Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000099.xml
Z Orthop Unfall 2024; 162(04): 360-367
DOI: 10.1055/a-2109-3190
DOI: 10.1055/a-2109-3190
Originalarbeit
Instabilities and Osteoarthritis of the Sternoclavicular Joint
Article in several languages: deutsch | English
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.
Publication History
Received: 02 April 2023
Accepted after revision: 09 June 2023
Article published online:
30 August 2023
© 2023. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
Literatur
- 1 Groh GI, Wirth MA, Rockwood CA. Treatment of traumatic posterior sternoclavicular dislocations. J Shoulder Elbow Surg 2011; 20: 107-113 DOI: 10.1016/j.jse.2010.03.009. (PMID: 20579908)
- 2 Martetschläger F, Warth RJ, Millett PJ. Instability and Degenerative Arthritis of the Sternoclavicular Joint. Am J Sports Med 2014; 42: 999-1007 DOI: 10.1177/0363546513498990. (PMID: 23956132)
- 3 Kusnezov N, Dunn JC, DeLong JM. et al. Sternoclavicular Reconstruction in the Young Active Patient: Risk Factor Analysis and Clinical Outcomes at Short-Term Follow-up. J Orthop Trauma 2016; 30: e111-e117 DOI: 10.1097/bot.0000000000000483. (PMID: 26569185)
- 4 Sanchez-Sotelo J, Baghdadi Y, Nguyen NTV. Sternoclavicular joint allograft reconstruction using the sternal docking technique. JSES Open Access 2018; 2: 190-193 DOI: 10.1016/j.jses.2018.08.002. (PMID: 30675593)
- 5 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 2013; 23: 245-250 DOI: 10.1016/j.jse.2013.05.010. (PMID: 23849677)
- 6 Guan JJ, Wolf BR. Reconstruction for anterior sternoclavicular joint dislocation and instability. J Shoulder Elbow Surg 2013; 22: 775-781 DOI: 10.1016/j.jse.2012.07.009. (PMID: 22981353)
- 7 Feng W, Cai X, Li S. et al. Balser Plate Stabilization for Traumatic Sternoclavicular Instabilities or Medial Clavicle Fractures: A Case Series and Literature Review. Orthop Surg 2020; 12: 1627-1634 DOI: 10.1111/os.12726. (PMID: 32893491)
- 8 Lawrence CR, East B, Rashid A. et al. The prevalence of osteoarthritis of the sternoclavicular joint on computed tomography. J Shoulder Elbow Surg 2017; 26: e18-e22 DOI: 10.1016/j.jse.2016.04.029. (PMID: 27424249)
- 9 Ludewig PM, Phadke V, Braman JP. et al. Motion of the Shoulder Complex During Multiplanar Humeral Elevation. J Bone Joint Surg Am 2009; 91: 378-389 DOI: 10.2106/jbjs.g.01483.
- 10 Bakir MS, Unterkofler J, Hönning A. et al. Shoulder girdle injuries involving the medial clavicle differ from lateral clavicle injuries with a focus on concomitant injuries and management strategies: A retrospective study based on nationwide routine data. Plos One 2019; 14: e0224370 DOI: 10.1371/journal.pone.0224370.
- 11 Perron AD. Chest pain in athletes. Clin Sports Med 2003; 22: 37-50 DOI: 10.1016/s0278-5919(02)00023-6. (PMID: 12613085)
- 12 Dennis MG, Kummer FJ, Zuckerman JD. Dislocations of the sternoclavicular joint. Bull Hosp Jt Dis 2000; 59: 153-157 (PMID: 11126718)
- 13 Ayekoloye CI, Yin Q, Wood A. et al. Open sternoclavicular osteophyte debridement in the surgical management of sternoclavicular osteoarthritis: clinical outcome of a new procedure. Shoulder Elbow 2020; 14: 162-168 DOI: 10.1177/1758573220972093. (PMID: 35265182)
- 14 Tytherleigh-Strong G, Gill J, Mulligan A. et al. Arthroscopic Excision Arthroplasty of the Sternoclavicular Joint for Osteoarthritis: A Case Series of 50 Patients. Arthroscopy 2020; 36: 1223-1229 DOI: 10.1016/j.arthro.2019.12.005. (PMID: 31862291)
- 15 Lee JT, Campbell KJ, Michalski MP. et al. Surgical anatomy of the sternoclavicular joint: a qualitative and quantitative anatomical study. J Bone Joint Surg Am 2014; 96: e166 DOI: 10.2106/jbjs.m.01451. (PMID: 25274794)
- 16 Allman FL. Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am Volume 1967; 49: 774-784 (PMID: 6026010)
- 17 Carius BM, Long B, Gottlieb M. Evaluation and Management of Sternoclavicular Dislocation in the Emergency Department. J Emerg Med 2021; 61: 499-506 DOI: 10.1016/j.jemermed.2021.07.038. (PMID: 34511297)
- 18 Garcia JA, Arguello AM, Momaya AM. et al. Sternoclavicular Joint Instability: Symptoms, Diagnosis And Management. Orthop Res Rev 2020; 12: 75-87 DOI: 10.2147/orr.s170964. (PMID: 32801951)
- 19 Dhawan R, Singh RA, Tins B. et al. Sternoclavicular joint. Shoulder Elbow 2017; 10: 296-305 DOI: 10.1177/1758573218756880. (PMID: 30214497)
- 20 Olivier T, Kasprzak K, Herteleer M. et al. Anatomical study of the sternoclavicular joint using high-frequency ultrasound. Insights Imaging 2022; 13: 66 DOI: 10.1186/s13244-022-01167-x. (PMID: 35380281)
- 21 Robinson CM, Jenkins PJ, Markham PE. et al. Disorders of the sternoclavicular joint. J Bone Joint Surg Br 2008; 90-B: 685-696 DOI: 10.1302/0301-620x.90b6.20391.
