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Management and functional outcomes following sternoclavicular joint dislocation.
J C Kirby1, E Edwards1, A Kamali Moaveni1
1Department of Orthopaedic Surgery, The Alfred Hospital, Melbourne, VIC, Australia.
Injury
|July 15, 2015
Summary
This study on sternoclavicular joint (SCJ) dislocations found excellent functional outcomes with both closed and open reduction. Management should prioritize closed reduction, followed by surgical intervention if instability or malreduction is present.
Area of Science:
- Orthopedic Surgery
- Trauma Management
Background:
- Sternoclavicular joint (SCJ) dislocations are complex injuries.
- Understanding demographics, management, and functional outcomes is crucial for patient care.
Purpose of the Study:
- To describe the characteristics and outcomes of SCJ dislocations.
- To evaluate the effectiveness of different management strategies for SCJ dislocations.
Main Methods:
- Retrospective review of 22 patients with SCJ dislocations (2004-2012).
- Data collected included demographics, injury details, management (closed reduction, open reduction internal fixation, expectant), and functional outcomes via validated questionnaires (ASES, SSV).
Main Results:
- 77% of dislocations were posterior; mean age was 30.
- Direct blows during sports were the most common cause.
- 87.5% of patients achieved excellent functional scores (ASES, SSV >80).
- No post-operative neurovascular compromise or functional deficit was observed.
Conclusions:
- This study represents the largest single-institution case series on SCJ dislocations.
- Recommend initial closed reduction, with open reduction and internal fixation for instability or malreduction.
- Both closed and open reduction yield excellent functional outcomes for SCJ dislocations.
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