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Sterno-manubrial dislocation in a 9-year-old gymnast
1Department of Traumatology, University Hospital Gasthuisberg, Leuven, Belgium. stefaan.nijs@uz.kuleuven.ac.be
Acta Chirurgica Belgica
|September 28, 2005
Summary
This case report details a rare posterior sternomanubrial dislocation in a child, successfully treated with open reduction and angular stable plate fixation. This innovative technique provided stability and rapid recovery, allowing the young athlete to return to sports.
Area of Science:
- Pediatric Orthopedics
- Trauma Surgery
- Sports Medicine
Background:
- Sternal segment dislocations are exceptionally rare in pediatric patients, with only seven cases of sternomanubrial dislocations previously documented.
- This report focuses on a unique instance of posterior sternomanubrial dislocation in a 9-year-old gymnast.
Observation:
- The patient, a 9-year-old gymnast, experienced a posterior sternomanubrial dislocation while training on parallel bars.
- Symptoms included significant pain and respiratory distress, necessitating immediate intervention.
Findings:
- Open reduction and stabilization using an angular stable implant were performed due to the severity of symptoms.
- This surgical approach, novel for this condition, offered high stability and minimized the risk of iatrogenic retrosternal injury.
- Immediate symptom relief was observed post-stabilization.
Implications:
- The described plate stabilization technique offers a promising solution for posterior sternomanubrial dislocations in children.
- Prompt surgical intervention facilitated a rapid return to pre-injury sporting activities.
- This case expands the understanding and treatment options for rare pediatric sternal injuries.