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Arch Orthop Trauma Surg. 2017 Mar;137(3):341-345. doi: 10.1007/s00402-017-2632-z. Epub 2017 Jan 21.

Repair of sternoclavicular joint dislocations with FiberWire®.

Author information

1
Division of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
2
Division of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland. ralph.schmid@insel.ch.

Abstract

PURPOSE:

Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.

METHODS:

Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9-48) and included clinical evaluation and the use of the DASH questionnaire.

RESULTS:

Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.

CONCLUSIONS:

The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.

KEYWORDS:

Costoclavicular reconstruction; Open reduction; Reconstruction approach, sternoclavicular injury; Sternoclavicular reconstruction; Trauma

PMID:
28110364
DOI:
10.1007/s00402-017-2632-z
[Indexed for MEDLINE]

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