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Phys Sportsmed 2019 Jan 15:1-9. Epub 2019 Jan 15.

b Department of Family Medicine and Orthopedics, School of Medicine , University of Colorado , ‎Aurora , CO , USA.

Sports-related injuries to the shoulder are common causes of disability. Injuries to the sternoclavicular joint (SCJ) in sports are more rare, though have been reported in a small number of cases. SCJ injury classification is determined by the degree of joint displacement and direction of clavicular displacement. Read More

J Oral Maxillofac Surg 2018 Dec 12. Epub 2018 Dec 12.

Assistant Professor, Louisiana State University, New Orleans; Oral and Maxillofacial Surgery Department, Louisiana State University School of Dentistry, New Orleans; Director, Head and Neck and Microvascular Reconstruction Fellowship; Oral and Maxillofacial Surgery, LSUHSC School of Dentistry, New Orleans, LA.

Functional reconstruction of the temporomandibular joint (TMJ) is a controversial topic among oral and maxillofacial surgeons; this controversy becomes more complicated when one dives into the dilemma of the ideal reconstructive modality. TMJ defects might result from various etiologies, such as blunt or penetrating traumatic injuries, advanced degenerative joint disease, or various pathologic conditions, including benign and malignant conditions, that might arise from the TMJ or adjacent tissues. Reconstruction of the TMJ is vital because of its essential function in mastication, articulation, speech, and facial esthetics and symmetry. Read More

Ned Tijdschr Geneeskd 2018 11 27;163. Epub 2018 Nov 27.

Noordwest Ziekenhuisgroep, afd. Chirurgie, locatie Alkmaar.

Posterior sternoclavicular luxations are uncommon and potentially life threatening. When clinically suspected, a computed tomography angiography is the gold standard to investigate whether important structures located in the mediastinum are at risk. A fast reduction should be performed to reduce pain and prevent acute and late complications. Read More

Knee Surg Sports Traumatol Arthrosc 2018 Nov 26. Epub 2018 Nov 26.

Centre Hospitalier de Luxembourg, 76 Rue d'Eich, 1460, Luxembourg, Luxembourg.

Purpose: Traumatic posterior instability of the sternoclavicular joint is a potentially life-threatening injury. In contrast to the low incidence there is a plethora of different strategies to treat this lesion. It was the objective of this retrospective analysis to evaluate and further develop current strategies. Read More

Surg Radiol Anat 2018 Nov 3. Epub 2018 Nov 3.

Department of Radiology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Purpose: Clavicle fractures are common injuries in adults and children. Although neurovascular damage is rarely seen, acute subclavian artery pseudoaneurysms and injuries to subclavian vessels were reported for closed fractures of the clavicle. The aim of this study was to identify the morphological details of the subclavian vessels and their relation to the sternoclavicular joint and body of the clavicle. Read More

Trauma Case Rep 2018 Oct 5;17:1-4. Epub 2018 Oct 5.

Department of Orthopedic Surgery, Kishima Hon-in Hospital, 3-33, Gakuonji, Yao-shi, Osaka 581-0853, Japan.

Sternoclavicular joint dislocation (SCJD) is a rare injury; there are only two reported cases of SCJD that have occurred during judo practice. We present a case of an 18-year-old male athlete who fell while practicing judo and experienced upper left chest pain. He was diagnosed with posterior SCJD at another institute before being transferred to our hospital. Read More

JBJS Case Connect 2018 Jul-Sep;8(3):e76

Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.

Case: A 15-year-old boy with a posterior physeal fracture-dislocation of the medial aspect of the clavicle and a 14-year-old boy with a posterior sternoclavicular joint dislocation were successfully treated with temporary sternoclavicular stabilization using an innovative blocking technique with Kirschner wires.

Conclusion: When treating posterior sternoclavicular joint injuries, posterior instability should be securely stabilized. Temporary blocking stabilization of the sternoclavicular joint using Kirschner wires does not rigidly fix the sternoclavicular joint, but it prevents posterior displacement of the proximal aspect of the clavicle. Read More

JBJS Essent Surg Tech 2018 Jun 23;8(2):e16. Epub 2018 May 23.

Department of Orthopaedic Surgery, Akershus University Hospital, Lørenskog, Akershus, Norway.

