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Related Experiment Videos

Sternoclavicular dislocation. A plea for open treatment.

A Eskola

    Acta Orthopaedica Scandinavica
    |June 1, 1986
    PubMed
    Summary

    Closed reduction for sternoclavicular joint dislocation has a high redislocation rate. Primary open reduction with fixation and ligament repair offers better outcomes for acute injuries, suggesting it as a preferred treatment.

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    Area of Science:

    • Orthopedics
    • Traumatology
    • Sports Medicine

    Background:

    • Sternoclavicular joint dislocations are relatively uncommon injuries.
    • Treatment options for sternoclavicular joint dislocations include closed reduction and open surgical repair.
    • Outcomes and complication rates vary between different treatment modalities.

    Purpose of the Study:

    • To evaluate the effectiveness of different treatment strategies for sternoclavicular joint dislocations.
    • To compare the outcomes of closed reduction versus primary open reduction.
    • To identify the optimal management for acute sternoclavicular joint dislocations.

    Main Methods:

    • Retrospective case series of 12 patients with sternoclavicular joint dislocations.
    • Eight patients underwent closed reduction; five experienced redislocation.
    • Four patients underwent primary open reduction with Kirschner wire fixation and ligamentous repair.

    Main Results:

    • Closed reduction resulted in redislocation in 5 of 8 cases, with good outcomes in 5 of these 8.
    • Two cases with redislocation underwent surgery: one successful reconstruction with palmaris longus tendon, one poor outcome after clavicle resection.
    • Primary open reduction yielded good results in all 4 cases.

    Conclusions:

    • Closed reduction for sternoclavicular joint dislocation is associated with a high rate of redislocation.
    • Surgical reconstruction with autograft (palmaris longus tendon) can be successful in managing complex cases.
    • Primary open reduction with internal fixation and ligament repair appears to be the preferred treatment for acute sternoclavicular joint dislocations.

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