RESEARCH PROGRESS IN TREATMENT OF STERNOCLAVICULAR JOINT DISLOCATION_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

YANGKun ,  YANGYunkang

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

Corresponding author：

YANGYunkang, Email: droyyk@163.com

Keywords：

Sternoclavicular joint dislocation; Surgical treatment; Internal fixation

DOI：

10.7507/1002-1892.20160023

Video：

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Objective To summarize the research progress in the surgical treatment of sternoclavicular joint dislocation. Method 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. The internal fixation surgery is the preferred way, which is reliable fixation and in favor of early functional exercise. Conclusions It is the current focus of attention to select a reliable fixation that is accord with sternoclavicular joint anatomy and biomechanics.

Citation： YANGKun, YANGYunkang. RESEARCH PROGRESS IN TREATMENT OF STERNOCLAVICULAR JOINT DISLOCATION. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(1): 115-118. doi: 10.7507/1002-1892.20160023 Copy

1.	Renfree KJ, Wright TW. Anatomy and biomechanics of the sternoclavicular joint. Clin Sports Med, 2014, 22(2) :219-237.
2.	Lee JT, Campbell KJ, Michalski MP, et al. Surgical anatomy of the sternoclavicular joint. J Bone Joint Surg (Am), 2014, 96(19) :e166.
3.	Tubbs RS, Shah NA, Sullivan BP, et al. The costoclavicular ligament revisited:a functional and anatomical study. Rom J Morphol Embryol, 2009, 50(3) :475-479.
4.	Spencer EE, Kuhn JE, Huston LJ, et al. Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint. J Shoulder Elbow Surg, 2002, 11(1) :43-47.
5.	van Tongel A, MacDonald P, Leiter J, et al. A cadaveric study of the structural anatomy of the sternoclavicular joint. Clinical Anatomy, 2012, 25(7) :903-910.
6.	Tytherleigh-Strong GM, Getgood AJ, Griffiths DE. Arthroscopic intra-articular disk excision of the sternoclavicular joint. Am J Sport Med, 2012, 40(5) :1172-1175.
7.	Friedrich L, Afifi FK, Skarvan J, et al. Combined gracilis tendon autograft reconstruction and discus repair of a chronic anterior-superior sternoclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc, 2012, 20(10) :1978-1982.
8.	杨子权,徐光,和利,等.正常成人胸锁关节的16层螺旋CT测量研究.上海医学影像, 2012, 21(3) :202-205.
9.	Sullivan JP, Warme BA, Wolf BR. Use of an O-arm intraoperative computed tomography scanner for closed reduction of posterior sternoclavicular dislocations J Shoulder Elbow Surg, 2012, 21(3) :e17-20.
10.	Ponce BA, Kundukulam JA, Pflugner R, et al. Sternoclavicular joint surgery:how far does danger lurk below? J Shoulder Elbow Surg, 2013, 22(7) :993-999.
11.	Li M, Wang B, Zhang Q, et al. Imageological measurement of the sternoclavicular joint and its clinical application. Chin Med J (Engl), 2012, 125(2) :230-235.
