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Sternoclavicular dislocation as a possible complication for surgical Scheuermann's deformity correction: a case
Joaquim Soares do Brito1, Samuel Martins2, Pedro Fernandes2
1Orthopaedics Department, University Hospital Santa Maria - Centro Hospitalar Lisboa Norte, Avenida Professor Egas Moniz, 1649-035, Lisbon, Portugal. joaquimsoaresdobrito@gmail.com.
Summary
A sternoclavicular dislocation is a newly reported complication following spinal kyphotic deformity surgery. This case highlights a potential link between spinal deformity correction and sternoclavicular joint instability.
Area of Science:
- Orthopedics
- Spine Surgery
- Skeletal Dysplasias
Background:
- Scheuermann's kyphotic deformity involves the sternocostal complex.
- The sternoclavicular complex's role in Scheuermann's disease is not well-defined.
- This study explores a potential link between spinal deformity correction and sternoclavicular joint issues.
Observation:
- A 19-year-old male with severe thoracic kyphosis and scoliosis underwent spinal surgery.
- Post-operatively, he developed anterior sternoclavicular dislocation.
- Initial treatment failed, requiring a second surgical intervention involving clavicular osteotomy and repair.
Findings:
- The patient experienced a successful surgical repair of the sternoclavicular dislocation.
- At long-term follow-up, he maintained full shoulder function and pain relief.
- A new anterior sternoclavicular dislocation was noted, but without functional impairment.
Implications:
- Sternoclavicular dislocation is a previously unreported complication of spinal kyphotic deformity correction.
- Further research is needed to understand the sternoclavicular complex's involvement in Scheuermann's disease.
- This case suggests a need for vigilance regarding sternoclavicular joint complications after spinal surgery.