Information for Medical Professionals
Sternoclavicular dislocation patients should be assessed thoroughly
Patients who have undergone posterior dislocation of the sternoclavicular joint should be subjected to thorough scrutiny before surgery is performed, it has been claimed.
According to researchers from the Institut Locomoteur at CHC Rangueil's Service d'Orthopedi in Toulouse, France, meticulous pre-operative assessment, including CT scans, is highly recommended.
They found that if sternoclavicular disclocation is managed within 48 hours and patients show no signs of mediastinal complication, then a closed reduction can be attempted.
However, they noted that closed reduction was unsuccessful in half of the 14 patients treated.
"In all other cases, and particularly if epiphyseal disruption is suspected, we recommend open reduction with a stabilisation procedure by costaclavicular cerclage or tenodesis. The use of a Kirschner wire should be avoided," they concluded.
Their research was published in the European Journal of Bone and Joint Surgery.
Recently, researchers from Greece showed that FARES was the most effective method of dealing with shoulder dislocation.
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