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1
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Guo P, Li N, Zhong H, Zhao G, Pan Z. Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center. World J Emerg Med 2025; 16:273-276. [PMID: 40406304 PMCID: PMC12093426 DOI: 10.5847/wjem.j.1920-8642.2025.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2024] [Accepted: 01/26/2025] [Indexed: 05/26/2025] Open
Affiliation(s)
- Pengchao Guo
- Department of Emergency Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Nan Li
- Department of Plastic Surgery, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Huiming Zhong
- Department of Emergency Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Guangfeng Zhao
- Department of Emergency Medicine, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
| | - Zhijun Pan
- Department of Orthopedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, China
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Helvey-Byers R, O'Laughlin J, Dickson N, Myer R, Gross M. Acromioclavicular joint mobilizations for the management of grade I sternoclavicular joint sprain: a case report. Physiother Theory Pract 2024; 40:2719-2727. [PMID: 37916522 DOI: 10.1080/09593985.2023.2276378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2023] [Revised: 10/20/2023] [Accepted: 10/23/2023] [Indexed: 11/03/2023]
Abstract
OBJECTIVE Injury to the sternoclavicular joint is a rare phenomenon that has implications for the shoulder complex. Limited literature exists on optimal physical therapy rehabilitation after a sternoclavicular ligament sprain. This case report details the physical therapy management and outcomes of a patient with a posterior sternoclavicular joint sprain. CASE DESCRIPTION The patient was a 34-year-old female who sustained a grade I posteriorly directed sternoclavicular sprain during a motor vehicle accident. She received a combination of acromioclavicular joint mobilizations and therapeutic exercise for her shoulder complex for five sessions over six weeks. OUTCOMES At discharge, the patient surpassed the minimally clinically important difference (MCID) and the minimal detectable change (MDC) in her Quick-DASH score. She surpassed the MDC and MCID in her Numerical Pain Rating Scale score. She was able to regain full functional use of her involved upper extremity and returned to her work and original exercise regimen with no further limitations. CONCLUSION The outcomes suggest that a combination of acromioclavicular joint mobilizations and therapeutic exercise for the shoulder complex was a suitable option for the conservative management of this patient's grade I sternoclavicular sprain.
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Affiliation(s)
| | - Jeffrey O'Laughlin
- Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
| | - Nicole Dickson
- Department of Physical Therapy, UNC Health Therapy Services, Chapel Hill, NC, USA
| | - Reuben Myer
- Department of Physical Therapy, UNC Health Therapy Services, Chapel Hill, NC, USA
| | - Michael Gross
- Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
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3
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Tariq MA, Dragonas CG, Nadimi J, Abbakr L, Leivadiotou D. The Operative Treatment of Sternoclavicular Joint Dislocations in Adults: A Systematic Review. Cureus 2024; 16:e73229. [PMID: 39651007 PMCID: PMC11624902 DOI: 10.7759/cureus.73229] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/07/2024] [Indexed: 12/11/2024] Open
Abstract
This systematic review aimed to assess the literature on the treatment modalities used for acute sternoclavicular joint (SCJ) dislocation injuries. We aimed to review the clinical outcomes following these modalities by assessing functional scores, range of motion (ROM), patient satisfaction, complications, and revisions. A thorough literature search was conducted on four databases (Cochrane Library, Embase, MEDLINE, and Google Scholar) for studies published from January 2000 to May 2024 that focused on surgical treatment of sternoclavicular joint dislocation in patients over the age of 18 years. Of 1509 studies identified, 16 met our inclusion criteria and were selected as eligible. The studies included a total of 245 patients with an average age of 42.7 years ranging from 15 to 75 years. A total of 247 acute SCJ dislocations were treated with an average follow-up period of 45.7 months. Our research demonstrated that operative treatment for both anterior and posterior SCJ dislocations is beneficial and has been shown to improve functional outcomes and patient satisfaction, with few complications and a low revision rate. There is a wide range of implants and devices available, and detailed diagnostics of injury type and patient demographics would help to aid in the selection of an optimal device. In order to have comparable data between these interventions, further research, including randomized controlled trials and comparable studies, needs to be conducted. This, in turn, would contribute to more specific guidelines in the future for the treatment of these injuries.
