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Posterior sternoclavicular dislocations.

R K Leighton, A J Buhr, A M Sinclair

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |March 1, 1986
    PubMed
    Summary
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    Closed reduction is highly recommended for posterior sternoclavicular dislocations, proving successful even in late cases. This method is safer and more effective than open reduction for managing this specific injury.

    Area of Science:

    • Orthopedic Surgery
    • Traumatology

    Background:

    • Posterior sternoclavicular dislocation is a rare but potentially serious injury.
    • Optimal management strategies require careful consideration due to potential complications.

    Observation:

    • A 15-year review identified twelve cases of posterior sternoclavicular dislocation.
    • Patients were treated at two major hospitals in Halifax, Nova Scotia.

    Findings:

    • The majority of dislocations (ten out of twelve) were successfully treated with closed reduction.
    • Only two patients required open reduction, with one needing K-wire fixation for stability.
    • No reduction failures or recurrent dislocations were reported.
    • Successful late closed reduction (up to 5 days post-injury) was achieved.

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    Implications:

    • Closed reduction is recommended as the primary treatment for posterior sternoclavicular dislocations.
    • Open reduction is associated with increased difficulty and potential hazards.
    • Effective non-operative management can lead to favorable outcomes without recurrence.