Abstract
Introduction
Anterior sternoclavicular joint dislocation (SCJ) is a relative rare injury, related
to high energy trauma. The objective of the present study is to present a novel suture
technique for treatment of anterior SCJ traumatic dislocation and to report clinical
outcomes from a small case series undergoing this procedure.
Patients and Methods
Patients presenting with traumatic anterior SCJ disruption in our institution were
eligible to participate. Surgical technique consisted of two bone tunnels drilled
in vertical direction from the anterior to the posterior cortex of the manubrium.
Analogous to the sternal side of the clavicle, two vertical bone tunnels were drilled
from the anterior cortex towards the posterior cortex. A non-absorbable suture was
passed though the four holes in a parallel configuration. Then, by pulling the free
suture edges the posterior translation of the clavicle was performed. Two additional
drill holes, the first in manubrium and the second in clavicle were performed from
the anterior cortex to the posterior between the previous bone tunnels. A non-absorbable
suture was placed in a simple configuration in order to stabilize the SCJ in the superior–inferior
direction. The final follow up was 28.2 months. The mean QuickDASH was used for functional
assessment.
Results
Seven patients (6 males and 1 female) with average age of 34,8 years were included
in the present study. Two patients suffered from concomitant medial clavicle fracture.
At final follow-up (none of the patients had experienced any symptoms of instability
of SCJ, no side-to-side difference was observed, while the Mean QuickDASH score was
4.85.
Conclusion
The reported technique for SCJ reconstruction in traumatic anterior SCJ dislocations
with two sutures has theoretical advantages, since it stabilizes the SCJ in the antero–posterior,
as well as the supero- inferior direction. Outcomes from this small case series are
favorable. However, more research is desirable to compare different techniques and
to conclude to the optimal surgical treatment.
Keywords
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Publication history
Published online: October 27, 2021
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