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Trauma Case Rep 2022 Aug 10;40:100645. Epub 2022 May 10.

CES University, Medellín, Colombia.

Introduction: Sternoclavicular joint dislocations are infrequent among all joint injuries. Conservative management is often described and recommended as a means of closed reduction and immobilization of the affected limb. This study aims to review results of patients affected by this injury who were treated surgically using locking plates. Read More

Am J Sports Med 2022 Jun 9;50(7):1971-1982. Epub 2022 May 9.

Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.

Background: Although the coracoclavicular (CC) ligaments are classically reconstructed after acromioclavicular (AC) joint injuries, biomechanical studies over the past decade have indicated the importance of an additional reconstruction of the AC ligaments. To date, no kinematic study has investigated the kinematic differences between these reconstruction strategies.

Purpose: To evaluate the restoration of shoulder motion after an AC injury using a CC ligament, an AC ligament, or a combined reconstruction technique. Read More

J Am Acad Orthop Surg 2022 May 2. Epub 2022 May 2.

From the Steadman Philippon Research Institute, Vail, CO (Provencher, Bernholt, Peebles, and Millett), and The Steadman Clinic, Vail, CO (Provencher and Millett).

Chronic instability or degenerative arthritis of the sternoclavicular (SC) joint may occur after traumatic or spontaneous dislocation of the SC joint. Most commonly, chronic instability of the SC joint occurs anteriorly; however, posterior instability has an increased risk of serious complications because of proximity to mediastinal structures. Although chronic anterior instability of the SC joint does not resolve with nonsurgical treatment, patients often have mild symptoms that do not impair activities of daily living; however, chronic anterior SC joint instability may be functionally limiting in more active individuals. Read More

BMC Musculoskelet Disord 2022 Apr 11;23(1):350. Epub 2022 Apr 11.

Department of Orthopedics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, 430022, Wuhan, People's Republic of China.

Background: We aimed to compare the intraoperative and early postoperative clinical outcomes of using an acromioclavicular joint hook plate (AJHP) versus a locking plate (LP) in the treatment of anterior sternoclavicular joint dislocation.

Methods: Seventeen patients with anterior sternoclavicular joint dislocation were retrospectively analyzed from May 2014 to September 2019. Six patients were surgically treated with an AJHP, and 11 were surgically treated with an LP. Read More

PLoS One 2022 1;17(4):e0266370. Epub 2022 Apr 1.

Faculty of Medicine, Université Laval, Quebec City, Canada.

Background: Altered movement patterns have been proposed as an etiological factor for the development of musculoskeletal pain. Fatigue influences upper limb kinematics and movement performance which could extend to the contralateral limb and potentially increasing risk of injury. The aim of this study was to investigate the impact of fatigue at the dominant arm on the contralateral upper limb movement. Read More

Cureus 2022 Jan 5;14(1):e20974. Epub 2022 Jan 5.

Diagnostic Radiology, Mayo Clinic, Jacksonville, USA.

Dislocation of joints in the human body is a common occurrence, with the upper limb being commonly involved in most dislocations. Despite the common occurrence of upper limb dislocations, sternoclavicular dislocation is rare, comprising just 1% of all dislocations seen. This is attributed to a combination of restricted range of movements and strong ligaments around it. Read More

Am J Phys Med Rehabil 2022 Feb 11. Epub 2022 Feb 11.

Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, WI, USA Spinal Cord Injury Center, Clement J. Zablocki Veterans Affairs Medical Center, Milwaukee, WI, USA Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI, USA.

Objective: Quantify differences in overhead throwing kinematics between wheelchair lacrosse athletes with spinal cord injury (SCI) and able-bodied lacrosse athletes.

Design: Cross-sectional, prospective study. Motion analysis captured overhead throwing motions of five wheelchair lacrosse athletes with SCI and six able-bodied lacrosse athletes seated in a wheelchair and standing. Read More

Arthrosc Tech 2021 Dec 18;10(12):e2733-e2739. Epub 2021 Nov 18.

Department of Orthopaedic Surgery, Tan Tock Seng Hospital, Singapore.

Medial clavicle excision is a rarely indicated procedure and may be performed in different pathologies affecting the medial clavicle. Excessive medial clavicle resection with an injury to the costoclavicular ligament often leads to poor postoperative results. The exact surgical treatment used in this kind of pathology when conservative treatment is unsuccessful remains unclear. Read More

J Clin Med 2021 Dec 9;10(24). Epub 2021 Dec 9.

Department of Trauma Surgery and Orthopedics, BG Hospital Unfallkrankenhaus Berlin gGmbH, Warener Straße 7, 12683 Berlin, Germany.

