Sterno clavicular joint dislocation: a case report of a surgical stabilization technique

Abstract

Sterno Clavicular Joint (SCJ) dislocations are rare injuries of the shoulder girdle. Their management is controversial due to a not guaranteed outcome after any kind of treatment (conservative or open). Open reduction is challenging because of the anatomical site, while the conservative treatment does not always improve pain or instability discomfort. We report a case of traumatic and painful anterior SCJ dislocation of a young policewoman treated with open reduction by a new surgical technique. Functional result is extremely good at 2 years of follow-up.

Bending and abrasion fatigue of common suture materials used in arthroscopic and open orthopedic surgery

“…Suture anchors and sutures are commonly used in arthroscopic and open orthopedic surgery to oppose and then stabilize healing tissue 1–3. Although number of available anchors and suture materials has expanded over time, limited independent published work exists reporting the biomechanical properties of these materials.…”

Sternal Resection and Reconstruction for Local Recurrence of Breast Cancer Using the Sternal Allograft Transplantation Technique

“…Until now no complications related to the bone allograft have been reported during the followup period, confirming the optimal biocompatibility and mechanical characteristics of this material. When the manubrium sterni needs to be removed, it is very important to correctly reconstruct the sterno-clavicular-joints (SCJs) at the end of the operation to avoid pain and functional impairment of the shoulder girdles, upper limbs and cosmetic discomfort [14]. In the second patient we used the technique proposed by Rontini et al [14] with the application of hi-tension suturing to reconstruct and stabilise the SCJs with optimal results.…”

“…When the manubrium sterni needs to be removed, it is very important to correctly reconstruct the sterno-clavicular-joints (SCJs) at the end of the operation to avoid pain and functional impairment of the shoulder girdles, upper limbs and cosmetic discomfort [14]. In the second patient we used the technique proposed by Rontini et al [14] with the application of hi-tension suturing to reconstruct and stabilise the SCJs with optimal results. In our patient this technique provided excellent functional and cosmetic results.…”

Sternoclavicular joint replacement case report

“…12 A case of a policewoman in 2010 had an anterior dislocation of her SCJ and also had a good outcome post Open Reduction Internal Fixation (ORIF), where fixation involved two bony anchors with two Hi-Fi strings. 13 Variations of soft tissue reconstruction of the joint have been described since 1951 by Burrows, who carried out a subclavius tenodesis with a capsulorrhaphy 14 and the sternocleidomastoid (SCM) tissue, and have been found effective to a certain extent. 8,15,16 Attempts to attach the medial clavicle to the first rib 14,15,17,18 and wrapping the SCM around the first rib 19 provided moderate success.…”

“…12 A case of a policewoman in 2010 had an anterior dislocation of her SCJ and also had a good outcome post Open Reduction Internal Fixation (ORIF), where fixation involved two bony anchors with two Hi-Fi strings. 13…”