Superior Sternoclavicular Dislocation Treated with Costoclavicular Ligament Reconstruction Using Autograft

Mamarelis, Georgios; Goldring, Michael; Srikantharajah, Delukshan; Tytherleigh-Strong, Graham

doi:10.2106/jbjs.cc.23.00192

Cited by 1 publication

(1 citation statement)

References 10 publications

(23 reference statements)

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“…Georgios et al used suture buttons to reduce and fix the sternoclavicular joint, with one button on the superior surface of the medial end of the clavicle and the other button on the anterior surface of the sternum; function was good at the 12-month follow-up. The use of suture buttons was also reported for superior dislocation, but its efficacy on posterior sternoclavicular joint dislocation remains uncertain [ 24 ]. Wire cerclage techniques were used to stabilize sternoclavicular joints during open reduction, resulting in satisfactory shoulder motion range.…”

Section: Discussionmentioning

confidence: 99%

Novel sternoclavicular hook plate for the treatment of posterior sternoclavicular dislocation: a retrospective study

Xin,

Wang,

Zhang

et al. 2023

J Orthop Surg Res

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Background Controversies regarding the optimal internal fixation method for posterior sternoclavicular dislocation (SCD) exist. Therefore, this study aimed to investigate the clinical efficacy of a new type of sternoclavicular hook plate for treating posterior SCD. Methods Eleven patients (eight men and three women) with posterior SCD who underwent treatment with the new sternoclavicular hook plate from June 2011 to January 2022 were retrospectively analyzed. The patients’ ages ranged from 33 to 71 years (54.91 ± 13.58 years). Operation time, blood loss, length of hospital stay, and postoperative complications were recorded. Postoperative joint reduction and healing were evaluated using radiography and computed tomography. The Constant–Murley and Rockwood sternoclavicular joint scores were used to evaluate the functional recovery of the affected limb 12 months after surgery. Results All 11 patients were followed up for 12–24 months (18.00 ± 3.74 months). All incisions healed by first intention. The healing time ranged from 9 to 13 days (10.82 ± 1.54 days), and the joint healing time was 3–4 months (3.55 ± 0.52 months). The operation time was 45–75 min (59.55 ± 11.06 min), intraoperative blood loss was 22–58 mL (39.91 ± 11.07 mL), and the length of hospitalization was 6–14 days (9.91 ± 3.27 days). There were no complications such as infections, internal fixation failure, or nerve injury. The Constant–Murley score was 93.64 ± 9.01 at 12 months postoperatively. The Rockwood score was 13.36 ± 1.86, of which nine cases were excellent, one case was good, and one case was fair. Conclusion The novel sternoclavicular hook plate is effective for the treatment of posterior SCD. This novel device can facilitate early joint functional exercises and good functional recovery.

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Section: Discussionmentioning

confidence: 99%