gms | German Medical Science

7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation, Annual Assembly of the German and the Austrian Society of Physical Medicine and Rehabilitation

Austrian Society of Physical Medicine and Rehabilitation

26.-29.10.2011, Salzburg, Austria

Reconstruction of the sternoclavicular joint in active patients with the figure-of-eight technique using hamstrings

Meeting Abstract

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7th EFSMA – European Congress of Sports Medicine, 3rd Central European Congress of Physical Medicine and Rehabilitation. Salzburg, 26.-29.10.2011. Düsseldorf: German Medical Science GMS Publishing House; 2011. Doc11esm099

DOI: 10.3205/11esm099, URN: urn:nbn:de:0183-11esm0993

Published: October 24, 2011

© 2011 Ferlic et al.
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Outline

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Objective: Dislocations of the sternoclavicular joint are rare injuries mainly caused by massive forces applied directly or indirectly to the joint. A high rate of complications has been reported following this injury emphasizing the importance of an accurate diagnosis and therapy.

Material/Methods: We report a series of patients with chronic anterior or posterior sternoclavicular dislocation treated with figure-of-eight gracilis- or semitendinosus-tendon reconstruction. Tendon grafts were collected from the patient’s ipsilateral knee. Preoperative and postoperative DASH scores were compared to evaluate the outcome.

Results: Six patients (mean age: 22 years; range 15 to 46years; male: 3 female: 3) were included in this study. These patients sustained an isolated dislocation of the sternoclavicular joint due a high-energy trauma. Anterior dislocation was observed in 3 patients, posterior instability in 2 patients and the remaining patient showed multidirectional instability. The mean time from injury to operation was 8 months (range 4 to 33 months). The semitendinosus tendon was used in 4 patients, the gracilis tendon in 2 patients, respectively. The latest follow-up examination was after 17 months mean (range 9 to 29 months). The DASH score improved from 54.3 points (range 45.7 to 68.8) preoperatively to 28.8 points (range 25.8 to 34.5) postoperatively.

Conclusion: All patients returned to full activity without limitations including competitive contact sports. Stabilization of the sternoclavicular joint with the figure-of-eight technique seems to be a feasible alternative for young and active patients with remaining instability following conservative treatment.


References

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2.
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Spencer EE, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am. 2004;86-A(1):98-105.