Version 1
: Received: 29 December 2023 / Approved: 29 December 2023 / Online: 29 December 2023 (17:09:37 CET)
How to cite:
Quattrini, F.; Maniscalco, P.; Asti, C.; Puma Pagliarello, C.; Caggiari, G.; Pes, M.; Ciatti, C. The Influence of Biomechanics in the Treatment of Posterior Sterno‐Clavicular Joint Dislocations. Preprints2023, 2023122332. https://doi.org/10.20944/preprints202312.2332.v1
Quattrini, F.; Maniscalco, P.; Asti, C.; Puma Pagliarello, C.; Caggiari, G.; Pes, M.; Ciatti, C. The Influence of Biomechanics in the Treatment of Posterior Sterno‐Clavicular Joint Dislocations. Preprints 2023, 2023122332. https://doi.org/10.20944/preprints202312.2332.v1
Quattrini, F.; Maniscalco, P.; Asti, C.; Puma Pagliarello, C.; Caggiari, G.; Pes, M.; Ciatti, C. The Influence of Biomechanics in the Treatment of Posterior Sterno‐Clavicular Joint Dislocations. Preprints2023, 2023122332. https://doi.org/10.20944/preprints202312.2332.v1
APA Style
Quattrini, F., Maniscalco, P., Asti, C., Puma Pagliarello, C., Caggiari, G., Pes, M., & Ciatti, C. (2023). The Influence of Biomechanics in the Treatment of Posterior Sterno‐Clavicular Joint Dislocations. Preprints. https://doi.org/10.20944/preprints202312.2332.v1
Chicago/Turabian Style
Quattrini, F., Marco Pes and Corrado Ciatti. 2023 "The Influence of Biomechanics in the Treatment of Posterior Sterno‐Clavicular Joint Dislocations" Preprints. https://doi.org/10.20944/preprints202312.2332.v1
Abstract
Posterior dislocations of the sterno-clavicular joint (SCJ) are rare events, most commonly due to motor vehicle accidents or sports injuries and they often occur in young and active patients. This injury can represent a real emergency because of the vital structures located posterior to the medial clavicle such as anonymous artery, anonymous vein, trachea, subclavian artery and vein, esophagus and thoracic duct. The diagnosis could be insidious given the not peculiar clinical presentation and it is often necessary to perform a computed tomography to identify it. In case of failure of reduction maneuvers, the surgical treatment becomes a mandatory choice, but unfortunately literature reports a restricted cohort of cases and proposes different stabilization techniques without showing a significant comparison of results. Moreover, due to the rarity and high risk of complications, other than the lack of knowledge about the injury and its repair techniques, the management of these injuries are mutually discharged from orthopedic surgeon to the thoracic surgeon and vice-versa. A deep study of the joint anatomical characteristics and its biomechanics allow the surgeon to face surgery more safely, choosing the most appropriate technique. Given the importance of the SCJ for the movement of the shoulder girdle, authors believe that the surgeon’s goal should be to restore the complete range of movement of the joint in case of dislocation. For this reason, stabilization with semitendinosus tendon graft has to be considered one of the best solutions at our disposal to date.
Medicine and Pharmacology, Orthopedics and Sports Medicine
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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