Pediatric Posterior Sternoclavicular Joint Injuries.

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Abstract

[Indexed for MEDLINE] 4. J Am Acad Orthop Surg. 2022 Aug 15;30(16):e1076-e1083. doi: 10.5435/JAAOS-D-19-00611. Epub 2022 May 2. Sternoclavicular Joint Instability and Reconstruction. Provencher MT(1), Bernholt DL, Peebles LA, Millett PJ. Author information: (1)From the Steadman Philippon Research Institute, Vail, CO (Provencher, Bernholt, Peebles, and Millett), and The Steadman Clinic, Vail, CO (Provencher and Millett). Chronic instability or degenerative arthritis of the sternoclavicular (SC) joint may occur after traumatic or spontaneous dislocation of the SC joint. Most commonly, chronic instability of the SC joint occurs anteriorly; however, posterior instability has an increased risk of serious complications because of proximity to mediastinal structures. Although chronic anterior instability of the SC joint does not resolve with nonsurgical treatment, patients often have mild symptoms that do not impair activities of daily living; however, chronic anterior SC joint instability may be functionally limiting in more active individuals. In these cases, surgical treatment with either (1) SC joint reconstruction or (2) medial clavicle resection, or both, can be done. Recurrent posterior instability of the SC joint also requires surgical treatment due to risk of injury to mediastinal structures. Recent literature describes various reconstruction techniques which generally show improved patient-reported outcomes and low complication rates. Copyright © 2022 by the American Academy of Orthopaedic Surgeons. DOI: 10.5435/JAAOS-D-19-00611