Document Detail


Management of sternoclavicular dislocation in young children: considerations about diagnosis and treatment of four cases.
MedLine Citation:
PMID:  23314981     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The records of 4 children of under 14 years of age treated at our institution for traumatic sternoclavicular dislocation (SCJ) were reviewed. Closed reduction in posterior SCJ after computed tomography (CT) was successful as immediate procedure. For anterior SCJ instability, open reduction and SCJ reconstruction obtained satisfactory results. Conservative treatment of SCJ subluxation for asymptomatic children was sufficient. Radiographs in "serendipity view" were useful for confirming reduction and stability in children. No postoperative CT was needed for this purpose. Closed reduction in posterior SCJ dislocation and surgical treatment in anterior SCJ dislocation in young children can provide stability and a satisfactory return to a normal function, but with some limitation when intense or competitive shoulder motion is required during sport. Young children and parents should be aware about this possibility. Conservative treatment of SCJ subluxation for asymptomatic children is useful. Reflection is required regarding the correct imaging examination after treatment to check stable reduction in a SCJ injury.
Authors:
J Gil-Albarova; S Rebollo-González; V E Gómez-Palacio; A Herrera
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-13
Journal Detail:
Title:  Musculoskeletal surgery     Volume:  -     ISSN:  2035-5114     ISO Abbreviation:  Musculoskelet Surg     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101498346     Medline TA:  Musculoskelet Surg     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Servicio de Cirugía Ortopédica y Traumatología, Hospital Universitario Miguel Servet, Pº Isabel la Católica 1-3, 50009, Zaragoza, Spain, jgilalba@unizar.es.
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