Akute dorsale Sternoklavikulargelenkluxation

Abstract

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.

Posterior sternoclavicular dislocation in a 15-year old boy: case report

“…the most widely utilised surgical technique is the fixation with non-absorbable sutures in a figure-of-eight pattern while tendinous allografts are used in cases of chronic posterior symptomatic dislocations (6). While the majority of publications reveal that cerclage with non-absorbable suture is the most common therapeutic option in adolescent patients (1,9) there are numerous alternatives for chronic dislocations such as -fixation with a Balser plate (10), ledge plates (11), K wires (12), suture anchors (13). In our case, we opted for a fixation with three intraosseus sutures which were driven through drill holesin the clavicle and through the periosteum of the sternum and the anterior SCj capsule which resulted with a stable fixation.…”