Acta Chir Orthop Traumatol Cech. 2012; 79(3):279-283 | DOI: 10.55095/achot2012/042

Inveterate Dislocation Fracture of the Sternoclavicular JointCase report

K. KOUDELA1,*, J. KOUDELOVÁ2, V. ŠIMÁNEK3
1 Klinika ortopedie a traumatologie pohybového ústrojí FN a LF UK Plzeň
2 Klinika zobrazovacích metod FN a LF UK Plzeň
3 Chirurgická klinika FN a LF UK Plzeň

We present the case report of a 21-year-old man with a late diagnosis of retrosternal dislocation of the sternoclavicular joint with a fractured sternal end of the clavicle. The first symptom leading to the diagnosis was dysphagia associated with physical activity. The diagnosis was based on computed tomography examination. In the first place, the fragment of the medial clavicular end was fixed with two screws. During surgery the sternoclavicular joint was wrongly identified; this fact was revealed by the following radiographic examination. On revision surgery, the sternoclaviculr ligament was reconstructed using a semitendinosus tendon graft. The reconstructed ligament was augmented with two Orthocord sutures running between the clavicle and the first rib. At 2 years after surgery the functional outcome and sternoclavicular joint stability were excellent.

Keywords: dorsal sternoclavicular fracture dislocation, ligament reconstruction, dysphagia, semitendinosus, graft

Published: June 1, 2012  Show citation

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KOUDELA K, KOUDELOVÁ J, ŠIMÁNEK V. Inveterate Dislocation Fracture of the Sternoclavicular Joint. Acta Chir Orthop Traumatol Cech. 2012;79(3):279-283. doi: 10.55095/achot2012/042. PubMed PMID: 22840962.
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