- 22 Jaggard MKJ, Gupte CM, Gulati V. et al. A Comprehensive Review of Trauma and Disruption to the Sternoclavicular Joint With the Proposal of a New Classification System. J Trauma 2009; 66: 576-584 DOI: 10.1097/ta.0b013e31817fd96b.
- 23 Bicos J, Nicholson GP. Treatment and results of sternoclavicular joint injuries. Clin Sports Med 2003; 22: 359-370 DOI: 10.1016/s0278-5919(02)00112-6. (PMID: 12825536)
- 24 Rockwood CA, Bucholz RW, Court-Brown CM, Heckman JD, Tornetta P. Rockwood and Green’s fractures in adults. Wolters Kluwer Health/Lippincott Williams & Wilkins; 2010
- 25 Sewell MD, Al-Hadithy N, Leu AL. et al. Instability of the sternoclavicular joint: Current concepts in classification, treatment and outcomes. Bone Joint J 2013; 95-B: 721-731 DOI: 10.1302/0301-620x.95b6.31064.
- 26 Glass ER, Thompson JD, Cole PA. et al. Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series. J Trauma 2011; 70: 1294-1298 DOI: 10.1097/ta.0b013e3182092c7b. (PMID: 21610444)
- 27 Yeh GL, Williams jr. GR. Conservative management of sternoclavicular injuries. Orthop Clin North Am 2000; 31: 189-203 DOI: 10.1016/s0030-5898(05)70140-1. (PMID: 10736389)
- 28 Tytherleigh-Strong G, Pecheva M, Titchener A. Treatment of First-Time Traumatic Anterior Dislocation of the Sternoclavicular Joint With Surgical Repair of the Anterior Capsule Augmented With Internal Bracing. Orthop J Sports Med 2018; 6: 2325967118783717 DOI: 10.1177/2325967118783717. (PMID: 30046630)
- 29 MacDonald PB, Lapointe P. Acromioclavicular and Sternoclavicular Joint Injuries. Orthop Clin North Am 2008; 39: 535-545 DOI: 10.1016/j.ocl.2008.05.003. (PMID: 18803982)
- 30 Bontempo NA, Mazzocca AD. Biomechanics and treatment of acromioclavicular and sternoclavicular joint injuries. Br J Sports Med 2010; 44: 361 DOI: 10.1136/bjsm.2009.059295. (PMID: 20371562)
- 31 Tepolt F, Carry PM, Heyn PC. et al. Posterior Sternoclavicular Joint Injuries in the Adolescent Population: A Meta-analysis. Am J Sports Med 2014; 42: 2517-2524 DOI: 10.1177/0363546514523386. (PMID: 24569702)
- 32 Newton EJ, Love J. Acute Complications of Extremity Trauma. Emerg Med Clin North Am 2007; 25: 751-761 DOI: 10.1016/j.emc.2007.06.003. (PMID: 17826216)
- 33 Hellwinkel JE, McCarty EC, Khodaee M. Sports-related sternoclavicular joint injuries. Phys Sportsmed 2019; 47: 253-261 DOI: 10.1080/00913847.2019.1568771. (PMID: 30644802)
- 34 Castropil W, Ramadan LB, Bitar AC. et al. Sternoclavicular dislocation—reconstruction with semitendinosus tendon autograft: a case report. Knee Surg Sports Traumatol Arthrosc 2008; 16: 865 DOI: 10.1007/s00167-008-0527-9.
- 35 Singer G, Ferlic P, Kraus T. et al. Reconstruction of the sternoclavicular joint in active patients with the figure-of-eight technique using hamstrings. J Shoulder Elbow Surg 2013; 22: 64-69 DOI: 10.1016/j.jse.2012.02.009.