12.	Merriman JA, Villacis D, Wu B, et al. Does patient sex affect the anatomic relationships between the sternoclavicular joint and posterior vascular structures? Clin Orthop Relat Res, 2014, 472(11) :3495-3506.
13.	Bontempo NA, Mazzocca AD. Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries. Br J Sports Med, 2010, 44(5) :361-369.
14.	Rockwood CA Jr, Groh GI, Wirth MA, et al. Resection arthroplasty of the sternoclavicular joint. J Bone Joint Surg (Am), 1997, 79(3) :387-393.
15.	Groh GI, Wirth MA, Rockwood CA Jr. Treatment of traumatic posterior sternoclavicular dislocations. J Shoulder Elbow Surg, 2011, 20(1) :107-113.
16.	Spencer EE Jr, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg (Am), 2004, 86-A(1) :98-105.
17.	Kawaguchi K, Tanaka S, Yoshitomi H, et al. Double figure-of-eight reconstruction technique for chronic anterior sternoclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc, 2015, 23(5) :1559-1562.
18.	Guan JJ, Wolf BR. Reconstruction for anterior sternoclavicular joint dislocation and instability. J Shoulder Elbow Surg, 2013, 22(6) :775-781.
19.	Bak K, Fogh K. Reconstruction of the chronic anterior unstable sternoclavicular joint using a tendon autograft:medium-term to long-term follow-up results. J Shoulder Elbow Surg, 2014, 23(2) :245-250.
20.	Quayle JM, Arnander MW, Pennington RG, et al. Artificial ligament reconstruction of sternoclavicular joint instability:report of a novel surgical technique with early results. Tech Hand Up Extrem Surg, 2014, 18(1) :31-35.
21.	Tavakkolizadeh A, Halesp F, Janes GC. Arthroscopic excision of sternoclavicular joint. Knee Surg Sports Traumatol Arthrosc, 2009, 17(4) :405-408.
22.	杨骐宁,严世贵.锁骨内侧端切除长度的解剖学研究.第二届中华骨科杂志论坛论文集. 2009.
23.	Carrera EF, Archetti Neto N, Carvalho RL, et al. Resection of the medial end of the clavicle:an anatomic study. J Shoulder Elbow Surg, 2007, 16(1) :112-114.
24.	Bucholz RW, Heckman JD, Brown CC.洛克伍德-格林:成人骨折.裴国献,译. 6版.北京:人民军医出版社, 2009:1149.
25.	戚盈杰,胡月正,余华晨,等.克氏针加张力带钢丝内固定治疗胸锁关节脱位.中国骨与关节损伤杂志, 2011, 26(9) :824-825.
26.	曾宪华,邹志强,高洋,等.胸腔镜下治疗克氏针折断游走至左上纵隔及右胸腔1例.重庆医学, 2015, 44(5) :719-720.
27.	李远安.改良克氏针内固定治疗胸锁关节脱位.创伤外科杂志, 2012, 14(1) :71.
28.	赵继,蔡贤华,胡昊,等. T型钢板与韧带重建治疗陈旧性胸锁关节脱位对比研究.临床外科杂志, 2014, 22(2) :122-124.
29.	叶小林,王瑞. T型钢板内固定治疗胸锁关节脱位78例疗效分析.中国实用医刊, 2013, 40(13) :18-19.
30.	Schemitsch LA, Schemitsch EH, McKee MD. Bipolar clavicle injury:posterior dislocation of the acromioclavicular joint with anterior dislocation of the sternoclavicular joint:a report of two cases. J Shoulder Elbow Surg, 2011, 20(1) :e18-22.
31.	谢志云,王小勇,朱祖巍,等.胸锁关节功能重建的临床病例分析.中国骨与关节损伤杂志, 2014, 29(11) :1162-1163.
32.	Gille J, Schulz A, Wallstabe S, et al. Hook plate for medial clavicle fracture. Indian J Orthop, 2010, 44(2) :221-223.
33.	陈方虎,赵小平,郑文标,等.胸锁钩钢板治疗胸锁关节脱位的临床观察.中国骨伤, 2013, 26(5) :380-382.
34.	潘超,瞿绪勇,吴学仪,等.胸锁钩接骨板治疗胸锁关节脱位及锁骨近端骨折.实用骨科杂志, 2015, 21(1) :68-70.

