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Ledge plating technique for unstable posterior sternoclavicular dislocation.

Scott E Hecox¹, George W Wood

¹Department of Orthopaedic Surgery, University of Tennessee-Campbell Clinic, Memphis, TN 38104, USA. shecox@utmem.edu

Journal of Orthopaedic Trauma

|March 26, 2010

Summary

A novel "ledge plating" technique effectively treated two unstable posterior sternoclavicular joint dislocations. This method prevents dislocation recurrence, enabling early patient rehabilitation and motion.

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Area of Science:

Orthopedic Surgery
Traumatology
Skeletal System Anatomy

Background:

Sternoclavicular joint dislocations are challenging injuries.
Unstable posterior dislocations require robust fixation for successful outcomes.

Purpose of the Study:

To evaluate the efficacy of a novel "ledge plating" technique for treating unstable posterior sternoclavicular joint dislocations.
To assess the safety and simplicity of this surgical approach.

Main Methods:

Retrospective review of eight sternoclavicular joint dislocations over 18 months.
Detailed analysis of two unstable posterior dislocations treated with the "ledge plating" technique.

Main Results:

The "ledge plating" technique was successfully applied in two cases of unstable posterior sternoclavicular joint dislocation.

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The technique prevented posterior loss of reduction without necessitating wires or pins.

Adequate stability was achieved, facilitating early motion and rehabilitation.

Conclusions:

The "ledge plating" technique is a safe, simple, and effective method for managing unstable posterior sternoclavicular joint dislocations.
This approach offers sufficient stability for early mobilization, improving patient recovery.