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Affiliation(s)
- Maariya A Tariq
- Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR
| | | | - Joshua Nadimi
- Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR
| | - Lina Abbakr
- Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR
| | - Dimitra Leivadiotou
- Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR
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4
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Sugihara T, Sano Y, Ueki T, Ishimura T, Takeda M, Kiriyama Y, Mori Y, Sakao N, Otani S, Izutani H. Successful conservative management of advanced pyogenic sternoclavicular joint arthritis with osteomyelitis and pulmonary infiltration: a case report. J Med Case Rep 2024; 18:394. [PMID: 39183313 PMCID: PMC11346202 DOI: 10.1186/s13256-024-04684-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2024] [Accepted: 07/05/2024] [Indexed: 08/27/2024] Open
Abstract
BACKGROUND Sternoclavicular joint arthritis is a rare condition that poses considerable diagnostic and therapeutic challenges, leading to severe complications and a high mortality rate. Although surgical interventions are often considered necessary for advanced cases, some reports have suggested that conservative management with antibiotic therapy can be effective in certain cases. However, to our knowledge, there are no reports of successful conservative treatment in cases exhibiting aggressive spread. This report highlights a case of advanced sternoclavicular joint arthritis with bone destruction and pulmonary infiltration, successfully treated conservatively with outpatient antibiotic therapy. CASE PRESENTATION A 58-year-old Japanese male presented with a 1-month history of left-sided shoulder pain. Contrast-enhanced computed tomography showed abscess formation and clavicular bone destruction, with infiltrative shadows suggesting lung involvement. The diagnosis of sternoclavicular joint arthritis was made, and outpatient oral antibiotic therapy was initiated. The patient exhibited a marked reduction in inflammatory marker levels and symptoms, and antibiotic therapy was discontinued after 3 weeks, with no recurrence observed at a 4-month follow-up. CONCLUSIONS This case highlights that conservative management with antibiotics can be effective for treating advanced sternoclavicular joint arthritis, emphasizing the need for individualized management and further research into non-surgical treatment options.
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Affiliation(s)
- Takahito Sugihara
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan.
| | - Yoshifumi Sano
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Takashi Ueki
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Takao Ishimura
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Masashi Takeda
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Yosuke Kiriyama
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Yu Mori
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Nobuhiko Sakao
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Shinji Otani
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
| | - Hironori Izutani
- Department of Cardiovascular and Thoracic Surgery, Ehime University Graduate School of Medicine, 454, Shitsukawa, Toon, Ehime, 791-0204, Japan
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Plath JE, Martetschläger F, Moroder P, Sandmann G. Instabilities and Osteoarthritis of the Sternoclavicular Joint. ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE 2024; 162:360-367. [PMID: 37647924 DOI: 10.1055/a-2109-3190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
Injury to the sternoclavicular joint (SCG) is very rare, accounting for 3% of shoulder injuries and < 1% of instabilities. Consequently, both the treatment of acute instabilities and their subsequent states (chronic instabilities/SCG arthrosis) are controversial. While treatment has so far been mostly conservative, in recent years there has been a trend towards surgical therapy.Considerable violence, such as that found in traffic accidents or contact sports, can tear the extremely stable ligaments between the medial clavicle and sternum. While anterior dislocation is easier to reduce in most cases, instability remains in up to 50% of cases. In most cases, posterior instability requires rapid reduction, particularly due to the anatomical proximity to important cardio-pulmonary structures. If this succeeds, the rate of persistent instabilities is low. For chronic instability, reconstruction/augmentation of the ligament apparatus with tendon grafts in the "Figure of 8 configuration" has proven to be the standard technique in recent years.
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Affiliation(s)
| | | | - Philipp Moroder
- Abteilung Schulterchirurgie und Ellenbogenchirurgie, Schulthess Klinik Zürich, Zürich, Schweiz
| | - Gunther Sandmann
- Sportklinik Ravensburg, Sportklinik Ravensburg, Ravensburg, Deutschland
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Heaton D, Wang Y, Moore B, Frager L, Everist BM, Crist J. Utility of 3D reformatted images in the diagnosis of sternoclavicular joint injury. Arch Orthop Trauma Surg 2024; 144:741-745. [PMID: 38055015 DOI: 10.1007/s00402-023-05135-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/12/2023] [Accepted: 11/13/2023] [Indexed: 12/07/2023]
Abstract
INTRODUCTION The purpose of this study is to evaluate the ability of musculoskeletal radiologists to diagnose sternoclavicular joint injuries in the standard CT imaging planes compared to 3D volume rendered images to define the most accurate plane to improve prospective diagnosis. MATERIALS AND METHODS A retrospective query of our institutional database was performed. Twenty-six patients with a diagnosis of sternoclavicular joint injury, who had been evaluated with CT and treated by orthopedic surgery, and 30 control patients who did not have a sternoclavicular joint injury were included for analysis. Two blinded radiologists with specialty training in musculoskeletal radiology independently reviewed axial, coronal, sagittal, and 3D reformatted CT images and documented whether injury was present or not present. RESULTS Accuracy was good for both radiologists on all views. It was lowest on the sagittal view for both readers. Accuracy was highest for the 3D view. When comparing the accuracy of the four views for each radiologist, there was a significant difference for Radiologist A, whose 3D images were more accurate compared to the axial and sagittal views. There was no significant difference for Radiologist B. There was good inter-reader agreement, which was highest on the 3D images. CONCLUSION 3D volume renderings of the sternoclavicular joints have the potential to improve radiologist accuracy for detection of sternoclavicular joint injury/dislocation in the setting of chest well trauma, which could decrease instances of missed or delayed diagnosis.
