Manubriosternal Joint Dislocation: An Unusual Risk of Trampolining

Lyons, Iain; Saha, Sunita; Arulampalam, T

doi:10.1016/j.jemermed.2009.02.015

Cited by 11 publications

(7 citation statements)

References 6 publications

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“…[9] It is possible to have a type 1 dislocation in the absence of any direct sternal trauma. [1] Type 2 injuries are due to hyperflexion of the upper thoracic spine that transmits a downward and posterior force to the manubrium via the first ribs. [7]…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Traumatic manubriosternal dislocation: A new method of stabilization postreduction

Ibrahimi

Smahi

Shimi

et al. 2011

J Emerg Trauma Shock

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Traumatic manubriosternal dislocation is a rare lesion. In the literature, only a few case reports of patients treated surgically are published. In this case, we report an unstable posterior dislocation of the manubriosternal joint in a 50-year-old women caused by direct trauma. An open reduction was performed, and the manubriosternal joint was fixed by two staples. We are the first to use this alternative technique. At the last follow-up, the result was very good without complication.

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Section: Discussionmentioning

confidence: 99%

“…Only 10 cases without predisposing factors such as arthropathy or infectious joint alterations have been described until now. [1–7] It is potentially serious injury that can be associated with concurrent injuries to ribs, lungs, spine, great vessels, or myocardium.…”

Section: Introductionmentioning

confidence: 99%

Traumatic manubriosternal dislocation: A new method of stabilization postreduction

Ibrahimi

Smahi

Shimi

et al. 2011

J Emerg Trauma Shock

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“…Manubriosternal joint dislocation type 1 (posterior dislocation of the sternum) or type 2 (anterior dislocation of the sternum) can result from extreme hyperfl exion of the thoracic spine (Lyons et al 2010 ) or a direct force to the sternum (Lyons et al 2010 ;Van Veen and Klaase 2011 ). The type of manubriosternal joint dislocation depends on the impact location: when a direct force hits the sternum caudally from the manubriosternal joint, a type 1 dislocation is most likely.…”

Section: Manubriosternal Dislocationmentioning

confidence: 99%

“…Incorrect breathing techniques or Valsalva manoeuvres might play a role in the onset of Lyons et al 2010 ) spontaneous pneumothorax in these sporting activities (Marnejon et al 1995 ). Spontaneous pneumothorax occurs more frequently in tall and thin young males (Mulder et al 2012 ).…”

Section: Pneumothoraxmentioning

confidence: 99%

Radiologic Imaging of Chest Injuries

Barendregt

Maas

2015

Nuclear Medicine and Radiologic Imaging in Sports Injuries

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Chest pain is seldom a complaint of athletes. However sports injuries to the chest can be painful and life-threatening. Therefore it is important to choose the most reliable imaging modality to support the clinical diagnosis in the athlete with chest pain. In this chapter the role of radiology in various sports-related chest injuries is described, from the rarely described (but commonly diagnosed) costochondritis and sternal fractures to the more common rib fractures. The chest injury itself will be addressed fi rst and then followed by the appropriate imaging modality and radiologic fi ndings and characteristics. Traumatic as well as overuse injuries to the chest will be discussed. Emphasis will also be placed on ruling out any life-threatening complications by selecting the right imaging modality.

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“…Although few cases of this injury have been reported in the literature, the etiology varies widely: trampoline injury, seizures, falls from height, sporting injuries, gradual deformities from spine fractures, and motor vehicle collisions. [1][2][3][4] This injury has been classified into 2 types: in type I, the sternal body is displaced posteriorly to the manubrium; in the more common type II, the sternal body is displaced anteriorly. 3,4 The various etiologies for this injury coalesce to 2 mechanisms: direct compression across the anterior chest wall or a flexion-compression injury transmitting forces across the sternomanubrial junction.…”

Section: August 2012 | Volume 35 • Numbermentioning

confidence: 99%

Parallel Plating for a Sternomanubrial Dislocation

Gaines

Wilson²,

Antevil³

et al. 2012

Orthopedics

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Sternomanubrial dislocations are rare injuries. Although few cases of this injury have been reported in the literature, the etiology has varied widely: trampoline injury, seizures, falls from height, sporting injuries, gradual deformities from spine fractures, and motor vehicle collisions. This injury has been classified into 2 types: in type I, the sternal body is displaced posteriorly to the manubrium, and in the more common type II, the sternal body is displaced anteriorly. The sternomanubrial joint is an amphiarthroidal joint that bears hyaline cartilage on both surfaces connected by a fibrocartilage meniscus. It serves a protective role to vital thoracic structures and is an anterior stabilizing strut to the thorax, assisting the thoracic spine in upright stability. It is important to not ignore type I dislocations because posterior sternum displacement is a harbinger of injury to the pulmonary tree, heart, and esophagus. Chronic instability at this joint can lead to dyspnea and dysphasia due to sternum displacement. In the right scenario, type II injuries are occasionally treated conservatively with palliative treatment until the sternum heals with malformation. This article describes the case of a 20-year-old man who was treated surgically for symptomatic type II sternomanubrial dislocation with dual anterior locked plating. Locked plating gives the benefit of unicortical fixation, with the screws and plate acting as a unit to resist motion. Screw pullout and failure is less common, and the construct is more resistant for this application. The patient returned to full participation in activities of daily living and military duty 4 months postoperatively.

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Manubriosternal Joint Dislocation: An Unusual Risk of Trampolining

Cited by 11 publications

References 6 publications

Traumatic manubriosternal dislocation: A new method of stabilization postreduction

Traumatic manubriosternal dislocation: A new method of stabilization postreduction

Radiologic Imaging of Chest Injuries

Parallel Plating for a Sternomanubrial Dislocation

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