 publications

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“…17,20 Clavicle shortening in subjects with complex comminuted fractures (type 2B2) is a concern with TEN fixation because of potential overlapping of the fracture sites. The TEN is a flexible nail lacking arm leverage sufficient to resist the bending forces produced at a comminuted fracture site (Fig.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Tarng

Yang

Fang

et al. 2012

Journal of Shoulder and Elbow Surgery

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Section: Discussionmentioning

confidence: 99%

Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Tarng

Yang

Fang

et al. 2012

Journal of Shoulder and Elbow Surgery

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“…Again, all 8 patients were completely satisfied with the result at a mean follow-up of 31 months. In patients with anterior instability, Panzica et al 3 also reported good to excellent outcomes in 6 patients treated with open resection arthroplasty with a mean follow-up of 9.9 years.…”

Section: Discussionmentioning

confidence: 97%

Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report

Warth

Lee

Campbell

et al. 2014

Arthroscopy Techniques

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Open resection arthroplasty of the sternoclavicular (SC) joint has historically provided good long-term results in patients with symptomatic osteoarthritis of the SC joint. However, the procedure is rarely performed because of the risk of injury to vital mediastinal structures and concern regarding postoperative joint instability. Arthroscopic decompression of the SC joint has therefore emerged as a potential treatment option because of many recognized advantages including minimal tissue dissection, maintenance of joint stability, avoidance of posterior SC joint dissection, expeditious recovery, and improved cosmesis. There are, however, safety concerns given the proximity of neurovascular structures. In this article we demonstrate a technique for arthroscopic SC joint resection arthroplasty in a 26-year-old active man with bilateral, painful, idiopathic degenerative SC joint osteoarthritis. This case also highlights the pearls and pitfalls of arthroscopic resection arthroplasty for the SC joint. There were no perioperative complications. Four months postoperatively, the patient had returned to full activities, including weightlifting, without pain or evidence of SC joint instability. One year postoperatively, the patient showed substantial improvements in the American Shoulder and Elbow Surgeons score; Single Assessment Numeric Evaluation score; Quick Disabilities of the Arm, Shoulder and Hand score; and Short Form 12 Physical Component Summary score over preoperative baseline values.

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“…Open reduction should be considered when closed reduction and nonoperative treatment have failed. Indications for open reduction are recurrent posterior luxations and anterior luxations with pain, discomfort, and persistent instability [12,13,15,17]. Habitual luxations, caused by general hyperlaxity, should be distinguished from luxations caused by previous trauma and should be treated nonoperatively [16,18].…”

Section: Introductionmentioning

confidence: 99%

“…There are numerous treatment options described in the literature [1-4, 7, 9, 10, 12, 13, 17, 18, 23], but studies reporting the results of different techniques are few and mostly outdated [1,3,4,9,12,17]. Therefore, there is no favorable surgical treatment for sternoclavicular luxations when nonoperative treatment has failed.…”

Section: Introductionmentioning

confidence: 99%

Surgical Technique: Results of Stabilization of Sternoclavicular Joint Luxations Using a Polydioxanone Envelope Plasty

Gardeniers

Burgemeester

Luttjeboer

2013

Clinical Orthopaedics &Amp; Related Research

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Background Surgical treatment options for sternoclavicular joint luxations described in the literature are numerous, although all have limitations. Therefore, there is no favorable surgical treatment for sternoclavicular luxations when nonoperative treatment has failed. Description of Technique We developed the polydioxanone (PDS) envelope plasty, a modification of the figureof-eight technique, using a PDS ligament. Methods We retrospectively reviewed 39 patients (40 joints), treated with a PDS envelope plasty for invalidating sternoclavicular luxations. The minimum followup was 10 months (average, 52 months; range, 10-171 months). The Simple Shoulder Test (SST), Constant-Murley shoulder score, and subjective categorical results were recorded preoperatively and postoperatively. Results In most patients, postoperative functional shoulder scores were excellent (mean Constant-Murley score, 90, range, 52-100; mean SST, 10; range, 2-12). Ninety percent of patients had an improvement of shoulder function at followup. Only minor complications occurred.

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Long-term outcome after joint reconstruction or medial resection arthroplasty for anterior SCJ instability

Abstract: We concluded that patient selection and a specific clinical indication for operative treatment are crucial. Resection of the medial clavicle results in good functional outcome when the costoclavicular ligament is preserved or reconstructed.

Cited by 57 publications

References 33 publications

Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Surgical management of uncomplicated midshaft clavicle fractures: a comparison between titanium elastic nails and small reconstruction plates

Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report

Surgical Technique: Results of Stabilization of Sternoclavicular Joint Luxations Using a Polydioxanone Envelope Plasty

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