Acta Ortopédica Mexicana

Matus JJ, Suárez GJ, Torres LR
Esterno-clavicular plasty in anterior dislocation in child. The new surgical technic and review literature
Acta Ortop Mex 2007; 21 (6)

Language: Español
References: 20
Page: 344-348
PDF: 177.50 Kb.

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ABSTRACT

The sternoclavicle joint takes part in stability and normal rotation of clavicle in shoulder movement. Its injury infrequent and the luxation in children is more rare. It is classified in previous and retrosternal. The most common causes are by sport trauma and car accidents. In children differential diagnosis includes proximal epiphyseal displacement of clavicle. The clinical picture is pain, sternum or thorax deformity and limitation in range of motion of the arm. The treatment is conservative or surgical, and indications to surgical treatment are pain when moving, range of motion limitation or concomitant complications. In the surgical treatment, the reduction of the clavicle is made with a percutaneous clamp and then protecting the position with a bandage in «eight». Other options are open reduction of the clavicle and subclavian plasty, reduction open and to make plastias with grafts of subclavio, fascia latae or proximal third clavicle resection and cerclage with wire. We present a clinical case and surgical treatment with a novel surgical technique.


Key words: dislocation, plasty, shoulder, pain sternoclavicle joint, graft.


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