[Anterior sternoclavicular dislocation, description of surgical technique]
G Fraind-Maya1, G A Pons-Carrera1
1Servicio de Ortopedia y Traumatología, Hospital Ángeles Lomas. Ciudad de México. México.
Acta Ortopedica Mexicana
|September 13, 2022
Summary
Recurrent anterior sternoclavicular dislocation after initial closed reduction was successfully treated with surgery and allograft reconstruction. This case highlights a viable long-term solution for complex sternoclavicular joint injuries.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Anatomic Reconstruction
Background:
- Sternoclavicular joint dislocation is a rare injury from high-energy trauma.
- Classified as anterior or posterior, it risks adjacent major vessel damage.
- Closed reduction is the primary treatment for acute injuries; open reduction is reserved for failures.
Observation:
- A case of anterior clavicular sternal dislocation presented with recurrence after closed reduction.
- The patient underwent surgical reconstruction utilizing an allograft.
- The outcome was favorable with a six-year follow-up.
Findings:
- Surgical reconstruction with allograft provides a durable solution for recurrent sternoclavicular dislocations.
- This approach can achieve long-term stability and favorable outcomes.
- Successful management of complex sternoclavicular joint injuries is achievable.
Implications:
- This case expands treatment options for recurrent sternoclavicular joint dislocations.
- Allograft reconstruction offers a potential alternative for complex cases.
- Further research into allograft efficacy for sternoclavicular injuries is warranted.


