Reconstruction of the chronic anterior unstable sternoclavicular joint using a tendon autograft: medium-term to long-term follow-up results

Management and functional outcomes following sternoclavicular joint dislocation

“…In this setting, our approach is to restore joint congruency as soon as possible rather than managing these patients expectantly. We do not report any intraoperative neurovascular injury, in keeping with the very few reports of intraoperative or post-operative neurovascular deficit in the current literature [1,20,24,25]. Despite a relatively low incidence of intraoperative neurovascular incident, anatomical studies display the close proximity of mediastinal structures to the SCJ, highlighting the potential risk which may have devastating consequences [15].…”

“…Despite a relatively low incidence of intraoperative neurovascular incident, anatomical studies display the close proximity of mediastinal structures to the SCJ, highlighting the potential risk which may have devastating consequences [15]. The majority of studies in the literature recommend having a cardiothoracic surgeon available for any open reduction of a posteriorly dislocated SCJ [6,8,10,15,17,24].…”

Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction

“…It is believed that in the setting of instability and degenerative changes, the disk had lost its stabilizing and joint surface-preserving function. 2 A longer follow-up is needed to determine any possible impact of excision of this injured structure on the development of further joint arthrosis. A concern is the nearly universal finding (7 of 10 patients) of degenerative changes found in the SCJ articular ends, possibly reflecting instability longer than the stated period of symptoms being present.…”

“…2,9,22,33 Briefly, the patient was placed in a supine position and prepared and draped (left shoulder and anterior chest), with the assistance of a cardiothoracic surgeon; a slightly angled transverse incision was made from the medial aspect of the clavicle to the manubrium. This area was then dissected, and the platysma was incised and raised, followed by elevation of periosteum off of the clavicle.…”

Luxação esternoclavicular: relato de caso e técnica cirúrgica

“…Nenhum tratamento adicional deve ser aplicado se o paciente não referir dor ou desconforto (raro nas luxaç ões anteriores). 10,11 Deve--se avaliar criteriosamente cada caso, a fim de diferenciar luxação crônica de instabilidade crônica. Intervenç ões cirúr-gicas podem ser benéficas para os pacientes com luxação anterior crônica da AEC que apresentam instabilidade, desconforto ou dor.…”