Acute Dislocations of the Sternoclavicular Joint: A Review Article.

J Am Acad Orthop Surg · Feb 15 2022 · Review

Obremskey WT, Rodriguez-Baron EB, Tatman LM, Pesantez RF

From the Division of Orthopaedic Trauma, Vanderbilt University Medical center (Obremskey and Baron), Division of…

Shoulder & Elbow Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis review updates management of acute sternoclavicular joint dislocations, covering reduction techniques, outcomes, and complications, and recommends closed reduction first with open surgery if that fails.
Abstract, as published

Acute dislocations of the sternoclavicular joint are uncommon injuries, and it is difficult for physicians to develop expertise in treating these injuries because of their infrequent nature. No level I evidence currently exists for these injuries, but several retrospective studies and surgical techniques have been described. For acute injuries, current recommendations include early treatment with closed reduction. If unable to attain or maintain reduction after a closed attempt, open management should be considered. Previous reviews have outlined relevant anatomy, physical examination findings, and imaging for these injuries. This article aims to review updated information from the past decade regarding techniques for reduction, outcomes, and complications related to the injury and surgical management.

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