Clavicle injuries are common, but only few case reports describe combined clavicular injuries (CCI). CCI include combinations between clavicular fractures and acromioclavicular/sternoclavicular joint dislocations (SCJD). We present the first general therapeutic recommendations for CCI based on a new classification and their distribution. Read More

J Am Acad Orthop Surg 2022 Feb;30(4):148-154

From the Division of Orthopaedic Trauma, Vanderbilt University Medical center (Obremskey and Baron), Division of Orthopaedic Trauma, Fundacion Santa Fe de Bogota University Hospital, Bogotá D.C., Colombia (Pesantez); Division of Orthopaedic Trauma, Washington University, St. Louis, MO (Tatman).

Acute dislocations of the sternoclavicular joint are uncommon injuries, and it is difficult for physicians to develop expertise in treating these injuries because of their infrequent nature. No level I evidence currently exists for these injuries, but several retrospective studies and surgical techniques have been described. For acute injuries, current recommendations include early treatment with closed reduction. Read More

Cureus 2021 Oct 23;13(10):e18996. Epub 2021 Oct 23.

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Sternoclavicular joint (SCJ) dislocation is a rare but serious orthopedic injury. Posterior dislocations are more concerning due to the SCJ's proximity to visceral structures such as the trachea, esophagus, subclavian vessels, and brachial plexus. Due to the potential long-term sequelae of missed diagnosis, clinical suspicion should be high when a patient presents with a compression-type injury to the shoulder girdle and pain or deformity to the SCJ. Read More

Injury 2022 Apr 27;53(4):1562-1567. Epub 2021 Oct 27.

Department of Thoracic Surgery, Hospital "KAT", Athens, Greece.

Introduction: Anterior sternoclavicular joint dislocation (SCJ) is a relative rare injury, related to high energy trauma. The objective of the present study is to present a novel suture technique for treatment of anterior SCJ traumatic dislocation and to report clinical outcomes from a small case series undergoing this procedure.

Patients And Methods: Patients presenting with traumatic anterior SCJ disruption in our institution were eligible to participate. Read More

Ir J Med Sci 2021 Nov 1. Epub 2021 Nov 1.

Department of Trauma and Orthopaedics, Cork University Hospital, Wilton, Cork, Ireland.

Background: Posterior sternoclavicular dislocations are common in younger patients and are frequently due to high energy sporting incidents.

Aim: We aim to demonstrate a novel technique that is safe and aims to provide good functional post-operative outcomes for patients with this injury.

Methods: This was a single-surgeon case series of four young patients from October 2017 to July 2019. Read More

Am J Sports Med 2021 12 29;49(14):3988-4000. Epub 2021 Oct 29.

Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.

Background: Previous cadaveric kinematic studies on acromioclavicular injuries described mainly rotational differences during humerothoracic movements. Although isolated scapulothoracic movements are also often performed during activities of daily life and can be painful after acromioclavicular injuries, they have not been extensively studied. Further, the analysis of joint translations in kinematic studies has received little attention compared with biomechanical studies. Read More

J Emerg Med 2021 11 10;61(5):499-506. Epub 2021 Sep 10.

Department of Emergent Medicine, Rush University Medical Center, Chicago, Illinois.

Background: Sternoclavicular dislocation (SCD) is a rare injury but can result in hemodynamic and neurovascular complications. Emergency clinicians play an integral role in the evaluation and management of these injuries.

Objective: This article provides a narrative review of the diagnosis and management of SCD for the emergency clinician. Read More

Arthroscopy 2022 03 31;38(3):989-1000.e1. Epub 2021 Aug 31.

University of Colorado School of Medicine, Department of Orthopedics, Aurora.

Purpose: The purpose of this systematic review is to evaluate the current literature in an effort to investigate sleep quality and disturbances and the association with clinical outcomes of patients undergoing shoulder surgery.

Methods: A systematic review of the PubMed, Embase, and Cochrane Library databases was performed according to PRISMA guidelines. All English-language literature reporting clinical outcomes and sleep quality and disturbance after shoulder surgery was reviewed by 2 independent reviewers. Read More

Pan Afr Med J 2021;39:81. Epub 2021 May 27.

Department of Orthopaedic Surgery, Democritus University of Thrace, Alexandroupolis, Greece.

Top Spinal Cord Inj Rehabil 2021 13;27(3):26-37. Epub 2021 Aug 13.

Department of Rehabilitation Sciences & Technology, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin.

Introduction: Manual wheelchair propulsion is a physically demanding task associated with upper extremity pain and pathology. Shoulder pain is reported in over 25% of pediatric manual wheelchairs users, and this number rises over the lifespan. Upper extremity biomechanics in adults has been associated with shoulder pain and pathology; however, few studies have investigated upper extremity joint dynamics in children. Read More

Emerg Med J 2021 Feb;38(2):99-108

Paediatric Orthopaedic and Trauma Surgery, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

Int J Surg Case Rep 2021 Aug 16;85:106115. Epub 2021 Jun 16.

Department of Orthopedic Surgery, Hospital Universitario Fundación Alcorcón, Budapest 1, E-28922 Alcorcón, Spain. Electronic address:

Introduction: Clavicle fractures and acromioclavicular joint dislocations are very common injuries. However, the combination of both, known as "floating clavicle" is extremely rare, with approximately 40 cases reported.

