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Operation for old sternoclavicular dislocation. Results in 12 cases.

A Eskola1, S Vainionpää, M Vastamäki

  • 1Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.

The Journal of Bone and Joint Surgery. British Volume
|January 1, 1989
PubMed
Summary

Surgical repair of complete sternoclavicular joint dislocation yielded best results with tendon grafts or fascial loops. Resection of the clavicle

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Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Complete sternoclavicular joint dislocation often requires surgical intervention when conservative treatments fail.
  • Evaluating surgical techniques for sternoclavicular joint dislocation is crucial for improving patient outcomes.

Purpose of the Study:

  • To compare the effectiveness of different surgical methods for treating complete sternoclavicular joint dislocation.

Main Methods:

  • Twelve patients with complete sternoclavicular joint dislocation underwent surgery.
  • Surgical techniques included fascial loop stabilization, tendon graft reconstruction, and clavicle resection.

Main Results:

  • Good outcomes were achieved in four patients (three tendon graft, one fascial loop).

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  • Fair results were observed in four patients.
  • Poor results, including pain and weakness, occurred in all four patients who underwent clavicle resection.

    • Conclusions:

    • Tendon graft reconstruction and fascial loop stabilization are superior to clavicle resection for managing complete sternoclavicular joint dislocation.
    • Clavicle resection is not recommended for old traumatic dislocations due to poor outcomes.