Background: The treatment of completely displaced midshaft clavicle fractures is still controversial, but surgical treatment provides a shorter recovery period and higher union rates than nonoperative treatment with a sling. Even though the literature does not clearly support surgery for these fractures, surgery is becoming more frequent. Elastic stable intramedullary nailing (ESIN) with a titanium nail is a well-documented mini-invasive procedure with functional outcomes comparable with those of plate fixation after 1 year but a high rate of implant removal of up to 80%. Read More

Int J Sports Phys Ther 2018 Aug;13(4):752-762

Steadman Philippon Research Institute, Vail, CO, USA.

Background: Sternoclavicular (SC) joint instability is a rare injury, but one with profound implications given its proximity to vital structures and function as the only true articulation between the upper extremity and axial skeleton. The majority of SC joint instability can be treated non-operatively; however, there is a role for reconstruction in the presence of instability that results in pain and dysfunction that is refractory to conservative management or deformity resulting in functional impairment. Given the lack of inherent osseous stability at the sternoclavicular joint and the role of ligaments as primary stabilizers, surgical intervention with emphasis on ligament reconstruction may be recommended. Read More

Orthopedics 2018 Sep 27;41(5):e681-e688. Epub 2018 Jul 27.

Eleven patients with bipolar clavicle injuries, including dislocation of both ends of the clavicle, dislocation of the sternoclavicular joint with distal clavicle fracture, dislocation of the acromioclavicular joint with medial clavicle fracture, and segmental fracture of the clavicle, were retrospectively reviewed. The purpose of this study was to report the clinical outcomes and a literature review of bipolar clavicle injury. Nonoperative treatment was performed for 5 patients and surgical treatment for 6 patients. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jan;32(1):7-13

Southwest Medical University, Luzhou Sichuan, 646000, P.R.China.

Objective: To develop an anatomical locking plate in accordance with the anatomical characteristics of the sternoclavicular joint, which is reliable fixation and easy to operate, so as to provide an ideal internal fixation device for the treatment of sternoclavicular joint dislocation or peripheral fractures.

Methods: Gross measurement and CT measurement were performed on the 8 adult antiseptic and moist cadaver specimens (16 sides) to measure the parameters of surrounding bone structure of the sternoclavicular joint. The parameters included the thickness of presternum, sternal notch width, anteroposterior diameter of proximal 1/3 of clavicle, upper and lower diameters of proximal 1/3 of clavicle, angle between proximal end of clavicle and presternum in coronal plane, and angle of thoracoclavicular joint at anatomic position forward. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Mar;32(3):316-321

Department of Bone and Joint Surgery, the Affiliated Hospital of Southwest Medical University, Luzhou Sichuan, 646000, P.R.China.

Objective: To report a new type of anatomical locking plate for sternocalvicular joint, and investigate its effectiveness in treatment of sternoclavicular joint fracture and dislocation.

Methods: A new type of anatomical locking plate for sternoclavicular joint was developed, which accorded with the anatomical features and biomechanical characteristics of Chinese sternoclavicular joint. By adopting the method of clinical randomized controlled study, 32 patients with the sternoclavicular joint fracture and dislocation who met the selection criteria between June 2008 and May 2015 were randomly divided into groups A and B ( =16), and the patients were treated with new anatomic locking plate and distal radial T locking plate internal fixation, respectively. Read More

World Neurosurg 2018 Jul 17;115:e305-e311. Epub 2018 Apr 17.

Division of Neurological Surgery, Barrow Neurological Institute, Phoenix, Arizona, USA. Electronic address:

Background: Animal models are commonly used in training protocols for microsurgical vascular anastomosis. Rat common carotid arteries (CCAs) are frequently used for this purpose. Much attention has been paid to the technical details of various anastomosis configurations using these arteries. Read More

Mil Med 2018 05;183(5-6):e188-e193

Department of Orthopaedic Surgery, Wake Forest University School of Medicine, 4th Floor Watlington Hall, Medical Center Boulevard, Winston-Salem, NC 27157.

Introduction: Sternoclavicular joint (SCJ) dislocations, although uncommon, are observed in patients with ligamentous laxity as well as those who experience traumatic injuries. The incidence and epidemiology of this costly and debilitating injury to our relatively young and active military population have not previously been reported. The purpose of this study is to consider and quantify the non-modifiable risk factors associated with this injury. Read More

Arthrosc Tech 2017 Oct 2;6(5):e1749-e1753. Epub 2017 Oct 2.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, New York, U.S.A.