1. Renfree KJ, Wright TW. Anatomy and biomechanics of the sternoclavicular joint. Clin Sports Med, 2014, 22(2) :219-237.
2. Lee JT, Campbell KJ, Michalski MP, et al. Surgical anatomy of the sternoclavicular joint. J Bone Joint Surg (Am), 2014, 96(19) :e166.
3. Tubbs RS, Shah NA, Sullivan BP, et al. The costoclavicular ligament revisited:a functional and anatomical study. Rom J Morphol Embryol, 2009, 50(3) :475-479.
4. Spencer EE, Kuhn JE, Huston LJ, et al. Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint. J Shoulder Elbow Surg, 2002, 11(1) :43-47.
5. van Tongel A, MacDonald P, Leiter J, et al. A cadaveric study of the structural anatomy of the sternoclavicular joint. Clinical Anatomy, 2012, 25(7) :903-910.
6. Tytherleigh-Strong GM, Getgood AJ, Griffiths DE. Arthroscopic intra-articular disk excision of the sternoclavicular joint. Am J Sport Med, 2012, 40(5) :1172-1175.
7. Friedrich L, Afifi FK, Skarvan J, et al. Combined gracilis tendon autograft reconstruction and discus repair of a chronic anterior-superior sternoclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc, 2012, 20(10) :1978-1982.
8. 杨子权,徐光,和利,等.正常成人胸锁关节的16层螺旋CT测量研究.上海医学影像, 2012, 21(3) :202-205.
9. Sullivan JP, Warme BA, Wolf BR. Use of an O-arm intraoperative computed tomography scanner for closed reduction of posterior sternoclavicular dislocations J Shoulder Elbow Surg, 2012, 21(3) :e17-20.
10. Ponce BA, Kundukulam JA, Pflugner R, et al. Sternoclavicular joint surgery:how far does danger lurk below? J Shoulder Elbow Surg, 2013, 22(7) :993-999.
11. Li M, Wang B, Zhang Q, et al. Imageological measurement of the sternoclavicular joint and its clinical application. Chin Med J (Engl), 2012, 125(2) :230-235.
12. Merriman JA, Villacis D, Wu B, et al. Does patient sex affect the anatomic relationships between the sternoclavicular joint and posterior vascular structures? Clin Orthop Relat Res, 2014, 472(11) :3495-3506.
13. Bontempo NA, Mazzocca AD. Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries. Br J Sports Med, 2010, 44(5) :361-369.
14. Rockwood CA Jr, Groh GI, Wirth MA, et al. Resection arthroplasty of the sternoclavicular joint. J Bone Joint Surg (Am), 1997, 79(3) :387-393.
15. Groh GI, Wirth MA, Rockwood CA Jr. Treatment of traumatic posterior sternoclavicular dislocations. J Shoulder Elbow Surg, 2011, 20(1) :107-113.
16. Spencer EE Jr, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg (Am), 2004, 86-A(1) :98-105.
17. Kawaguchi K, Tanaka S, Yoshitomi H, et al. Double figure-of-eight reconstruction technique for chronic anterior sternoclavicular joint dislocation. Knee Surg Sports Traumatol Arthrosc, 2015, 23(5) :1559-1562.
18. Guan JJ, Wolf BR. Reconstruction for anterior sternoclavicular joint dislocation and instability. J Shoulder Elbow Surg, 2013, 22(6) :775-781.
19. Bak K, Fogh K. Reconstruction of the chronic anterior unstable sternoclavicular joint using a tendon autograft:medium-term to long-term follow-up results. J Shoulder Elbow Surg, 2014, 23(2) :245-250.
20. Quayle JM, Arnander MW, Pennington RG, et al. Artificial ligament reconstruction of sternoclavicular joint instability:report of a novel surgical technique with early results. Tech Hand Up Extrem Surg, 2014, 18(1) :31-35.
21. Tavakkolizadeh A, Halesp F, Janes GC. Arthroscopic excision of sternoclavicular joint. Knee Surg Sports Traumatol Arthrosc, 2009, 17(4) :405-408.
22. 杨骐宁,严世贵.锁骨内侧端切除长度的解剖学研究.第二届中华骨科杂志论坛论文集. 2009.
23. Carrera EF, Archetti Neto N, Carvalho RL, et al. Resection of the medial end of the clavicle:an anatomic study. J Shoulder Elbow Surg, 2007, 16(1) :112-114.
24. Bucholz RW, Heckman JD, Brown CC.洛克伍德-格林:成人骨折.裴国献,译. 6版.北京:人民军医出版社, 2009:1149.
25. 戚盈杰,胡月正,余华晨,等.克氏针加张力带钢丝内固定治疗胸锁关节脱位.中国骨与关节损伤杂志, 2011, 26(9) :824-825.
26. 曾宪华,邹志强,高洋,等.胸腔镜下治疗克氏针折断游走至左上纵隔及右胸腔1例.重庆医学, 2015, 44(5) :719-720.
27. 李远安.改良克氏针内固定治疗胸锁关节脱位.创伤外科杂志, 2012, 14(1) :71.
28. 赵继,蔡贤华,胡昊,等. T型钢板与韧带重建治疗陈旧性胸锁关节脱位对比研究.临床外科杂志, 2014, 22(2) :122-124.
29. 叶小林,王瑞. T型钢板内固定治疗胸锁关节脱位78例疗效分析.中国实用医刊, 2013, 40(13) :18-19.
30. Schemitsch LA, Schemitsch EH, McKee MD. Bipolar clavicle injury:posterior dislocation of the acromioclavicular joint with anterior dislocation of the sternoclavicular joint:a report of two cases. J Shoulder Elbow Surg, 2011, 20(1) :e18-22.
31. 谢志云,王小勇,朱祖巍,等.胸锁关节功能重建的临床病例分析.中国骨与关节损伤杂志, 2014, 29(11) :1162-1163.
32. Gille J, Schulz A, Wallstabe S, et al. Hook plate for medial clavicle fracture. Indian J Orthop, 2010, 44(2) :221-223.
33. 陈方虎,赵小平,郑文标,等.胸锁钩钢板治疗胸锁关节脱位的临床观察.中国骨伤, 2013, 26(5) :380-382.
34. 潘超,瞿绪勇,吴学仪,等.胸锁钩接骨板治疗胸锁关节脱位及锁骨近端骨折.实用骨科杂志, 2015, 21(1) :68-70.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH PROGRESS IN TREATMENT OF STERNOCLAVICULAR JOINT DISLOCATION

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