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BMC Surgery
Published in: BMC Surgery 1/2022

Open Access 01-12-2022 | Clavicle Fracture | Research

A novel sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular join

Authors: Yadi Zhang, Baorui Xing, Xiuxiu Hou, Yunmei Li

Published in: BMC Surgery | Issue 1/2022

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Abstract

Purpose

The aim of this study was to explore the efficacy of sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint.

Methods

Between October 2016 and December 2020, 16 cases (9 male and 7 female patient, with a mean age of (42 ± 10) years) of proximal clavicle fracture with dislocation of sternoclavicular joint were included in the study. Injured side, injury mechanism, time to surgery, Complications and duration of follow-up were recorded. The outcomes were evaluated with radiographic assessment, American Shoulder and Elbow Surgeons’ Form (ASES). All the patients were evaluated on postoperative 3rd, 6th, and 12th months.

Results

According to the ASES scoring system, the average score was 49 ± 4 (preoperative score), 87 ± 5 (3 months follow-up), 88 ± 3 (6 months follow-up) and 91 ± 3 (12 months follow-up). Statistics differences was showed between preoperative and 3,6,12 months follow-up score of ASES score (p < 0.001). The postoperative physical function was better than the preoperative function. Internal fixation failure and fracture non-union complications in two patients.

Conclusion

Our study indicates that open reduction and sternoclavicular hook plate fixation for the treatment of traumatic sternoclavicular fracture is a safe, relatively straightforward surgical procedure that can lead to satisfactory outcomes.
Literature
1.
Alison A. Disorders of the sternoclavicular joint. J Orthop Trauma. 2016;32(3):324–35.
2.
Lee JT, et al. Posterior sternoclavicular joint injuries in skeletally immature patients. J Pediatr Orthop. 2014;34(4):369–75.PubMedCrossRef
3.
Sidhu VS, et al. The operative outcomes of displaced medial-end clavicle fractures. J Should Elbow Surg. 2015;24(11):1728–34.CrossRef
4.
Goldfarb CA, et al. Retrosternal displacement after physical fracture of the medial clavicle in children. J Bone Jt Surg Br Vol. 2001;83(8):1168–72.CrossRef
5.
Bicos J, Nicholson GP. Treatment and results of sternoclavicular joint injuries. J Clin Sports Med. 2003;22(2):359–70.CrossRef
6.
Rajaratnam S, Kerins M, Apthorp LJCA. Posterior dislocation of the sternoclavicular joint: a case report and review of the clinical anatomy of the region. J Clin Anat. 2002;15(2):108–11.CrossRef
7.
Kusnezov N, et al. Sternoclavicular reconstruction in the young active patient: risk factor analysis and clinical outcomes at short-term follow-up. J Orthop Trauma. 2015;30(4): e111.CrossRef
8.
Wirth MA, Rockwood CA. Acute and chronic traumatic injuries of the sternoclavicular joint. J Am Acad Orthop. 1996;4(5):268.CrossRef
9.
Groh GI, Wirth MA. Management of traumatic sternoclavicular joint injuries. J Am Acad Orthop. 2011;19(1):1–7.CrossRef
10.
Goost H, et al. Surgical treatment of sternoclavicular joint instability with tenodesis. J Opera Orthop Und Traumatol. 2015;27(4):134–43.
11.
Kohei K, Sayo T. Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction. J Should Elbow Surg. 2015;24(6):902–7.CrossRef
12.
Shuler FD, Pappas NJO. Treatment of posterior sternoclavicular dislocation with locking plate osteosynthesis. J Orthop. 2008;31(3):273.
13.
Quispe JC, et al. Transarticular plating for acute posterior sternoclavicular joint dislocations: a valid treatment option? J Int Orthop. 2016;40(7):1503–8.CrossRef
14.
Zhang C, et al. Efficacy analysis of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. J Orthop Surg. 2017;25(1):1–7.CrossRef
15.
Throckmorton T, Kuhn JE. Fractures of the medial end of the clavicle. J Should Elbow Surg. 2007;16(1):49–54.CrossRef
16.
Hoekzema N, et al. Posterior sternoclavicular joint dislocation. J Canasian Surg. 2008;51(1):19–20.
17.
Doss A, et al. Posterior sternoclavicular joint dislocation in children-role of spiral computed tomography. J Pediatr Emerg. 2005;21(5):325.CrossRef
18.
Lor MA, et al. American shoulder and elbow surgeons standardized shoulder assessment form, patent self-report section: reliability, validity, and responsiveness. J Should Eblow Surg. 2002;11(6):587–94.CrossRef
19.
20.
21.
Salipas A, Kimmel LA, Edwards ER, et al. Natural history of medialclavicle fractures. Injury. 2016;47(10):2235–9.PubMedCrossRef
22.
Milgram JW. Nonunion and pseudarthrosis of fracture healing—a histopathologic study of 95 human specimens. Clin Orthop Relat Res. 1991;268:203–13.
23.
24.
Spencer EE, Hughes RE, et al. Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint. J Should Elbow Surg. 2002;11(1):43–7.CrossRef
25.
Groh GI, et al. Treatment of traumatic posterior sternoclavicular dislocations. J Should Elbow Surg. 2011;20(1):107–13.CrossRef
26.
Laffosse JM, et al. Posterior dislocation of the sternoclavicular joint and epiphyseal disruption of the medial clavicle with posterior displacement in sports participants. J Bone Jt Surg Br. 2010;92(1):103–9.CrossRef
27.
Laurencin CT, et al. Dislocation of the sternoclavicular joint. Evaluation using paraxial computed tomographic reconstruction. J Orthop Rev. 1993;22(1):101–3.
28.
Eskola A, et al. Operation for old sternoclavicular dislocation. Results in 12 cases. J Bone Jt Surg Br. 1989;71(1):63–5.CrossRef
29.
Martetschlger F, et al. Novel technique for sternoclavicular joint reconstruction using a gracilis tendon autograft. J Knee Surg Sports Traumatol Arthrosc. 2015;24(7):2225.CrossRef
30.
Barth E, Hagen R. Surgical treatment of dislocations of the sternoclavicular joint. J Acta Orthop Scand. 2009;54(5):746–7.CrossRef
Metadata
Title
A novel sternoclavicular hook plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular join
Authors
Yadi Zhang
Baorui Xing
Xiuxiu Hou
Yunmei Li
Publication date
01-12-2022
Publisher
BioMed Central
Published in
BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI
https://doi.org/10.1186/s12893-022-01703-y

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