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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 3/2017

01-03-2017 | Trauma Surgery

Repair of sternoclavicular joint dislocations with FiberWire®

Authors: Stefan Adamcik, Markus Ahler, Konstantinos Gioutsos, Ralph A. Schmid, Gregor J. Kocher

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 3/2017

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Abstract

Purpose

Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.

Methods

Five consecutive male patients with a median age of 27 (range 20–49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Open reduction and surgical fixation were achieved by a modified figure-of-eight sutures using Fiberwire®. In anterior dislocations, an additional reconstruction of the costoclavicular ligament was performed. Median follow-up was 11 months (range 9–48) and included clinical evaluation and the use of the DASH questionnaire.

Results

Open surgical reduction and SCJ repair were successfully achieved in all patients without complications. Repair resulted in very good functional outcomes in all five patients with DASH scores of 0, 8 (n = 3) and 5, 8 (n = 2), respectively.

Conclusions

The presented technique allowed simple, effective, and durable repair of the SCJ joint in patients with SCJ dislocations with excellent functional outcomes.
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Metadata
Title
Repair of sternoclavicular joint dislocations with FiberWire®
Authors
Stefan Adamcik
Markus Ahler
Konstantinos Gioutsos
Ralph A. Schmid
Gregor J. Kocher
Publication date
01-03-2017
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 3/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-017-2632-z

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