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Related Experiment Videos

Traumatic manubriosternal dislocation.

Thomas Kälicke1, Thomas M Frangen, Ernst J Müller

  • 1Berufsgenossenschaftliche Kliniken Bergmannsheil, Chirurgische Klinik und Poliklinik, Universitätsklinik, Bürkle de la Camp Platz 1, 44789 Bochum, Germany. tkaelicke@compuserve.de

Archives of Orthopaedic and Trauma Surgery
|April 22, 2006
PubMed
Summary

Manubriosternal dislocation is a rare injury, often from indirect trauma. Plate osteosynthesis showed excellent long-term outcomes in two patients with this condition.

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Area of Science:

  • Orthopedics
  • Traumatology
  • Anatomy

Background:

  • Manubriosternal dislocation is an exceptionally rare injury, particularly from indirect compression.
  • Dislocations are classified as Type I (dorsal sternal displacement) or Type II (ventral displacement).

Observation:

  • Both direct (e.g., road accidents) and indirect trauma can cause manubriosternal dislocations.
  • Indirect trauma, often from spinal flexion-compression, typically results in Type II dislocations.
  • Rheumatic arthritis and kyphosis are predisposing factors for indirect injury-related dislocations.

Findings:

  • Non-operative treatments have a high rate of subluxation or reluxation, leading to chronic pain and deformity.
  • Plate osteosynthesis demonstrated very good, long-term postoperative outcomes in two treated patients.

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  • Optimal surgical procedures remain unstandardized due to the rarity of the condition.

    • Implications:

    • Effective management of manubriosternal dislocations is crucial to prevent chronic complications.
    • Plate osteosynthesis presents a promising surgical option for managing these rare injuries.
    • Further research is needed to establish standardized surgical protocols for manubriosternal dislocations.