A rare case of anterior sternoclavicular joint dislocation with clavicle fracture with subclavian artery thrombosis

Purpose: Sternoclavicular joint is an amphiarthrodial joint formed by the clavicle and sternal manubrium. This joint becomes chronically unstable in case of a medial clavicle dislocation or fracture, and improper treatment could cause malformation and pain. We aimed to determine the efficacy of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. Methods: Between June 2011 and December 2013, the sternoclavicular hook plate was used to surgically treat 32 adult patients with unstable sternoclavicular joint dislocation or fracture. Of these, 12 and 5 patients suffered from anterior and posterior dislocation of the sternoclavicular joint, respectively, 10 had medial clavicle fracture, and 5 had fracture dislocation. For anterior fracture dislocation, the standard sternoclavicular hook plate was used, while for the posterior dislocation, screws were added at the distal end of the hook plate, anterior to the sternal manubrium, to prevent postoperative redislocation. Results: No intraoperative complications were observed during the procedure. Postoperative X-ray and computed tomography revealed normal anatomical positions of sternoclavicular joints and excellent positions of internal fixation. About 3–6 months after surgery, all patients achieved primary healing without redislocation of the sternoclavicular joint along with satisfactory restoration of anatomical structures of the medial clavicle; nine patients had swelling but no pain around the sternoclavicular joints. Internal fixation was removed in 29 patients 6–12 months postoperatively and no sequelae were observed. Conclusion: This novel sternoclavicular hook plate demonstrated excellent efficacy and could provide a reliable therapeutic approach for this kind of trauma.

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Ipsilateral Sternoclavicular Joint Dislocation and Clavicle Fracture

Journal of Orthopaedic Trauma ◽

10.1097/00005131-199610000-00011 ◽

1996 ◽

Vol 10 (7) ◽

pp. 506 ◽

Cited By ~ 10

Author(s):

Yah Tanlin

Keyword(s):

Clavicle Fracture ◽

Sternoclavicular Joint ◽

Joint Dislocation

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Delayed diagnosis of posterior sternoclavicular joint dislocation

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1996.tb94154.x ◽

1996 ◽

Vol 164 (4) ◽

pp. 242-243 ◽

Cited By ~ 2

Author(s):

George K Kiroff ◽

David N McClure ◽

John W Skelley

Keyword(s):

Delayed Diagnosis ◽

Sternoclavicular Joint ◽

Joint Dislocation

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Post-Traumatic Occlusion of Subclavian Artery With Clavicle Fracture

Journal of Emergency Medicine ◽

10.1016/j.jemermed.2007.02.054 ◽

2007 ◽

Vol 33 (4) ◽

pp. 419-420 ◽

Cited By ~ 5

Author(s):

Kushaljit Singh Sodhi ◽

Julie Arora ◽

N. Khandelwal

Keyword(s):

Subclavian Artery ◽

Clavicle Fracture ◽

Post Traumatic

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Posterior sternoclavicular joint dislocation

Visual Journal of Emergency Medicine ◽

10.1016/j.visj.2021.101183 ◽

2021 ◽

Vol 25 ◽

pp. 101183

Author(s):

Siamak Moayedi ◽

Mercedes Torres

Keyword(s):

Sternoclavicular Joint ◽

Joint Dislocation

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Locking plate for treating traumatic sternoclavicular joint dislocation: a case series

BMC Musculoskeletal Disorders ◽

10.1186/s12891-017-1903-8 ◽

2018 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Rongguang Ao ◽

Yalong Zhu ◽

Jianhua Zhou ◽

Zhen Jian ◽

Jifei Shi ◽

...

Keyword(s):

Locking Plate ◽

Case Series ◽

Sternoclavicular Joint ◽

Joint Dislocation

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Clinical and Radiological Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocations and Distal Clavicle Fractures

Clinics in Shoulder and Elbow ◽

10.5397/cise.2018.21.2.95 ◽

2018 ◽

Vol 21 (2) ◽

pp. 95-100

Author(s):

Joo Han Oh ◽

Seunggi Min ◽

Jae Wook Jung ◽

Hee June Kim ◽

Jae Yoon Kim ◽

...

Keyword(s):

Plate Fixation ◽

Clavicle Fracture ◽

Hook Plate ◽

Distal Clavicle ◽

Ac Joint ◽

Joint Dislocation ◽

Group I ◽

Joint Dislocations ◽

Ac Joint Dislocation ◽

Group Ii

BACKGROUND: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures.METHODS: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications.RESULTS: At the removal, the pain VAS was 2.69 ± 1.30 and 4.10 ± 2.14 in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was 9.59 ± 1.60 and 7.81 ± 2.67 in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant.CONCLUSIONS: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

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Ipsilateral midshaft clavicle fracture and acromioclavicular joint dislocation: a review of literature and evidence-based diagnosis guidelines

10.21203/rs.3.rs-36221/v1 ◽

2020 ◽

Author(s):

Rongguang Ao ◽

Zhen Jian ◽

Jinhong Chen ◽

Dejian Li ◽

Xu Zhang ◽

...

Keyword(s):

Clavicle Fracture ◽

High Energy ◽

Shoulder Function ◽

Acromioclavicular Joint Dislocation ◽

Evidence Based ◽

Ac Joint ◽

Level Of Evidence ◽

Joint Dislocation ◽

Type Iv ◽

Ac Joint Dislocation

Abstract Background: Ipsilateral midshaft clavicle fracture and AC joint dislocation are rare, with very few cases reported. Once the AC joint dislocation were missed diagnosis, the shoulder function may be affected and medical dispute was easy to occur. The aim of this study was to gather data relating to ipsilateral midshaft clavicle fracture and AC joint dislocation to develop evidence-based diagnosis guidelines as none are currently available.Methods: A study was conducted of the PubMed and Google Scholar databases to identify cases of ipsilateral midshaft clavicle fracture and AC joint dislocation. Data collected about each case included age and gender of the patient, mechanism of injury, fracture and dislocation classification. The authors report 2 additional ipsilateral midshaft clavicle fracture and AC joint dislocation cases.Results: 21 cases were identified for inclusion in this research, 19 from the literature and 2 reported by the authors. All the patients were injured by high energy trauma. For the midshaft fracture, 16/21 (76.2%) patients belonged to Type A classification, and 5/21 (23.8%) patients belonged to Type B classification. For AC joint dislocation, 11/21 (47.6%) patients belonged to Type IV classification, 4/21 (19.0%) patients belonged to Type VI classification, 5/21 (23.8%) patients belonged to Type III classification and 1/21 (4.7%) patients belonged to Type V classification.Conclusions: There are limited data available about the diagnosis of ipsilateral midshaft clavicle fracture and AC joint dislocation. From the cases reviewed, we find that simple midshaft clavicle caused by high energy injuries may be associated with ipsilateral AC joint dislocation. Physical examination, careful observation of preoperative X-ray and fluoroscopy including the AC joint during operation were key to diagnose the injury. Level of Evidence Level III, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

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