Repair of sternoclavicular joint dislocations with FiberWire ®

Arch Orthop Trauma Surg. 2017 Mar;137(3):341-345. doi: 10.1007/s00402-017-2632-z. Epub 2017 Jan 21.

Abstract

Purpose: Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.

Methods: Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9-48) and included clinical evaluation and the use of the DASH questionnaire.

Results: Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.

Conclusions: The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.

Keywords: Costoclavicular reconstruction; Open reduction; Reconstruction approach, sternoclavicular injury; Sternoclavicular reconstruction; Trauma.

MeSH terms

  • Adult
  • Bone Wires*
  • Follow-Up Studies
  • Fracture Fixation, Internal / methods*
  • Humans
  • Joint Dislocations / surgery*
  • Ligaments, Articular / injuries
  • Ligaments, Articular / surgery
  • Male
  • Middle Aged
  • Open Fracture Reduction / methods*
  • Orthopedic Procedures / methods
  • Reconstructive Surgical Procedures
  • Retrospective Studies
  • Sternoclavicular Joint / injuries
  • Sternoclavicular Joint / surgery*
  • Sutures
  • Treatment Outcome
  • Young Adult