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Affiliation(s)
- Dennis Heaton
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Yang Wang
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Brittany Moore
- Kansas City Orthopedic Alliance, 10777 Nall Ave Suite 300, Overland Park, KS, 66211, USA
| | - Luke Frager
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Brian M Everist
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA
| | - Jamie Crist
- University of Kansas Health System, 3901 Rainbow Boulevard, Kansas City, KS, 66160, USA.
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Sandler AB, Baird MD, Scanaliato JP, Harris ALW, Raiciulescu S, Green CK, Dunn JC, Parnes N. Incidence of sports-related sternoclavicular joint dislocations in the United States over the last two decades. World J Orthop 2023; 14:427-435. [PMID: 37377996 PMCID: PMC10292055 DOI: 10.5312/wjo.v14.i6.427] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2023] [Revised: 04/01/2023] [Accepted: 05/08/2023] [Indexed: 06/19/2023] Open
Abstract
BACKGROUND Epidemiological understanding of acute sternoclavicular (SC) dislocations secondary to sports across the United States is poorly defined.
AIM To identify and assess epidemiological trends of SC dislocations occurring secondary to sports-related mechanisms across United States over the past two decades.
METHODS This cross-sectional, descriptive epidemiological study evaluates epidemiological trends of SC dislocations from sports that present to emergency departments (EDs) across the United States. Data were obtained from the National Electronic Injury Surveillance System database spanning two decades. Data on incidence, patient demographics, mechanisms of injury, dislocation types, incident locales, and patient dispositions were collected.
RESULTS 1622 SC dislocations occurred nationwide from 2001 to 2020 [incidence = 0.262/1000000 people, confidence interval (CI) = 0.250-0.275], comprising 0.1% of shoulder/upper trunk dislocations. Most patients were male (91%, n = 1480) and aged 5-17 (61%, n = 982). Football, wrestling, and biking were the most frequently implicated sports, with contact sports responsible for 59% of athletic injuries (n = 961). Recreational vehicle-related sports injuries, such as all-terrain vehicles, dirt bikes, and mopeds accounted for 7.8% of all injuries (n = 126), with dirt bikes specifically comprising 3.7% (n = 61). Ultimately, 82% were discharged from the ED (n = 1337), 12% were admitted (n = 194), and 6% were transferred (n = 90). All recorded posterior dislocations were admitted or transferred from the ED. Patients sustaining SC dislocations from contact sports had a significantly increased risk of hospital admission or transfer rather than discharge from the ED as compared to patients whose injuries were from non-contact sports (incidence rate ratio = 1.46, CI: = 1.32-1.61, P < 0.001).
CONCLUSION SC dislocations from sports continue to be rare with a stably low incidence over the past two decades, likely comprising a smaller proportion of shoulder dislocations than previously thought. Contact sports are a frequent source of injury, especially among school-aged and teenage males. Most patients are discharged directly from the ED; however, a substantial number are hospitalized, many of which had documented posterior dislocations. Ultimately, understanding the epidemiology and mechanism-related trends of acute SC dislocations is important given the potential severity of these injuries, concentration in a specific population, and uncertainty linked to rare presentation.
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Affiliation(s)
- Alexis B Sandler
- Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, United States
| | - Michael D Baird
- Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD 20307, United States
| | - John P Scanaliato
- Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, United States
| | - Ayden LW Harris
- Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD 20307, United States
| | - Sorana Raiciulescu
- Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, MD 20307, United States
| | - Clare K Green
- School of Medicine and Health Sciences, The George Washington University, Washington, DC 20001, United States
| | - John C Dunn
- Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, United States
| | - Nata Parnes
- Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, NY 13619, United States
- Department of Orthopaedic Surgery, Claxton-Hepburn Medical Center, Ogdensburg, NY 13669, United States
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8
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Romeo PV, Papalia AG, Gambhir N, Styles ST, Virk MS. Snapping Sternoclavicular Joint. Cureus 2023; 15:e38557. [PMID: 37288239 PMCID: PMC10241662 DOI: 10.7759/cureus.38557] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/04/2023] [Indexed: 06/09/2023] Open
Abstract
Snapping sternoclavicular joint (SCJ) is a rare presentation in the SCJ. We present a case report detailing the presentation and treatment of unilateral snapping SCJ in a 14-year-old male patient. Clinical findings included the subluxation of the medial end of the clavicle in the anterior-posterior direction following a specific maneuver by the patient that involved repetitive external rotation with the arm in horizontal abduction. Dynamic ultrasound demonstrated an asymmetric widening of the right sternoclavicular joint in the neutral position with a pronounced subluxation in provocative positioning. At 3.5-year follow-up, he continued to remain pain-free without static deformity of the SCJ. Snapping SCJ is a benign phenomenon that does not require any intervention and is not associated with ligament laxity.
