Management of dislocations of both ends of the clavicle.
We treated six patients who had a dislocation of both ends of the clavicle (an anterior dislocation of the sternoclavicular joint and a posterior dislocation of the acromioclavicular joint). Two patients who had fewer demands on the shoulder--an elderly woman and a woman who had had an ipsilateral amputation of the hand--did well; they had only minor symptoms after non-operative management. The other four patients (all men) had continuing pain at the acromioclavicular joint; each had a reconstruction of the joint, which resulted in a painless, full range of motion and return to normal activity. No patient had continuing pain in the sternoclavicular joint.
Sanders
J O
JO
Department of Orthopaedics, University of Texas Health Science Center, San Antonio 78284-7774.
Lyons
F A
FA
Rockwood
C A
CA
D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013247:Sternoclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery