Skip to main content
SpringerLink
Log in

Die traumatische posteriore Luxation im Sternoklavikulargelenk

Fallpräsentation einer Stabilisierung mit Grazilissehnenplastik

Traumatic posterior dislocation of the sternoclavicular joint

A case report of joint stabilization with gracilis tendon graft

  • Kasuistiken
  • Published:
Der Unfallchirurg Aims and scope Submit manuscript

Zusammenfassung

Die Dislokation des Schlüsselbeins im Sternoklavikulargelenk (SC-Gelenk) stellt eine seltene Verletzung dar. Vor allem die seltenere posteriore Luxation ist für den behandelnden Chirurgen sowohl in ihrer akuten wie auch chronischen Form in der Diagnostik und Therapie herausfordernd. Die Komplikationen der akuten Verletzung sind potentiell letal. Die Reposition und anschließende Stabilisierung ist die Therapie der Wahl. Am folgenden Patientenbeispiel eines Judo-Leistungswettkämpfers wollen wir die erfolgreiche Behandlung einer posterioren Luxation durch offene Revision und Stabilisierung mittels M.-gracilis-Sehnenplastik präsentieren.

Abstract

Dislocation of the sternoclavicular joint is an uncommon injury. Especially posterior dislocations with potentially life-threatening complications present a challenging situation for the treating surgeon regarding diagnosis and therapy. Reduction and fixation of the joint is the treatment of choice. We present the case of such an injury in an adolescent judoka who was treated by open reduction and reconstructive surgery using the gracilis tendon graft technique.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4
Abb. 5

Literatur

  1. Bahk MS, Kuhn JE, Galatz LM et al (2009) Acromioclavicular and sternoclavicular injuries and clavicular, glenoid and scapular fractures. J Bone Joint Surg Am 91:2492–2510

    PubMed  Google Scholar 

  2. Brinker MR, Bartz RL, Reardon PR, Reardon MJ (1997) A method for open reduction and internal fixation of the unstable posterior sternoclavicular joint dislocation. J Orthop Trauma 11:378–381

    Article  PubMed  CAS  Google Scholar 

  3. Noda M, Shiraishi H, Mizuno K (1998) Chronic posterior sternoclavicular dislocation causing compression of a subclavian artery. J Shoulder Elbow Surg 6:564–569

    Article  Google Scholar 

  4. Ono K, Inagawa H, Kiyota K et al (1998) Posterior dislocation of the sternoclavicular joint with obstruction of the innominate vein: case report. J Trauma 44:381–383

    Article  PubMed  CAS  Google Scholar 

  5. Resnick D (1996) Traumatic, iatrogenic and neurogenic diseases. In: Resnick D, George TG, Patmira MN (eds) Bone and joint imaging, 2. edn. Saunders, Philadelphia, p 758

  6. Spencer EE, Kuhn JE (2004) Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am 86:98–105

    PubMed  Google Scholar 

  7. Spencer EE, Kuhn JE, Huston LJ et al (2002) Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint. J Shoulder Elbow Surg 11(1):43–47

    Article  PubMed  Google Scholar 

Download references

Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Author information

Authors and Affiliations

  1. Abteilung für Kinder- und Jugendchirurgie, Medizinische Universität Graz, Auenbruggerplatz 34, A-8036, Graz, Österreich

    M. Jesacher, G. Singer, M.E. Höllwarth & R. Eberl

Authors
  1. M. Jesacher
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. Singer
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. M.E. Höllwarth
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. R. Eberl
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to M. Jesacher.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jesacher, M., Singer, G., Höllwarth, M. et al. Die traumatische posteriore Luxation im Sternoklavikulargelenk. Unfallchirurg 115, 165–168 (2012). https://doi.org/10.1007/s00113-011-1955-4

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00113-011-1955-4

Schlüsselwörter

Keywords

Search

Navigation