Dislocation of the sternoclavicular joint is a rare injury and typically requires high-energy forces applied through the joint. Initial treatment is dependent on the direction of dislocation, with acute reduction indicated for posterior dislocations presenting with signs of tracheal, esophageal, or neurovascular compression. Although most patients do well with conservative treatment after the initial trauma, some can have persistent pain and scapular dyskinesia due to instability or locked dislocation of the sternoclavicular joint. Read More

Arthrosc Tech 2017 Aug 21;6(4):e1355-e1359. Epub 2017 Aug 21.

Steadman Philippon Research Institute, Vail, Colorado, U.S.A.

A dislocation of the sternoclavicular joint is a particularly threatening injury given the close proximity of neighboring vital structures. Moreover, a traumatic injury resulting in a comminuted fracture of the medial clavicle in addition to joint instability results in even greater complexity. In the setting of sternoclavicular joint instability, definitive treatment that will lead to complete resolution of symptoms is necessary. Read More

BMC Musculoskelet Disord 2018 01 9;19(1). Epub 2018 Jan 9.

Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, 2800 Gongwei Road, Huinan Town, Pudong, Shanghai, 201399, People's Republic of China.

Background: Traumatic sternoclavicular joint dislocations are rare; closed reduction is the primary treatment. The failure of closed reduction or a prominent insult to the skin may require surgery to ensure the best possible outcome.

Methods: The records of 5 patients operated at our institution for sternoclavicular joint dislocation were reviewed. Read More

Int J Pediatr Otorhinolaryngol 2018 Jan 29;104:14-18. Epub 2017 Oct 29.

Department of Otolaryngology-Head and Neck Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200062, China. Electronic address:

Background: Branchial anomalies (BAs) account for 20% of all congenital masses in children. We sought to review the incidence of involvement of individual anomalies, diagnostic methods, surgical treatment, and complications of BAs in children. In addition, we also classified our study and analyzed a congenital lower neck cutaneous fistula near the sternoclavicular joint that was thought to be the skin-side remnant of the fourth BAs. Read More

J Thorac Dis 2017 Oct;9(10):E912-E915

Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary's Hospital, The Catholic University of Korea College of Medicine, Uijeongbu, Korea.

Posterior sternoclavicular dislocation is an extremely rare injury, usually related to heavy trauma, such as a traffic accident. The anatomical proximity of vital mediastinal structures often discourages a closed reduction during emergency situations. In this case report, we present a 17-year-old male patient who was admitted to our emergency department after having fallen down a flight of stairs five days previously. Read More

Chirurgia (Bucur) 2017 Sept-Oct;112(5):611-618

The costoclavicular ligament (CCL) provides the most tight stability within the sternoclavicular joint (SCJ), followed by the most cited sternoclavicular ligaments (SCL). Their disruption may cause severe instability of the SCJ. Different treatment options, such as the use of plates, wires or autologous tendons are associated with mainly limited functional outcome. Read More

Chirurgia (Bucur) 2017 Sept-Oct;112(5):594

Although shoulder girdle injuries are frequent, those of the medial clavicle are widely unexplored. An applied classification is less used just as a standard management. A retrospective analysis of medial clavicle injuries (MCI) during a 5-year-term in a Level-1-Trauma-Center. Read More

Acta Chir Orthop Traumatol Cech 2017 ;84(3):215-218

Klinika dětské a dospělé ortopedie a traumatologie 2. lékařské fakulty Univerzity Karlovy a Fakultní nemocnice v Motole, Praha.

We report a case of a 14-year-old patient with rare dorsal sternoclavicular dislocation caused by a sports injury. The patient was admitted to our department for further investigation and treatment. After a series of examinations, an open reduction and fixation using K-wires was used as a treatment modality. Read More

Unfallchirurg 2017 Sep;120(9):795-803

Schulter- und Ellenbogenchirurgie, Deutsches Gelenkzentrum Heidelberg, ATOS Klinik Heidelberg, Bismarckstraße 9-15, 69115, Heidelberg, Deutschland.

Bipolar dislocation of the clavicle is rare. In the literature, every reported bipolar dislocation of the clavicle is caused by a traumatic injury with loss of function of the affected shoulder. Currently, there is no recommendation to treat. Read More

J Shoulder Elbow Surg 2017 Oct 7;26(10):1732-1739. Epub 2017 Jun 7.

Nottingham Shoulder & Elbow Unit, Nottingham City Hospital, Nottingham, UK.

Background: Patients with acromioclavicular joint (ACJ) and sternoclavicular joint (SCJ) injuries and with clavicle fractures are typically younger and more active than those with other shoulder pathologies. We developed the Nottingham Clavicle Score (NCS) specifically for this group of patients to improve sensitivity for assessing the outcomes of treatment of these conditions compared with the more commonly used Constant Score (CS) and Oxford Shoulder Score (OSS).

