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Singer, G; Ferlic, P; Kraus, T; Eberl, R.
Reconstruction of the sternoclavicular joint in active patients with the figure-of-eight technique using hamstrings.
J Shoulder Elbow Surg. 2013; 22(1):64-69
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Autor/innen der Med Uni Graz:
Eberl Robert
Ferlic Peter
Kraus Tanja
Singer Georg
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Abstract:
Background: Dislocations of the sternoclavicular joint are rare injuries caused by massive forces applied to the joint. A high rate of complications has been reported following this injury emphasizing the importance of an accurate diagnosis and therapy. Methods: We report a series of patients with chronic anterior or posterior sternoclavicular instability 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 15-46; male = 3; female = 3) were included. The patients sustained an isolated dislocation of the sternoclavicular joint resulting from a high-energy trauma. Anterior instability 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, 4-33). The semitendinosus tendon was used in 4 patients, the gracilis tendon in 2 patients, respectively. Follow-up examination was after 22 months (range, 14-34). The DASH score improved from 54.3 points (range, 45.7-68.8) preoperatively to 28.8 points (range, 25.8-34.5) postoperatively. All patients returned to full activity without limitations including competitive contact sports. Conclusion: 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.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Adult -
Chronic Disease -
Dislocations - complications Dislocations - surgery
Female -
Humans -
Joint Instability - complications Joint Instability - surgery
Male -
Middle Aged -
Orthopedic Procedures - methods
Sternoclavicular Joint - surgery
Tendons - transplantation
Young Adult -

Find related publications in this database (Keywords)
Sternoclavicular joint
instability
dislocation
reconstruction
hamstrings
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