Adamcik, Stefan; Ahler, Markus; Gioutsos, Konstantinos; Schmid, Ralph; Kocher, Gregor (2017). Repair of sternoclavicular joint dislocations with FiberWire®. Archives of orthopaedic and trauma surgery, 137(3), pp. 341-345. Springer 10.1007/s00402-017-2632-z
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PURPOSE
Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.
METHODS
Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9-48) and included clinical evaluation and the use of the DASH questionnaire.
RESULTS
Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.
CONCLUSIONS
The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery 04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Thoraxchirurgie |
UniBE Contributor: |
Adamcik, Stefan, Ahler, Markus, Gioutsos, Konstantinos, Schmid, Ralph, Kocher, Gregor |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
0936-8051 |
Publisher: |
Springer |
Language: |
English |
Submitter: |
Thomas Michael Marti |
Date Deposited: |
02 Mar 2018 15:46 |
Last Modified: |
05 Dec 2022 15:09 |
Publisher DOI: |
10.1007/s00402-017-2632-z |
PubMed ID: |
28110364 |
Uncontrolled Keywords: |
Costoclavicular reconstruction Open reduction Reconstruction approach, sternoclavicular injury Sternoclavicular reconstruction Trauma |
BORIS DOI: |
10.7892/boris.109657 |
URI: |
https://boris.unibe.ch/id/eprint/109657 |
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