Floating clavicle - case report
Authors:
Aleš Zatloukal; Tomáš Mrázek
Authors place of work:
Departement of surgery City hospital Ostrava Fifejdy
; Chirurgické oddělení Městské nemocnice Ostrava Fifejdy
Published in the journal:
Úraz chir. 17., 2009, č.3
Summary
Goal:
Unilateral sternoclavicular and acromioclavicular dislocation - floating clavicle - is a rare injury, its treatment is controversial. Goal of this study is to establish an optimal algorithm of treatment of this injury.
Methods:
The authors present their own case of 41 year old woman with this diagnosis and they made a review of current literature related to this topic.
Result:
In this case was proceded as follows: It was made an open reduction of acromioclavicular joint and its osteosynthesis with tension band, sternoclavicular joint was left dislocated anteriorly. Six months after this injury the patient has normal range of shoulder motion, but has occasional pain and sense of instability in the sternoclavicular joint during heavy load, acromioclavicular joint is pain free, she is satisfied with the result.
Conclusion:
Floating clavicle is a rare injury, an optimal universal algorithm of treatment is currently nonexistent, it should be induvidualised. For elderly patients with low functional demand, conservative treatment is probably suffitient, for young active individuals we recomned rather operative treatment after considering possible risk of this procedure.
Key words:
Floating clavicle, sternoclavicular dislocation, acromioclavicular dislocation.
Zdroje
1. Arenas, A.J., Pampliega, T., Iglesias, J. Surgical management of bipolar clavicular disloca-tion. Acta Orthop Belg. 1993, 59, 202–205.
2. Beckman, T. Simultaneous luxation of both ends of clavicle. Acta chir Scand. 1923, 56, 156–163.
3. Bishop, J.Y., Kaeding, C. Treatment of the acute traumatic acromioclavicular separation. Sports Med Arthrosc. 2006, 14, 237–245.
4. Castropil, W., Ramadan, L.B., Bitar, A.C. et al. Sternoclavicular dislocation-reconstruction with semitendinosus tendon autograft:a case report. Knee Surg Sports Traumatol Arthrosc. 2008, 16, 865–868.
5. Cook, F., Horowitz, M. Bipolar clavicular dislo-cation. Report of a case. J Bone Joint Surg Am. 1987, 69, 145–147.
6. Dieme, C., Bousso, A., Sane, A. et al. Bipolar dislocation of the clavicle or floating clavicle. A report of 3 cases. Chir Main. 2007,26, 113–116.
7. Durpekt, R.,Vojácek, J., Lischke, R. et al. Kirschner wire migration from the right sternocla-vicular joint to the heart: a case report. Heart Surg Forum. 2006, 9, E840–E842.
8. Echo, B.S., Donati, R.B., Powell, C.E. Bipolar clavicular dislocation treated surgically. A case report. J Bone Joint Surg Am. 1988, 70, 1251–1253.
9. Franck, W.M., Jannasch, O., Siassi, M., Hennig, F.F. Balser plate stabilization:an alternate therapy for traumatic sternoclavicular instability. J Trauma. 2003, 55, 966–968.
10. Fraser-Moodie, J.A., Shortt, N.L., Robin-son, C.M. Injuries to the acromioclavicular joint. J Bone Joint Surg Br. 2008, 90, 697–707.
11. Gaudernak, T., Poigenfurst, J. Simulta-neous dislocation-fracture of both ends of the clavic-le. Unfallchirurgie. 1991, 17, 362–364.
12. Hoekzema, N., Torchia, M., Adkins, M., Cassivi, S.D. Posterior sternoclavicular joint dis-location. Can J Surg. 2008, 51, E19–E20.
13. Jain, A.S. Traumatic floating clavicle: A case report. J Bone Joint surg Br. 1984, 66, 560–561.
14. Liu, H.,Wang, W., Ye, H.,Li, X. Clinical observa-tion of sternoclavicular joint dislocation fixed by cla-vicular hook plate. Zhongguo Xiu Fu Chong Jian Wai Ke ZaZhi. 2008, 22,1193–1195.
15. Liu, H.P., Chang, CH., Lin, P.J. Pulmonary artery perforation after Kirschner wire migration:case report and review of the literature. J Trauma. 1993, 34,154–156.
16. Lyons, F.A, Rockwood, C.A. Jr. Migration of pins used in operations on the shoulder. J Bone Joint Surg Am. 1990,72,1262–1267.
17. Marchi, E., Reis, M.P.,Carvalho, M.V. Transmediastinal migration of Kirschner wire. Interact Cardiovasc Thorac Surg. 2008, 7, 869–870.
18. Mirza, A.H., Alam, K., Ali, A. Posterior sterno-clavicular dislocation in rugby player as cause of si-lent vascular kompromise: a case report. Br J Sports Med. 2005, 39, 28.
19. Nykayama, E., Tanaka, T., Noguchi, T., Yasuda, J., Terada, Y. Tracheal stenosis caused by retrosternal dislocation of the right clavicle. Ann Thorac Surg. 2007, 83, 685–687.
20. Porral, A. Observation d´une double luxation de la clavicule droite. J Univ Hebd Med Chir Prat. 1831, 2, 78–82.
21. Robinson, C.M., Jenkins, P.J., Markham, P.E., Beggs, I. Disorders of the sternoclavicular joint. J Bone Joint Surg Br. 2008, 90, 685–696.
22. Rockwood, C.A., Matsen, F.A. The shoulder 2nd edition. Philadelphia: WB Saunders Company. 1998.
23. Sanders, J.O.,Lyons, F.A., Rockwood, C.A. Management of dislocations of both ends of the clavicle. J Bone Joint Surg Am. 1990, 72, 399–402.
24. Spencer, E.E., Kuhn, J.E., Huston L.J., Carpenter, J.E., Hughes, R.E. Ligamentous re-straints to anterior and posterior translation of the sterno-clavicular joint. J Shoulder Elbow Surg. 2002, 11, 43–47.
25. Thacker, M.M., Patankar, J.V., Gore-gaonkar, A.B. A safe technique for sternocla-vicular stabilization. Am J Orthop. 2006, 35, 64–66.
26. Wada, S., Noguchi, T., Hashimoto, T., Uchida, Y., Kawahara, K. Succesful treatment of a patient with penetrating injury of the esofagus and brachiocephalic artery due to migration of Kirschner wires. Ann Thorac Cardiovasc Surg. 2005, 11, 313–315.
27. Worman, L.W., Leagus, C. Intrathoracic Injury following retrosternal dislocation of the clavicle. J Trauma. 1967, 7, 416–423.
Štítky
Surgery Traumatology Trauma surgeryČlánok vyšiel v časopise
Trauma Surgery
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