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Z Orthop Unfall 2024; 162(04): 360-367
DOI: 10.1055/a-2109-3190
Originalarbeit

Instabilities and Osteoarthritis of the Sternoclavicular Joint

Article in several languages: deutsch | English
Johannes E. Plath
1   Orthopädisches Fachzentrum (OFZ), Weilheim, Deutschland
,
Frank Martetschläger
2   Deutsches Schulterzentrum München, München, Deutschland
,
Philipp Moroder
3   Abteilung Schulterchirurgie und Ellenbogenchirurgie, Schulthess Klinik Zürich, Zürich, Schweiz
,
Gunther Sandmann
4   Sportklinik Ravensburg, Sportklinik Ravensburg, Ravensburg, Deutschland
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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.

Keywords

sternoclavicular joint - instability - osteoarthritis


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

 

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