Operation for old sternoclavicular dislocation. Results in 12 cases

Abstract

Twelve patients were operated upon after unsuccessful conservative treatment for complete dislocation of the sternoclavicular joint. Three methods were used; stabilisation using fascial loops, reconstruction with a tendon graft, and resection of the sternal end of the clavicle. The results were good in only four patients, three treated with a tendon graft and one by fascial loops. Another four patients had fair results, but all four treated by resection of the medial end of the clavicle had poor results, with pain and weakness of the upper extremity. In our opinion resection of the sternal end of the clavicle should not be used in old traumatic dislocation.

Does Patient Sex Affect the Anatomic Relationships Between the Sternoclavicular Joint and Posterior Vascular Structures?

“…Various methods have been described, but biomechanical and clinical evidence [6,19,22] suggests that reconstruction of the ligamentous structures of the sternoclavicular joint is imperative for successful fixation. Others have suggested that the costoclavicular ligament represents the vital stabilizing structure [16,17], while others promote the importance of the capsule for limiting migration of the medial end of the clavicle [2,21].…”

Sterno clavicular joint dislocation: a case report of a surgical stabilization technique

“…Eskola et al [22] showed in their work that reconstruction of ligamentous structures with fascial loops [24] seems to give good results; Castropil et al and Martinez et al used semitendinosus and gracilis tendon autografting with good outcome, but with increased morbidity at donor site.…”

“…When also open reduction failed, a partial resection of medial end of clavicle without any further attempt at stabilization is the only way to ride even if with poor functional results [22,23].…”

Operative treatment of the painful sternoclavicular joint: A new technique using interpositional arthroplasty

“…This phenomenon also has been reported after partial or complete claviculectomy by a number of authors. 13,14,16,17,22,32,37 In 1997 Rockwood et al 33 described their surgical technique and the results in 8 patients treated with primary medial clavicle resection for painful SC joints. They developed the rating system used in this study for evaluation of the results of SC joint surgery.…”