Materials And Methods: This was a cohort study in which the preoperative and 6-month postoperative NCS evaluations of outcome in 90 patients were compared with the CS, OSS, Imatani Score (IS), and the EQ-5D scores. Read More

J Am Acad Orthop Surg 2017 May;25(5):339-347

From the Department of Orthopaedic Surgery, University of Texas Health Science Center, Houston, TX (Dr. Choo and Dr. Burgess), and the Department of Orthopaedics and Rehabilitation, University of Vermont Medical Center, Burlington, VT (Dr. Schottel).

Scapulothoracic dissociation is a rare, potentially limb- and life-threatening injury of the shoulder girdle. The injury is characterized by lateral displacement of the scapula resulting from traumatic disruption of the scapulothoracic articulation. The typical physical examination findings consist of substantial swelling of the shoulder girdle, along with weakness, numbness, and pulselessness in the ipsilateral upper extremity. Read More

J Orthop Surg (Hong Kong) 2017 01;25(1):2309499016684488

Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang, China.

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. Read More

BMJ Case Rep 2017 Feb 7;2017. Epub 2017 Feb 7.

Department of Family and Sports Medicine, University of North Carolina at Chapel Hill, Greensboro, North Carolina, USA.

A middle-aged premenopausal woman presented with 3 months of right chest wall pain after beginning a new weight training programme. Examination was significant only for mild-to-moderate tenderness to palpation over the right pectoral muscle and sternoclavicular joint. In-office musculoskeletal ultrasound scan, chest X-ray and shoulder X-rays were unremarkable. Read More

Pan Afr Med J 2016 22;25:19. Epub 2016 Sep 22.

Service d'Orthopédie-Traumatologie de l'Hôpital Général de Grand Yoff, Dakar, Sénégal.

This study aims to describe the epidemiological characteristics and the different anatomo-clinical entities of the fracture-separation of the medial clavicular epiphysis but also to relate the morphological and functional results of bloody reduction followed by osteosuture using non absorbable thread. Five boys and one girl (mean age 14 years) showed a closed and isolated shoulder girdle trauma. Clinical examination and medical imaging, especially CT scan, allowed the diagnosis of epiphyseal separation and to classify the degree of medial clavicular epiphysiseal ossification indicating the direction of displacement as well as the nature of displacement according to the Salter-Harris classification. Read More

Arch Orthop Trauma Surg 2017 Mar 21;137(3):341-345. Epub 2017 Jan 21.

Division of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.

Purpose: Up to 50% of traumatic sternoclavicular joint (SCJ) dislocations need open reduction and fixation to prevent long-term complications and complaints. We present our preferred surgical approach for acute as well as chronic SCJ dislocations, including their outcome.

Methods: Five consecutive male patients with a median age of 27 (range 20-49) were treated for traumatic anterior (n = 2) or posterior (n = 3) SCJ dislocation. Read More

J Emerg Med 2017 Apr 10;52(4):513-515. Epub 2017 Jan 10.

Department of Family Medicine (Sports Medicine), Oregon Health & Science University, Portland, Oregon.

Background: Posterior sternoclavicular dislocations can be challenging diagnostically, as traumatic force often happens to the lateral shoulder rather than directly to the sternoclavicular joint. Shoulder radiographs do not illustrate the sternoclavicular joint well, and can miss the diagnosis. This injury, however, has the potential for life-threatening complications due to proximity of mediastinal structures that might also be injured. Read More

Case Rep Orthop 2017 28;2017:2935308. Epub 2017 Dec 28.

Department of Orthopaedic Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8666, Japan.

Bipolar dislocation of the clavicle is a rare injury that is defined as a concomitant dislocation of the ipsilateral acromioclavicular joint and sternoclavicular joint. This injury is also described as a floating clavicle. Although this injury has been known for nearly two centuries, knowledge about it is limited and the treatment strategy remains controversial. Read More

J Craniomaxillofac Surg 2017 Feb 19;45(2):290-294. Epub 2016 Nov 19.

Oral and Maxillofacial Surgery, Maulana Azad Institute of Dental Sciences, MAMC Complex, Bahadur Shah Zafar Marg, New Delhi 110002, India.

