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Updated: Apr 23, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Paediatric Sternoclavicular Joint Pseudodislocation Fixation Technique.

Akib M Khan1,2, Megan E Cain2,3, Kemble K Wang2,4,5,6

  • 1Department of Paediatric Orthopaedics, Chelsea and Westminster NHS Foundation Trust, London, UK.

Video Journal of Sports Medicine
|April 22, 2026
PubMed
Summary
This summary is machine-generated.

Posterior sternoclavicular joint (SCJ) pseudodislocations in children are effectively treated with transosseous fibertape fixation. This technique ensures anatomical reduction and a safe return to sports with minimal complications.

Keywords:
and transosseous fixationorthopaedic surgerypaediatric traumaphyseal fracturepseudodislocationshoulder injuriessternoclavicular joint

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Area of Science:

  • Pediatric Orthopedics
  • Sports Medicine
  • Surgical Techniques

Background:

  • Posterior sternoclavicular joint (SCJ) injuries in children are rare and often misdiagnosed as dislocations.
  • Immature clavicular anatomy leads to Salter-Harris physeal fractures, termed pseudodislocations, requiring specific management.
  • Accurate diagnosis and tailored treatment are crucial for optimal functional outcomes in pediatric SCJ injuries.

Purpose of the Study:

  • To describe a surgical fixation technique for pediatric posterior SCJ pseudodislocations.
  • To evaluate the efficacy and safety of transosseous fibertape fixation for these injuries.
  • To assess the technique's impact on anatomical reduction, functional recovery, and return to sports.

Main Methods:

  • A retrospective audit of 30 pediatric posterior SCJ pseudodislocations treated with fibertape fixation.
  • Surgical technique involves direct reduction and fixation using a double figure-of-8 fibertape construct through the clavicle and sternum.
  • Postoperative assessment included imaging (CT scans) and evaluation of range of motion, complications, and return to activity.

Main Results:

  • The fibertape fixation technique consistently achieved anatomical reduction and restored full range of motion.
  • Patients experienced a safe and early return to sports and daily activities.
  • Low complication rates were observed, with CT scans confirming successful reduction.

Conclusions:

  • Transosseous fibertape fixation is a safe and effective method for managing pediatric posterior SCJ pseudodislocations.
  • The double figure-of-8 construct provides robust anterior stability, preserving anatomical integrity.
  • This surgical approach facilitates reliable functional recovery and return to sports with minimal complications.