Presentation Of Case: We report a case of a healthy 51-year-old male who suffered a high-velocity biking accident, with a bipolar clavicle injury (type IV acromioclavicular joint dislocation and proximal clavicle fracture), with concomitant rib fractures and pulmonary contusion. Read More

Orthop J Sports Med 2021 Jun 24;9(6):23259671211010804. Epub 2021 Jun 24.

Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals Trust, Cambridge, UK.

Background: Sternal fractures are rare, and they can be treated nonoperatively. Vertical sternal fractures have rarely been reported.

Purpose: To describe the management and surgical treatment of a series of elite-level athletes who presented with symptomatic nonunions of a vertical sternal fracture. Read More

J Orthop Trauma 2021 08;35(Suppl 2):S11-S12

Departments of Orthopaedic Surgery, and.

Summary: Posterior sternoclavicular joint (SCJ) dislocations are rare shoulder girdle injuries. Despite the paucity of cases, posterior SCJ dislocations pose an important threat to patient safety because of the proximity of the medial clavicle to the mediastinum, resulting in possible compression and/or injury to these structures. Current guidelines recommend attempting closed reduction in the acute setting followed by open reduction if closed reduction is unsuccessful. Read More

J Orthop Trauma 2021 08;35(Suppl 2):S9-S10

Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

Summary: Operative management of sternoclavicular fracture-dislocations is recommended in the setting of symptomatic nonunion. Treatment options include open reduction internal fixation, fragment excision, and ligamentous reconstruction. We present a 29-year-old man with a medial clavicle fracture nonunion that previously failed open reduction internal fixation and was treated with sternoclavicular joint reconstruction using tendon allograft. Read More

Zhongguo Gu Shang 2021 Jun;34(6):563-7

Department of Traumatic Orthopaedics, Taizhou Hospital of Zhejiang Province Affiliated to Wenzhou Medical University, Linhai 317000, Zhejiang, China.

Objective: To explore the efficacy of a novel sternoclavicular hook-plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint.

Methods: Retrospective analysis of 13 cases of proximal clavicle fracture with dislocation of sternoclavicular joint treated with sternoclavicular hook-plate from June 2011 to January 2019 in our department. There were 9 males and 4 females, aged 26 to 78 years old, with an average age of (54. Read More

Jt Dis Relat Surg 2021 11;32(2):560-565. Epub 2021 Jun 11.

Department of Orthopaedics and Traumatology, Landesklinikum Baden-Mödling, 2340 Mödling, Austria.

A combination of an anterior sternoclavicular (SC) joint dislocation with a midshaft clavicle fracture is an extremely rare injury. If left untreated, it can lead to severely impaired function of the shoulder with a high risk for complications. A 45-year-old male patient presented with pain and impaired range of motion (ROM) in the left shoulder after a mountain bike crash. Read More

BMC Surg 2021 Jun 16;21(1):294. Epub 2021 Jun 16.

Department of Orthopedic Surgery, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.

Background: Migration of wires and pins within the heart is an uncommon complication. Intracardic migration of Kirschner wire can cause several complications.

Case Presentation: A 55-year-old male patient was admitted to the emergency service with dyspnea, stabbing chest pain. Read More

JBJS Case Connect 2021 06 15;11(2). Epub 2021 Jun 15.

Department of Orthopedic Surgery, John Peter Smith Hospital, Fort Worth, Texas.

Case: A 29-year-old man presented with a displaced medial clavicle fracture. Surgical repair was performed using a precontoured plate designed for the contralateral distal clavicle, and medial fixation was accomplished at the sternum. The patient had no complications and demonstrated full strength and range of motion at the 8-month follow-up. Read More

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Acute sternoclavicular fracture-dislocation is associated with high-energy trauma and is being increasingly recognized in children. These injuries are associated with compression of mediastinal structures and can be life-threatening. The management of acute sternoclavicular fracture-dislocation includes closed reduction or open surgical stabilization; however, limited success is reported with closed reduction. Read More

Clin J Sport Med 2022 05 22;32(3):e319-e321. Epub 2020 Sep 22.

Departments of Orthopaedic Surgery.

Abstract: Traumatic and sport-related sternoclavicular (SCJ) injuries in adolescent athletes are more commonly physeal fractures rather than true SCJ dislocations. Although rare, posterior displacement of the medial clavicular metaphysis after a physeal fracture necessitates prompt evaluation and treatment. Despite the inherent healing ability of physeal separations, delayed or failed diagnosis has the capacity to cause serious complications or fatality secondary to injury of retrosternal structures. Read More

Curr Sports Med Rep 2021 May;20(5):242-245

Division of Pediatric Orthopaedics, Department of Orthopaedics and Rehabilitation, University of Florida College of Medicine, Gainesville, FL.