Purpose: Originally introduced for mandibular reconstruction more than 40 years ago, the sternoclavicular graft (SCG) has gained widespread popularity for the reconstruction of the ramus-condyle unit (RCU) owing to its anatomic and histological likeness to the normal mandibular condyle. Conventional longitudinal osteotomy design for its harvest has been fraught with considerable complications at the donor site including fracture clavicle and major neurovascular injury. In an attempt to alleviate these ill effects, a new technique for procuring the sternoclavicular graft is presented. Read More

Zhongguo Gu Shang 2016 Nov;29(11):1040-1044

Department of Traumatic Orthopaedics, Taizhou Hospital of Zhejiang Province, Linhai 317000, Zhejiang, China.

Objective: To evaluate the therapeutic effect of a new type sternoclavicular hook plate fixation in treating unstable sternoclavicular joint dislocation and fracture.

Methods: From June 2011 to December 2013, 32 patients with sternoclavicular joint dislocation and fracture were treated with a new type sternoclavicular hook plate fixation, including 24 males and 8 females with an average age of 42 years ranging from 25 to 76 years;12 patients were anterior dislocation, 5 pations were posterior dislocation, 10 patients were internal extremity of clavicle fracture and 5 patients were sternoclavicular joint dislocation combined with fracture. The anterior fracture dislocation of the sternoclavicular joint adopted standard sternoclavicular joint hook plate, and the posterior dislocation was at the distal end of the hook of the steel plate, that is, the front part of the handle of the breast was added with a nut and a gasket to prevent the re-dislocation after operation. Read More

Rev Bras Ortop 2016 Sep-Oct;51(5):601-605. Epub 2016 Aug 30.

Hospital Santa Teresa, Petrópolis, RJ, Brazil.

The authors report the cases of two young patients who had suffered a sporting accident with posterior traumatic dislocation of sternoclavicular joint. In one of the patients closed reduction was accomplished by keeping the limb in a sling. The second patient, after reduction was done, presented recurrence of the dislocation, thus requiring surgical treatment. Read More

Ann R Coll Surg Engl 2017 Apr 28;99(4):337. Epub 2016 Oct 28.

Leeds Teaching Hospitals NHS Trust , UK.

Surgery 2017 10 12;162(4):958-960. Epub 2016 Oct 12.

Department of Surgery, University of Rochester School of Medicine, Rochester, NY. Electronic address:

Phys Med Rehabil Clin N Am 2016 Aug;27(3):555-72

Department of Orthopaedics and Rehabilitation, Radiology, and Family Medicine, University of Iowa Sports Medicine Center, 2701 Prairie Meadow Drive, Iowa City, IA 52242, USA. Electronic address:

Chronic and acute shoulder pain and dysfunction are common complaints among patients. Shoulder pain may be the result of abnormality involving the rotator cuff, subacromial-subdeltoid bursa, biceps tendon, glenoid labrum, glenohumeral joint, acromioclavicular joint, sternoclavicular joint, or glenohumeral joint capsule. Ultrasound-guided (USG) procedures of the shoulder are well established for interventional management. Read More

Cardiovasc Intervent Radiol 2016 Nov 6;39(11):1636-1643. Epub 2016 Jun 6.

Department of Interventional Radiology, University Hospital of Strasbourg, 1 Place de l'hopital, 67000, Strasbourg, France.

Objective: This study was designed to describe the technique of percutaneous image-guided cryoablation with large-volume hydrodissection for the treatment of challenging mediastinal lesions.

Methods: Between March 2014 and June 2015, three patients (mean age 62.7 years) with four neoplastic anterior mediastinal lesions underwent five cryoablation procedures using large-volume hydrodissection. Read More

World J Orthop 2016 Apr 18;7(4):244-50. Epub 2016 Apr 18.

Daniel J Morell, David S Thyagarajan, Department of Trauma and Orthopaedic Surgery, Northern General Hospital, Sheffield Teaching Hospitals NHS Trust, Sheffield S5 7AU, United Kingdom.

Dislocations of the sternoclavicular joint (SCJ) occur with relative infrequency and can be classified into anterior and posterior dislocation, with the former being more common. The SCJ is inherently unstable due to its lack of articular contact and therefore relies on stability from surrounding ligamentous structures, such as the costoclavicular, interclavicular and capsular ligaments. The posterior capsule has been shown in several studies to be the most important structure in determining stability irrespective of the direction of injury. Read More

Skeletal Radiol 2016 Aug 23;45(8):1123-7. Epub 2016 Apr 23.

Department of Orthopedic Surgery, University of Texas Health Science Center, 6400 Fannin Street; Suite 1700, Houston, TX, 77030, USA.

