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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 1, 63-65
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

Operation for old sternoclavicular dislocation. Results in 12 cases

A Eskola, S Vainionpaa, M Vastamaki, P Slatis, and P Rokkanen

Orthopaedic Hospital of the Invalid Foundation, Helsinki, Finland.

Twelve patients were operated upon after unsuccessful conservative treatment for complete dislocation of the sternoclavicular joint. Three methods were used; stabilisation using fascial loops, reconstruction with a tendon graft, and resection of the sternal end of the clavicle. The results were good in only four patients, three treated with a tendon graft and one by fascial loops. Another four patients had fair results, but all four treated by resection of the medial end of the clavicle had poor results, with pain and weakness of the upper extremity. In our opinion resection of the sternal end of the clavicle should not be used in old traumatic dislocation.


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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General