TY - JOUR
T1 - Instabilities and Osteoarthritis of the Sternoclavicular Joint
AU - Plath, Johannes E.
AU - Martetschläger, Frank
AU - Moroder, Philipp
AU - Sandmann, Gunther
N1 - Publisher Copyright:
© 2023 Georg Thieme Verlag. All rights reserved.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Arthrose
KW - Instabilität
KW - Sternoklavikulargelenk
UR - http://www.scopus.com/inward/record.url?scp=85170834742&partnerID=8YFLogxK
U2 - 10.1055/a-2109-3190
DO - 10.1055/a-2109-3190
M3 - Article
AN - SCOPUS:85170834742
SN - 1864-6697
JO - Zeitschrift fur Orthopadie und Unfallchirurgie
JF - Zeitschrift fur Orthopadie und Unfallchirurgie
ER -