Locking plate for treating traumatic sternoclavicular joint dislocation: a case series.

Area of Science:

• Orthopedic Surgery
• Trauma Management
• Skeletal Reconstruction

Background:

• Traumatic sternoclavicular joint dislocations are uncommon injuries.
• Closed reduction is the initial treatment, but surgical intervention may be necessary.
• Surgical treatment is indicated for failed closed reduction or significant skin compromise.

Purpose of the Study:

• To evaluate the efficacy and safety of open reduction and fixation with a single locking plate for traumatic sternoclavicular joint dislocations.
• To assess patient outcomes using validated scoring systems.

Main Methods:

• A retrospective review of 5 patients who underwent open reduction and fixation for sternoclavicular joint dislocation.
• Fixation was achieved using a single 3.5-mm locking plate.
• Outcomes were assessed using the Constant Shoulder Score (CSS) and Disability of the Arm, Shoulder, and Hand (DASH) questionnaire.

Main Results:

• The average follow-up was 14 months.
• Mean CSS score was 89.5 and mean DASH score was 9.0.
• No early complications (infection, neurovascular deficits) or late complications (plate/screw issues, redislocation, arthrosis) were observed.

Conclusions:

• Open reduction and fixation with a single locking plate is a safe and straightforward surgical option.
• This technique provides satisfactory outcomes for traumatic sternoclavicular joint dislocations.