Rehabilitation of an Elite Gymnast With a Type II Manubriosternal Dislocation

Abstract

This case report shows that, after a 13-week regimen of progressive and repetitive, cyclical tensile and compressive loading, the manubriosternal joint was stable, and the elite gymnast was able to return to the sport, successfully competing in a regional competition.

Traumatic manubriosternal dislocation: an interesting case

“…With these methods, there is an increased risk of pulmonary complications. Favourable outcome has also been reported by Pidcoe et al [4] with conservative management following a 13-week rehabilitation programme.…”

“…As manubriosternal dislocation is rare, optimal standardised treatment has not been agreed, and controversy exists regarding the management of these injuries [1][2][3][4].…”

“…Non-operative treatment options include manual reduction, plaster bandages, correction tapes and symptomatic pain relief [2][3][4]. With these methods, there is an increased risk of pulmonary complications.…”

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

“…The conservative treatment is associated with significant rates of recurrent subluxations or luxations, and can lead to chronic pain, periarticular calcification and progressive deformity (17) . However, there are reports of good results with conservative treatment, carried out only with observation of the lesion or manipulations to obtain the reduction (18)(19)(20)(21) . Surgical treatment can be a good option if the reduction is not successful, or the instability continues after reduction of the manubriosternal joint.…”

Manubriosternal dislocation type II associated with thoracic spine fracture: What can we learn from this?

“…Woo [17] reported on the conservative treatment of manubriosternal dislocation, consisting of manipulative hyperflexion reduction and rest, but no prognosis for this method of treatment was provided. [18] Similarly, Pidcoe et al [18] suggested rehabilitation of type II manubriosternal dislocation consisting of progressive compressive and tensile loads placed on the non-union, which appears to stimulate the recovery process. [18] This technique is called 'distraction osteogenesis' , and is indicated favourably for the treatment of pseudarthrosis or malunion of dislocation.…”