Posterior Sternoclavicular Dislocation: Reinforced Autograft Reconstruction. A Case Report
Abstract
Post-traumatic posterior sternoclavicular dislocation is a rare injury that typically occurs in young men following high-energy trauma. It can cause potentially life-threatening complications due to compression of mediastinal structures and therefore requires treatment that achieves a stable reduction. Computed tomography (CT) plays a crucial diagnostic role, determining the type and degree of displacement and the anatomical relationship with mediastinal and cervical structures. We present the case of a 25-yearold man with post-traumatic posterior sternoclavicular dislocation who underwent ligament reconstruction using a modification of the classic figure-of-8 technique with a palmaris longus autograft.Downloads
References
Allman FL Jr. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am
;49(4):774-84. PMID: 6026010
Garcia JA, Arguello AM, Momaya AM, Ponce BA. Sternoclavicular joint instability: Symptoms, diagnosis and management. Orthop Res Rev 2020;12:75-87. https://doi.org/10.2147/ORR.S170964
Philipson MR, Wallwork N. (iii) Traumatic dislocation of the sternoclavicular joint. Orthop Trauma 2012;26(6):380-4. https://doi.org/10.1016/j.mporth.2012.05.002
Worman LW, Leagus C. Intrathoracic injury following retrosternal dislocation of the clavicle. J Trauma
;7(3):416-23. https://doi.org/10.1097/00005373-196705000-00006
Glass ER, Thompson JD, Cole PA, Gause TM 2nd, Altman GT. Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series. J Trauma 2011;70(5):1294-8.
https://doi.org/10.1097/TA.0b013e3182092c7b
Wang D, Camp CL, Werner BC, Dines JS, Altchek DW. Figure-of-8 reconstruction technique for chronic posterior sternoclavicular joint dislocation. Arthrosc Tech 2017;6(5):e1749-e1753. https://doi.org/10.1016/j.eats.2017.06.046
Renfree KJ, Wright TW. Anatomy and biomechanics of the acromioclavicular and sternoclavicular joints. Clin Sports Med 2003;22(2):219-37. https://doi.org/10.1016/s0278-5919(02)00104-7
Spencer EE Jr, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am 2004;86(1):98-105. https://doi.org/10.2106/00004623-200401000-00015
Clark RL, Milgram JW, Yawn DH. Fatal aortic perforation and cardiac tamponade due to a Kirschner wire migrating from the right sternoclavicular joint. South Med J 1974;67(3):316-8. https://doi.org/10.1097/00007611-197403000-00017
Tytherleigh-Strong G, Sabharwal S, Peryt A. Clinical outcomes and return to sports after open reduction and hamstring tendón autograft reconstruction in patients with acute traumatic first-time posterior dislocation of the sternoclavicular joint. Am J Sports Med 2022;50(13):3635-42. https://doi.org/10.1177/03635465221124267
Manuscript acceptance by the Journal implies the simultaneous non-submission to any other journal or publishing house. The RAAOT is under the Licencia Creative Commnos Atribución-NoComercial-Compartir Obras Derivadas Igual 4.0 Internacional (CC-BY-NC.SA 4.0) (http://creativecommons.org/licences/by-nc-sa/4.0/deed.es). Articles can be shared, copied, distributed, modified, altered, transformed into a derivative work, executed and publicly communicated, provided a) the authors and the original publication (Journal, Publisher and URL) are mentioned, b) they are not used for commercial purposes, c) the same terms of the license are maintained.
In the event that the manuscript is approved for its next publication, the authors retain the copyright and will assign to the journal the rights of publication, edition, reproduction, distribution, exhibition and communication at a national and international level in the different databases. data, repositories and portals.
It is hereby stated that the mentioned manuscript has not been published and that it is not being printed in any other national or foreign journal.
The authors hereby accept the necessary modifications, suggested by the reviewers, in order to adapt the manuscript to the style and publication rules of this Journal.
