Acute posterior dislocation of the sternoclavicular joint: Reduction, fixation by endobutton system and alternative procedures

Acute posterior dislocation of the sternoclavicular (SC) joint is rare but can lead to life-threatening vascular injuries of the mediastinum; however, diagnosis is difficult and the injury can be initially overlooked so that surgical treatment is delayed. Although a variety of different treatment mo...

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Bibliographic Details
Published inDer Unfallchirurg Vol. 119; no. 4; pp. 346 - 352
Main Authors Rutkowski, S P, Grote, S, Flatz, W, Haasters, F, Böcker, W, Ockert, B
Format Journal Article
LanguageGerman
Published Germany 01.04.2016
Subjects
Adolescent
Arthroplasty - instrumentation
Arthroplasty - methods
Humans
Internal Fixators
Joint Dislocations - diagnosis
Joint Dislocations - surgery
Male
Prosthesis Design
Skiing - injuries
Sternoclavicular Joint - injuries
Sternoclavicular Joint - surgery
Treatment Outcome
Endobutton
Fixation
Sternoclavicular joint
Surgical technique
Dislocation
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Summary:Acute posterior dislocation of the sternoclavicular (SC) joint is rare but can lead to life-threatening vascular injuries of the mediastinum; however, diagnosis is difficult and the injury can be initially overlooked so that surgical treatment is delayed. Although a variety of different treatment modalities have been published, the ideal fixation technique has not yet been identified. We report the case of a patient suffering from a locked posterior SC joint dislocation caused by a skiing accident. The injury was treated by transarticular endobutton fixation. This article describes the technique and highlights its advantages and disadvantages in comparison to previously published treatment options.
Bibliography:ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:1433-044X
DOI:10.1007/s00113-015-0095-7