Reconstruction for anterior sternoclavicular joint dislocation and instability

Guan, Jingjing; Wolf, Brian R.

doi:10.1016/j.jse.2012.07.009

Cited by 62 publications

(76 citation statements)

References 21 publications

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“…Despite a relatively low incidence of intraoperative neurovascular incident, anatomical studies display the close proximity of mediastinal structures to the SCJ, highlighting the potential risk which may have devastating consequences [15]. The majority of studies in the literature recommend having a cardiothoracic surgeon available for any open reduction of a posteriorly dislocated SCJ [6,8,10,15,17,24].…”

Section: Discussionmentioning

confidence: 99%

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Management and functional outcomes following sternoclavicular joint dislocation

Kirby

Edwards

Moaveni

2015

Injury

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Section: Discussionmentioning

confidence: 99%

“…The SCJ is classified as a diarthroidal saddle articulation and is made up of the clavicular notch of the manubrium and the medial clavicle [2,[9][10][11]. These two articular surfaces are incongruent with < 50% of the clavicular head actually contacting the notch rendering the joint potentially unstable [2,12,13] (see Fig.…”

Section: Introductionmentioning

confidence: 99%

Management and functional outcomes following sternoclavicular joint dislocation

Kirby

Edwards

Moaveni

2015

Injury

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“…Different operative options are described (11)(12)(13)(14)(15). That is why our study presents a case series of medial clavicular injuries (MCI) including etiology, patterns of injuries, concomitant injuries and our therapy strategies.…”

Section: Introductionmentioning

confidence: 99%

Injuries of the Medial Clavicle: A Cohort Analysis in a Level-I-Trauma-Center. Concomitant Injuries. Management. Classification

Bakır¹,

Merschin²,

Unterkofler³

et al. 2017

chr

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Introducere: Deşi leziunile la nivelul umărului sunt frecvente, cele ale claviculei mediane sunt prea puţin explorate. O clasificare aplicată este mai puţin utilizată ca management standard. Metode: O analiză retrospectivă a leziunilor claviculare medii (MCI) pe parcursul unui stagiu de tratament de 5 ani într-un Centru de Traumatologie de nivel 1. Am analizat, printre altele, leziunile concomitente, strategiile de terapie şi clasificarea conform standardelor AO. Rezultate: 19 (2,5%) din 759 de leziuni claviculare au fost mediale (11 fracturi de tip A, 6 B şi 2 C), dintre care 27,8% au fost deplasate şi drept urmare tratate chirurgical. Osteosinteza cu placă fixă a fost utilizată în fracturi instabile şi reconstrucţia ligamentelor în articulaţia sternoclaviculară (SCJ) în cazul întreruperii acestora. 84,2% dintre pacienţi au prezentat leziuni concomitente relevante. Numeroase fracturi de mediane au fost codificate greşit ca fracturi mediale, ceea ce a limitat populaţia de studiu Concluzii: MCI a rezultat din mecanisme de vătămare cu impact puternic, adesea cu dislocare semnificativă şi leziuni concomitente. În ceea ce priveşte complexitatea leziunilor mediale, tratamentul ar trebui efectuat în spitale specializate. Fracturile instabile şi leziunile ligamentelor SCJ trebuie luate în considerare pentru tratamentul chirurgical. Fracturile mediane ar trebui să se

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“…1,7,8,11,28 Most hardware fixation approaches have been strongly contraindicated secondary to hardware loosening and migration into mediastinal structures; but in the setting of acute trauma, provisional hardware has been used effectively in the treatment of irreducible or loosely reducible dislocation early in the healing process. 8,31 In the setting of chronic instability, ligamentous reconstruction by a figureof-8 technique has been shown to demonstrate superior stiffness and peak load properties compared with other reconstruction methods.…”

mentioning

confidence: 99%

“…28 Whereas several small case series have been published describing positive results with this technique, the authors are unaware of any series reporting the use of allograft tendon or tenodesis screw augmentation for ligamentous reconstruction of the SCJ. 11,19 The goal of this article was to report outcomes of 10 patients treated for symptomatic SCJ instability by a modified figure-of-8 allograft tendon technique with tenodesis screws.…”

mentioning

confidence: 99%