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Affiliation(s)
- Paul V Romeo
- Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, USA
| | - Aidan G Papalia
- Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, USA
| | - Neil Gambhir
- Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, USA
| | - Stuart T Styles
- Department of Orthopedic Surgery, Somers Orthopedic Surgery and Sports Medicine Group, Carmel Hamlet, USA
| | - Mandeep S Virk
- Department of Orthopedic Surgery, New York University (NYU) Langone Orthopedic Hospital, New York, USA
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9
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Jessen M, Schnetzke M, Studier-Fischer S, Grützner PA, Gühring T, Porschke F. Morphologic Alterations of the Sternoclavicular Joint following Ipsilateral Clavicle Fractures. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:15011. [PMID: 36429729 PMCID: PMC9690708 DOI: 10.3390/ijerph192215011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 11/07/2022] [Accepted: 11/08/2022] [Indexed: 06/16/2023]
Abstract
RATIONALE To our knowledge, no study has investigated concomitant injuries of the sternoclavicular joint (SCJ) in acute clavicle fractures. The purpose of this study was to determine the effect of an ipsilateral clavicle fracture on the SCJ in a systematic computer tomography (CT) morphologic evaluation. METHODS CT scans in the axial and coronal plane of 45 consecutive patients with clavicle fractures were retrospectively analyzed. The scans were assessed regarding anatomic congruence of bilateral SCJs-joint space width (JSW); the position of bilateral medial clavicles (PC); and the non-fusion of epiphyses, arthritis, calcifications, and intra-articular gas. RESULTS The mean SCJ JSW was significantly different in the coronal (cJSW; 8.70 mm ± 2.61 mm in affected vs. 7.63 mm ± 2.58 mm in non-affected side; p = 0.001) and axial plane (aJSW; 9.40 mm ± 2.76 mm in affected vs. 9.02 ± 2.99 in non-affected SCJs; p = 0.044). The position of the medial clavicle showed a significant difference in the coronal plane (cPC; 14.31 mm ± 3.66 mm in the affected vs. 13.49 ± 3.34 in the non-affected side; p = 0.011), indicating a superior shift. CONCLUSION Acute clavicle fractures may be associated with an enlargement of the ipsilateral SCJ space width and a superior shift of the proximal clavicle. Both morphologic alterations could indicate concomitant injuries of the SCJ as well as a potential increase in the risk of SCJ instability.
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Affiliation(s)
- Malik Jessen
- Department of Trauma Surgery, Clinic Rechts der Isar, Technical University of Munich, Ismaninger Strasse 22, 81675 Munich, Germany
| | - Marc Schnetzke
- German Joint Center Heidelberg, ATOS Clinic Heidelberg, Bismarckstr. 9-15, 69115 Heidelberg, Germany
| | - Stefan Studier-Fischer
- BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany
| | - Paul Alfred Grützner
- BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany
| | - Thorsten Gühring
- Orthopedic Clinic Paulinenhilfe, Diakonieklinikum Stuttgart, Rosenbergstr. 38, 70176 Stuttgart, Germany
| | - Felix Porschke
- BG Trauma Center Ludwigshafen, Heidelberg University, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany
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10
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Han Y, Cho EH, Martinez A, Martineau PA. Sternoclavicular Joint Reconstruction with Semitendinosus Allograft and Suture Anchors after Recurrent Posterior Dislocation in a Professional North American Football Player. Open Orthop J 2022. [DOI: 10.2174/18743250-v16-e2208180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/22/2023] Open
Abstract
Background:
Posterior sternoclavicular joint dislocations are an extremely rare but potentially life-threatening injury that can occur in sports. A variety of surgical procedures have been proposed, but there is no consensus on the treatment of choice. It is also largely unknown if a safe return to high-risk sports is possible.
Case Presentation:
We present a case of a posterior sternoclavicular joint dislocation in a 22-year-old male professional North American football player who had a recurrent irreducible posterior dislocation after initial injury management by closed reduction. The patient’s desire to return to football presented unique challenges to management. His sternoclavicular joint was subsequently reconstructed with semitendinosus allograft in a figure-of-eight augmented with suture anchors. After recovery, he returned to play as a running back in professional football symptom-free.
Conclusion:
Our patient's successful return to playing professional football after the sternoclavicular joint reconstruction suggests that this should be considered an effective treatment option when managing posterior sternoclavicular dislocation in high level contact sports players.
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