Surgical Treatment of Traumatic Posterior Sternoclavicular Joint Dislocation: А Case Report

Abstract

Posterior sternoclavicular joint dislocation is a rare condition. In this paper, we present a 51-year-old male patient who was admitted to the emergency department in our hospital after he was hit by a mining railway wagon in the chest. A diagnosis of posterior sternoclavicular dislocation was confirmed after performing a CT scan. Following necessary preparations, the sternoclavicular joint was stabilized with two wire cerclage techniques during open reduction. During control at the postoperative 4th week, the range of motion at the shoulder was satisfactory, but the patient had mild pain at the joint level and was sent to physical therapy to improve the range of motion and to minimize the pain.

Novel sternoclavicular hook plate for the treatment of posterior sternoclavicular dislocation: a retrospective study

“…Wire cerclage techniques were used to stabilize sternoclavicular joints during open reduction, resulting in satisfactory shoulder motion range. However, chronic mild pain was reported [ 25 ]. Alternative approaches involve resecting the medial part of the clavicle [ 21 , 26 ] and employing various soft tissue methods for costoclavicular ligament reconstruction, such as suture repair of the costoclavicular or sternoclavicular ligaments [ 27 ], costoclavicular tenodesis using the subclavius muscle, sternoclavicular tenodesis using the sternal head of the sternocleidomastoid muscle [ 27 ] and sternoclavicular joint reconstruction with the semitendinosus, hamstrings, palmaris longus, or allograft tendon [ 28 – 30 ].…”