Traumatic manubriosternal dislocation

Kälicke, T.; Frangen, T.M.; Müller, Ernst; Muhr, G.; Hopf, F.

doi:10.1007/s00402-006-0145-2

Cited by 31 publications

(24 citation statements)

References 18 publications

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“…It may result from direct trauma, indirect trauma (eg, injuries of the lumbar or thoracolumbar spine), or chronic disease that causes marked thoracic kyphosis (eg, osteoporosis or rheumatoid arthritis). Although the sternal body is more commonly dislocated posteriorly (type 1), anterior dislocation (type 2) also may occur (65).…”

Section: Manubriosternal Dislocationmentioning

confidence: 98%

Imaging Appearances of the Sternum and Sternoclavicular Joints

Restrepo¹,

Martínez²,

Lemos³

et al. 2009

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174

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The sternum and sternoclavicular joints--critical structures of the anterior chest wall--may be affected by various anatomic anomalies and pathologic processes, some of which require treatment. Pectus excavatum and pectus carinatum are common congenital anomalies that are usually benign but may warrant surgical treatment if they cause compression of vital internal structures. By contrast, developmental variants such as the sternal foramen are asymptomatic and do not require further evaluation or treatment. Arthritides of the sternoclavicular joint (osteoarthritis, septic arthritis, and seronegative arthropathies) are common and must be differentiated before an appropriate management method can be selected. The recognition of complications of sternotomy (eg, sternal dehiscence, secondary osteomyelitis) is critical to avoid life-threatening sequelae such as acute mediastinitis. Likewise, the detection of sternal fractures and sternoclavicular dislocations is important, especially where they impinge on vital structures. In addition, sternal malignancies (most commonly, metastases and chondrosarcoma) must be distinguished from benign neoplasms. To achieve accurate and timely diagnoses that facilitate appropriate treatment, radiologists must be familiar with the appearances of these normal anatomic variants and diseases of the sternum.

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Section: Manubriosternal Dislocationmentioning

confidence: 98%

Imaging Appearances of the Sternum and Sternoclavicular Joints

Restrepo¹,

Martínez²,

Lemos³

et al. 2009

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174

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“…The persistence of pain and respiratory insuffi ciency, however, despite pharmacological therapy, persuades the patient to give informed consent for intervention. Nijs and Broos 6 in one patient and Kälicke et al 7 in two patients used an angular stable implant and an 8-hole one-third tubular plate, respectively, with very good postoperative and long-term results.…”

Section: Discussionmentioning

confidence: 97%

Use of demineralized bone matrix and plate for sternal stabilization after traumatic dislocation

Divisi

Crisci

2011

Gen Thorac Cardiovasc Surg

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Traumatic sternal segments dislocation is a rare pathology that is on the increase because of road accidents. Ideal treatment is controversial as it is a benign non-life-threatening lesion. The few cases reported in the literature do not shed light on any preferred procedure. In the present study, three patients were treated by surgical steel monofilament and eight by titanium screws and plates and demineralized bone matrix. The reduced hospitalization, rapid functional recovery, and excellent aesthetic results of the titanium patients make use of the surgical approach inevitable.

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“…Operative techniques, including plate and screw fixation, stabilisation using kwires or cerclage wires, Steinman nail fixation and external stabilisation, have been reported. [1,3].…”

Section: Discussionmentioning

confidence: 97%

“…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].…”

Section: Discussionmentioning

confidence: 98%

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Traumatic manubriosternal dislocation: an interesting case

Dhinsa

Jalgaonkar

Nawaz

et al. 2011

Eur Orthop Traumatol

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Introduction Manubriosternal joint dislocation is an uncommon injury. This condition may be predisposed by rheumatoid arthritis and severe kyphosis. Case report We report a case of a 61-year-old female with traumatic manubriosternal dislocation which was initially not diagnosed by the acute medical team. She presented with acute chest pain after being kicked by a horse. On examination, it was felt that whilst she had bruising on the right side of her chest indicative of possible rib fractures, and confirmed by standard anteroposterior chest X-ray, the central chest pain may be of cardiac cause. After thorough investigation, a cardiac cause had been ruled out, and a surgical opinion was requested due to unresolved thoracic pain. On full clinical examination, an obvious deformity of the sternum at the manubriosternal junction was seen. Lateral chest X-rays revealed anterior displacement of the body of the sternum, which has been treated conservatively with successful outcome. Conclusion It is important in such cases of thoracic trauma that a lateral view chest X-ray is performed as the anteroposterior view is not sufficient to evaluate thoracic injuries.

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Traumatic manubriosternal dislocation

Cited by 31 publications

References 18 publications

Imaging Appearances of the Sternum and Sternoclavicular Joints

Imaging Appearances of the Sternum and Sternoclavicular Joints

Use of demineralized bone matrix and plate for sternal stabilization after traumatic dislocation

Traumatic manubriosternal dislocation: an interesting case

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