The management of sternoclavicular instability

Athanatos, Lambros; Singh, Harvinder; Armstrong, Alison

doi:10.1016/j.jajs.2018.05.008

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Due to a lack of thorough literature on the issue, challenges in diagnosis, limitations of conventional radiography, unfamiliar anatomy, and complex biomechanics, it is a frequently neglected joint. [15] Since the posterior joint capsule is stronger and requires a 50% stronger power to dislocate the clavicle posteriorly, the SCJ joint is most frequently displaced anteriorly. [16,17] When an anterior SCJ dislocation reduces on its own, the arm is immobilized for 6 weeks while still in the sling in case the joint settles and stabilizes.…”

Section: Discussionmentioning

confidence: 99%

Is reconstructing anterior sternoclavicular joint dislocation by a high-strength tape suture a good choice?

Ibrahim

Elsherbiny

Farag

et al. 2023

JMSR

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Objectives: Sternoclavicular joint (SCJ) dislocation is uncommon but dangerous. Redislocation frequently occurs after manual reduction due to the torn ligaments of the joint with a high-energy injury, which is often the case. Reconstruction of the SCJ is recommended to avoid poor efficacy of conservative treatment and decreasing quality of life in the patient due to progressive pain limiting the movement of the shoulder girdle. Our study aimed to evaluate the efficacy, safety, and patient satisfaction using a high-strength non-absorbable tape suture to reconstruct the anterior SCJ dislocation. Methods: This study included ten patients (Nine males and one female) who presented with acute anterior dislocation of the SCJ (six on the right and four on the left side). Our patients’ average age was 40.1 years (18–52 years), with 12 months on average follow-up (9–18 months). Four patients had isolated anterior SCJ dislocation, while the others had associated injuries. Results: All patients had excellent functional and satisfactory outcomes and returned to the pre-injury activity level. No intraoperative or major post-operative complications were recorded, and no injuries to near structures or wound problems were noted. The mean improvement of physical function measured by the American shoulder and elbow score was 24.59, which increased from 68.11 ± 3.72 preoperatively to 92.70 ± 3.54 postoperatively. Conclusion: The technique of open reconstruction of anterior SCJ dislocation using high-strength nonabsorbable tape sutures is recommended because it gave us excellent results regarding the safety, functional outcome, patient satisfaction, and avoidance of other surgical site morbidities.

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Section: Discussionmentioning

confidence: 99%