Sternoclavicular dislocation: case report and surgical technique
Bernardo Barcellos Terra1, Leandro Marano Rodrigues1, David Victoria Hoffmann Pádua1
1Hospital Santa Casa de Misericórdia de Vitória, Vitória, ES, Brazil.
Revista Brasileira De Ortopedia
|September 25, 2015
Summary
This case report details successful surgical reconstruction for chronic anterior sternoclavicular joint instability using the long palmar tendon graft. The modified "figure of eight" technique allowed a motocross competitor to return to racing.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Sternoclavicular (SC) joint dislocations are rare, accounting for <5% of scapular belt dislocations.
- While most anterior SC dislocations are asymptomatic, some lead to chronic instability requiring surgical intervention.
- Literature on long palmar tendon reconstruction for traumatic anterior SC instability is scarce.
Observation:
- A 33-year-old motocross competitor presented with chronic anterior sternoclavicular joint instability after a fall.
- Initial conservative treatment included a sling and physiotherapy for 3 months without full symptom resolution.
- Surgical reconstruction utilized a modified
- Findings
- Implications
Findings:
- A modified
- The patient experienced no pain or instability at 6 months post-operation, enabling a return to competitive motocross.
- Minor residual discomfort and prominence did not impede functional recovery or athletic performance.
Implications:
- This case demonstrates the safety and efficacy of autogenous long palmar tendon graft reconstruction for chronic anterior SC joint instability.
- The modified