- 36 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: 1978-1982 DOI: 10.1007/s00167-011-1852-y. (PMID: 22207027)
- 37 Bae DS, Kocher MS, Waters PM. et al. Chronic Recurrent Anterior Sternoclavicular Joint Instability: Results of Surgical Management. J Pediatr Orthop 2006; 26: 71-74 DOI: 10.1097/01.bpo.0000187998.91837.b2. (PMID: 16439906)
- 38 Sabatini JB, Shung JR, Clay TB. et al. Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction. J Shoulder Elbow Surg 2015; 24: 902-907 DOI: 10.1016/j.jse.2014.10.001. (PMID: 25487906)
- 39 Willinger L, Schanda J, Herbst E. et al. Outcomes and complications following graft reconstruction for anterior sternoclavicular joint instability. Knee Surg Sports Traumatol Arthrosc 2016; 24: 3863-3869 DOI: 10.1007/s00167-015-3770-x. (PMID: 26334885)
- 40 Lacheta L, Dekker TJ, Goldenberg BT. et al. Minimum 5-Year Clinical Outcomes, Survivorship, and Return to Sports After Hamstring Tendon Autograft Reconstruction for Sternoclavicular Joint Instability. Am J Sports Med 2019; 48: 939-946 DOI: 10.1177/0363546519900896. (PMID: 32040343)
- 41 Warth RJ, Lee JT, Campbell KJ. et al. Arthroscopic Sternoclavicular Joint Resection Arthroplasty: A Technical Note and Illustrated Case Report. Arthrosc Tech 2014; 3: e165-e173 DOI: 10.1016/j.eats.2013.09.019. (PMID: 24749040)
- 42 Spencer EE, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am 2004; 86: 98-105 DOI: 10.2106/00004623-200401000-00015. (PMID: 14711951)
- 43 Martetschläger F, Reifenschneider F, Fischer N. et al. Sternoclavicular Joint Reconstruction Fracture Risk Is Reduced With Straight Drill Tunnels and Optimized With Tendon Graft Suture Augmentation. Orthop J Sports Med 2019; 7: 2325967119838265 DOI: 10.1177/2325967119838265.
- 44 Thongngarm T, McMurray RW. Osteoarthritis of the Sternoclavicular Joint. J Clin Rheumatol 2000; 6: 269-271 DOI: 10.1097/00124743-200010000-00007. (PMID: 19078484)
- 45 Galla R, Basava V, Conermann T. et al. Sternoclavicular steroid injection for treatment of pain in a patient with Osteitis condensans of the clavicle. Pain Physician 2009; 12: 987-990
- 46 Sternheim A, Chechik O, Freedman Y. et al. Transient sternoclavicular joint arthropathy, a self-limited disease. J Shoulder Elbow Surg 2014; 23: 548-552 DOI: 10.1016/j.jse.2013.08.013. (PMID: 24332476)
- 47 Acus RW, Bell RH, Fisher DL. Proximal clavicle excision: An analysis of results. J Shoulder Elbow Surg 1995; 4: 182-187 DOI: 10.1016/s1058-2746(05)80049-7. (PMID: 7552675)
- 48 Tavakkolizadeh A, Hales PF, Janes GC. Arthroscopic excision of sternoclavicular joint. Knee Surg Sports Traumatol Arthrosc 2009; 17: 405-408 DOI: 10.1007/s00167-008-0692-x. (PMID: 19089407)
- 49 Tytherleigh-Strong G, Rensburg LV. Arthroscopic Excision of the Sternoclavicular Joint. Arthrosc Tech 2017; 6: e1697-e1702 DOI: 10.1016/j.eats.2017.06.026. (PMID: 29399453)
- 50 Tytherleigh-Strong G, Griffith D. Arthroscopic Excision of the Sternoclavicular Joint for the Treatment of Sternoclavicular Osteoarthritis. Arthroscopy 2013; 29: 1487-1491 DOI: 10.1016/j.arthro.2013.05.029. (PMID: 23910004)
- 51 Pingsmann A, Patsalis T, Michiels I. Resection arthroplasty of the sternoclavicular joint for the treatment of primary degenerative sternoclavicular arthritis. J Bone Joint Surg Br 2002; 84-B: 513-517 DOI: 10.1302/0301-620x.84b4.12601. (PMID: 12043770)
- 52 Dekker TJ, Lacheta L, Goldenberg BT. et al. Minimum 5-Year Outcomes and Return to Sports After Resection Arthroplasty for the Treatment of Sternoclavicular Osteoarthritis. Am J Sports Med 2019; 48: 715-722 DOI: 10.1177/0363546519897892. (PMID: 31940214)