Traumatic Sternoclavicular Joint Injuries

摘要

Fractures and dislocations of the sternoclavicular joint (SCJ) are unusual but potentially devastating injuries in adolescents and young adults. Indeed, earlier reports have suggested that SCJ injuries represent less than 5% of all traumatic shoulder girdle injuries. Although historically many of these injuries were observed or treated nonoperatively, more recent information on the pathoanatomy, natural history, and potential outcomes of SCJ injuries treated operatively has improved our ability to restore more normal shoulder girdle anatomy and mechanics in an effort to improve functional outcomes. The purpose of this discussion is to review the pertinent chnical anatomy, clinical and radiographic evaluation, and treatment options for adolescents and young adults with SCJ fracture-dislocations, with particular emphasis on surgical indications and techniques.