[Inveterate dislocation fracture of the sternoclavicular joint]
K Koudela1, J Koudelová, V Šimánek
1Klinika ortopedie a traumatologie pohybového ústrojí FN a LF UK Plzeň
Summary
This case report details a late diagnosis of retrosternal sternoclavicular joint dislocation in a young man. Surgical reconstruction of the sternoclavicular ligament led to excellent functional outcomes and joint stability.
Area of Science:
- Orthopedics
- Traumatology
- Sports Medicine
Background:
- Retrosternal dislocation of the sternoclavicular joint is a rare injury, often presenting with delayed diagnosis.
- Symptoms can be non-specific, such as activity-related dysphagia, delaying diagnosis.
Purpose of the Study:
- To report a case of late-diagnosed retrosternal sternoclavicular joint dislocation with clavicle fracture.
- To describe the surgical management and outcomes of this rare injury.
Main Methods:
- Computed tomography (CT) scan for diagnosis.
- Initial surgical fixation of the medial clavicular end fragment.
- Revision surgery involving sternoclavicular ligament reconstruction with a semitendinosus tendon graft and augmentation with sutures.
Main Results:
- Initial surgery misidentified the sternoclavicular joint, requiring revision.
- Revision surgery successfully reconstructed the sternoclavicular ligament.
- Excellent functional outcome and sternoclavicular joint stability were achieved at 2 years post-surgery.
Conclusions:
- Late-diagnosed retrosternal sternoclavicular joint dislocation requires complex surgical management.
- Sternoclavicular ligament reconstruction can restore excellent function and stability.
- Accurate anatomical identification is crucial during sternoclavicular joint surgery.
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