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Sternoclavicular dislocation. Treatment and complications.

L Ferrandez1, J Yubero, J Usabiaga

  • 1University of Salamanca, Spain.

Italian Journal of Orthopaedics and Traumatology
|September 1, 1988
PubMed
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This study on sternoclavicular dislocations recommends conservative treatment for subluxations and surgery for total dislocations. Precise diagnosis via tomography and surgical technique are crucial for successful outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Sternoclavicular dislocations are injuries to the joint connecting the sternum and clavicle.
  • Allman's classification is a common system for categorizing these dislocations.

Purpose of the Study:

  • To critically evaluate treatment outcomes for sternoclavicular dislocations.
  • To propose optimal management strategies based on dislocation type and severity.

Main Methods:

  • Review of 17 cases of sternoclavicular dislocations (14 anterior, 3 posterior).
  • Utilized tomography for accurate diagnosis.
  • Analysis of treatment approaches including conservative and operative methods.

Main Results:

  • 14 anterior and 3 posterior sternoclavicular dislocations were treated.

Related Experiment Videos

  • Conservative management was effective for subluxations.
  • Operative treatment was favored for total dislocations, especially posterior types.
  • Tomography proved essential for precise diagnosis.
  • Conclusions:

    • Conservative treatment is suitable for sternoclavicular subluxations.
    • Operative intervention is recommended for total sternoclavicular dislocations, particularly posterior.
    • Open reduction offers advantages, but potential complications like Kirschner wire migration must be managed.