Sternoclavicular injuries are relatively rare, composing less than 1 % of all musculoskeletal fractures or dislocations. When sternoclavicular injuries do occur, they typically present as an isolated dislocation of the sternoclavicular joint without associated fracture of the clavicle or manubrium. However, in patients with unfused medial clavicle physis, sternoclavicular joint injuries can present as a fracture-dislocation through the unfused physis. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2016 Jan;30(1):115-8

Objective: To summarize the research progress in the surgical treatment of sternoclavicular joint dislocation.

Methods: The literature on the treatment of sternoclavicular joint dislocation was reviewed, summarized, and analyzed.

Results: At present, the main therapy of sternoclavicular joint dislocation is operation, including the sternoclavicular joint reconstruction, the inner end of the clavicle resection, and internal fixation of the sternoclavicular joint. Read More

Instr Course Lect 2016 ;65:181-96

Orthopedic Surgeon, Blue Ridge Bone & Joint, Asheville, North Carolina.

The clavicle is the most frequently injured bone in the human body. In most cases, fractures that occur in the midshaft of the clavicle can be managed nonsurgically. An increasing number of studies suggest that displaced midshaft clavicle fractures have improved outcomes after surgical management, and equivalent outcomes can be achieved with both plating and intramedullary techniques. Read More

Arch Orthop Trauma Surg 2016 May 5;136(5):605-8. Epub 2016 Mar 5.

Department of Orthopaedic Surgery, Konyang University College of Medicine, 158 Gwanjeodong-ro, Seo-Gu, Daejeon, Republic of Korea.

Traumatic bilateral sternoclavicular joint dislocation is very rare injury. In shoulder girdle injuries, anterior dislocation of the sternoclavicular joint accounts for 3 % and posterior sternoclavicular joint dislocation is lesser. Previous reported cases about bilateral sternoclavicular joint dislocation were result from proximal clavicle fracture with intact connection between sternum and ribs. Read More

Physiother Theory Pract 2016 10;32(2):153-8. Epub 2016 Feb 10.

a Department of Physical Therapy, College of Applied Health Sciences , University of Illinois at Chicago , Chicago , IL , USA.

Massive irreparable rotator cuff tears can be difficult to treat conservatively, especially when the patient has multiple comorbidities. Although there is evidence to support interventions aimed at the spine, there is paucity in the literature describing interventions to the sternoclavicular joint (SCJ) in individuals with rotator cuff pathology. A 57-year-old female with multiple comorbidities and a body mass index of 59 was referred to physical therapy with a 4-month history of right shoulder pain, significant functional limitations, and magnetic resonance imaging (MRI), demonstrating a full-thickness supraspinatus tear. Read More

Arch Trauma Res 2015 Dec 1;4(4):e29923. Epub 2015 Dec 1.

Department of Surgery, Division of Orthopaedic Surgery and Traumatology, Centre Hospitalier du Centre du Valais, Sion, Switzerland.

Introduction: Clavicle fractures are very common, accounting for approximately 4% of all adult fractures. Segmental bipolar fractures involving the lateral and the medial ends of the clavicle are extremely rare, with only isolated cases reported in the literature. The injury mechanism is often unclear and the management of these fractures remains controversial. Read More

HNO 2016 Feb;64(2):117-21

Klinik für Hals-, Nasen- und Ohrenheilkunde, Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Deutschland.

Background/objective: Osteoradionecrosis is a rare, but feared, late complication after radiotherapy of the head and neck region. Its localization to the sternoclavicular joint has rarely been described so far.

Materials And Methods: Data are from a retrospective study that included all patients admitted to the authors' clinic with osteoradionecrosis of the sternoclavicular joint during the last 5 years. Read More

Am J Orthop (Belle Mead NJ) 2016 Jan;45(1):E29-30

Department of Orthopedics, Dokuz Eylul University Hospital, Balcova, Izmir, Turkey.

Scapular dislocation, also known as locked scapula or scapulothoracic dislocation, is a rare entity that can be identified as extrathoracic or intrathoracic dislocation, depending on the penetration of the scapula into the thoracic cavity. The 3 reported cases of intrathoracic scapular dislocations in the literature are associated with a preexisting condition, such as sternoclavicular separation, prior rib fracture, thoracotomy for a lung transplant procedure, or surgical resection of superior ribs during breast or pulmonary tumor excisions. There are also 3 published cases of intrathoracic scapular impaction, involving comminuted scapular fractures with intrathoracic impaction of the inferior fragment through intercostal space. Read More