Sternoclavicular joint injuries: a literature review

Van Tongel, Alexander and De Wilde, Lieven (2011) Sternoclavicular joint injuries: a literature review. M.L.T.J. Muscles, Ligaments and Tendons Journal, 1 (3). pp. 100-105. ISSN 2240-4554

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Abstract

Traumatic sternoclavicular (SC) joint injuries are rare. The goal of this literature review was to evaluate the available literature on the treatment of traumatic anterior and posterior SC (fracture-) dislocations in adults and children. In adults, anterior dislocations are most commonly treated by nonoperative means. Closed reduction can be attempted but is associated with a high recurrence rate. For posterior dislocations, closed reduction is usually more successful. Children usually present with displaced physeal fractures, as true dislocations probably do not occur in a skeletally immature population. Anterior displacement can easily be reduced but it is difficult, if not impossible, to maintain the reduction. In contrast with the recommendations in adults, ORIF with the use of absorbable sutures can be indicated in these cases. No consensus exists on the recurrence of posterior displacement after closed reduction. If closed reductions fails, operative treatment is indicated, using the same technique as in anterior displacement.

Item Type:	Article
Uncontrolled Keywords:	Sternoclavicular, dislocation, physeal fracture, anterior, posterior
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) > 616.7 Malattie del sistema muscoloscheletrico
Depositing User:	Danilo Dezzi
Date Deposited:	07 Apr 2014 11:59
Last Modified:	07 Apr 2014 11:59
URI:	http://eprints.bice.rm.cnr.it/id/eprint/7956

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