title: [Acute posterior dislocation of the sternoclavicular joint: Reduction, fixation by endobutton system and alternative procedures].
abstract: Acute posterior dislocation of the sternoclavicular (SC) joint is rare but can lead to life-threatening vascular injuries of the mediastinum; however, diagnosis is difficult and the injury can be initially overlooked so that surgical treatment is delayed. Although a variety of different treatment modalities have been published, the ideal fixation technique has not yet been identified. We report the case of a patient suffering from a locked posterior SC joint dislocation caused by a skiing accident. The injury was treated by transarticular endobutton fixation. This article describes the technique and highlights its advantages and disadvantages in comparison to previously published treatment options.
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland.
authors.forename: S P
authors.initials: SP
authors.lastname: Rutkowski
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Grote
authors.affiliation: Institut für Klinische Radiologie, Klinikum der Universität München, München, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Flatz
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Haasters
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Böcker
authors.affiliation: Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München, Marchioninistr. 15, 81377, München, Deutschland. Ben.Ockert@med.uni-muenchen.de.
authors.forename: B
authors.initials: B
authors.lastname: Ockert
mesh_terms: D000293:Adolescent; D001178:Arthroplasty / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D016268:Internal Fixators; D004204:Joint Dislocations / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D011474:Prosthesis Design; D012865:Skiing / Q000293:injuries; D013247:Sternoclavicular Joint / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome
keywords: Dislocation; Endobutton; Fixation; Sternoclavicular joint; Surgical technique