[Refixation of sternoclavicular luxation with a suture anchor system].
Luxations of the sternoclavicular joint are rare injuries. We present a case of anterior dislocation which was caused by a minor fall onto the right shoulder. Diagnosis was delayed by 2 weeks which prevented treatment by closed reduction. As an alternative surgical treatment a PDS cord around the clavicle and the first rib was used to stabilize the clavicle at the vertical level. Subsequently, fixation to the medial side was achieved by a suture anchor that was placed into the manubrium. The presented case highlights this simple and safe method to treat dislocations of the sternoclavicular joint in which standard treatment cannot be performed. A detailed description for each operation step is given and our experience in terms of aftercare and outcome is reported.
Lehmann
W
W
Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Zentrum für Operative Medizin, Universitätsklinikum Hamburg-Eppendorf, Martinistr. 52, 20246 Hamburg. wlehmann@uke.uni-hamburg.de
Laskowski
J
J
Grossterlinden
L
L
Rueger
J M
JM
D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D012086:Reoperation / Q000295:instrumentation; D013247:Sternoclavicular Joint / Q000293:injuries* / Q000601:surgery*; D053441:Suture Anchors; D013537:Sutures; D016896:Treatment Outcome
Ann R Coll Surg Engl. 2000 Nov;82(6):432-5
11103166
Am J Orthop (Belle Mead NJ). 2008 Jun;37(6):294-300
18716693
J Bone Joint Surg Br. 1951 May;33B(2):240-3
14832323
Knee Surg Sports Traumatol Arthrosc. 2008 Sep;16(9):865-8
18418578
Arch Orthop Trauma Surg. 1999;119(5-6):344-6
10447637
J Shoulder Elbow Surg. 2006 May-Jun;15(3):315-8
16679231
J Trauma. 2009 Feb;66(2):576-84
19204537
J Orthop Trauma. 2005 Feb;19(2):124-9
15677929
Acta Orthop Scand. 1986 Jun;57(3):227-8
3739662
Unfallchirurg. 2000 Oct;103(10):834-8
11098742