Implant Migration After Surgery of Traumatic Dislocation of Sternoclavicular Joint

Yıl 2018, Cilt: 10 Sayı: 1, 40 - 45, 01.03.2018

Recep Kurnaz , Orhan Balta Murat Aşçı Kürşad Aytekin Taner Güneş

Öz

Sternoclavicular
injuries are rare but associated with serious short and long-term
complications. Lethal complications have been reported after dislocations of
the sternoclavicular joint. For this reason, it is important to set an early
diagnosis in terms of treatment success. There are various conservative and surgical
techniques in treatment. Transarticular wire has now been abandoned, as
thoracic migration of K wire applied to an open or closed surgeon is observed
in some cases. In this case, we present a case in which the K wire used for fixation
migrates to the opposite side of the armpit after sternoclavicular joint dislocation
surgery.

Anahtar Kelimeler

Sternoclavicular joint, dislocation, migration

Travmatik Sternoklaviküler Eklem Çıkığı Cerrahisi Sonrası İmplant Migrasyonu

Öz

Sternoklaviküler yaralanmalar nadirdir ancak
ciddi kısa ve uzun vadeli komplikasyonlar ile ilişkili olabilir.
Sternoklaviküler eklem çıkıkları sonrası ölümcül komplikasyonlar
bildirilmiştir. Bu nedenle tedavi başarısı açısından tanısının erken koyulması önemlidir.
Tedavisinde çeşitli konservatif ve cerrahi teknikler vardır. Açık ya da kapalı
cerrahide uygulanan K telinin bazı vakalarda torasikmigrasyonu görüldüğü için
transartriküler tel uygulması artık terk edilmiştir.  Burada travmatik
sternoklaviküler eklem çıkığı sonrası rekonstrüksiyon yapılmış ve tespit için
kullanılan K telinin migre olarak karşı koltuk altına doğru ilerlediği bir
vakayı sunmaktayız.

Anahtar Kelimeler

Sternoklaviküler eklem, çıkık, migrasyon

Kaynakça

• 1. Cave E. Shoulder girdle injuries. In: Fractures and other injuries., editor. Chicago: Year book publishers; 1958. pp. 58–259.
• 2. Beals RK, Sauser DD. Nontraumatic disorders of the clavicle. J Am Acad Orthop Surg. 2006;14(4):205-14.
• 3. Higginbotham TO, Kuhn JE. Atraumatic disorders of the sternoclavicular joint. J Am Acad Orthop Surg. 2005;13(2):138-45.
• 4. Martin SD, Altchek D, Erlanger S. Atraumatic posterior dislocation of the sternoclavicular joint. A case report and literature review. Clin Orthop Relat Res. 1993;(292):159-64.
• 5. Martínez A, Rodríguez A, González G, et al. Atraumatic spontaneous posterior subluxation of the sternoclavicular joint. Arch Orthop Trauma Surg. 1999;119(5-6):344-6.
• 6. Rockwood CA, Groh GI, Wirth MA, et al. Resection arthroplasty of the sternoclavicular joint. J Bone Joint Surg Am. 1997;79(3):387-93.
• 7. Dennis MG, Kummer FJ, Zuckerman JD. Dislocations of the sternoclavicular joint. Bull Hosp Jt Dis. 2000;59(3):153-7.
• 8. Spencer EE, Kuhn JE, Huston LJ, et al. Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint. J Shoulder Elbow Surg. 2002;11(1):43-7.
• 9. Jougon JB, Lepront DJ, Dromer CE. Posterior dislocation of the sternoclavicular joint leading to mediastinal compression. Ann Thorac Surg. 1996;61(2):711-3.
• 10. Wirth MA, Rockwood CA. Acute and chronic traumatic injuries of the sternoclavicular joint. J Am Acad Orthop Surg. 1996;4(5):268-78.
• 11. Garg S, Alshameeri ZA, Wallace WA. Posterior sternoclavicular joint dislocation in a child: a case report with review of literature. J Shoulder Elbow Surg. 2012;21:11–6.
• 12. Iglesias JL, Renard T. Diaphragmatic hernia in an 8-year-old with Ehlers-Danlos syndrome. Pediatr Surg Int. 1998;13:5535.
• 13. Finsterbush A, Pogrund H. The hypermobility syndrome. Musculoskeletal complaints in 100 consecutive cases of generalized joint hypermobility. Clin Orthop Relat Res. 1982;(168):124–7.
• 14. McCulloch P, Henley BM, Linnau K.F. Radiographic clues for high-energy trauma: three cases of sternoclavicular dislocation. Am J Roentgenol. 2001;176(6):1534.
• 15. Sanders J, Rockwood CJ, Curtis R. In: Fractures and dislocations of the humeral shaft and shoulder. Rockwood CJ, Wilkins K, Beaty J, editors. Philadelphia: Lippincott-Raven; 1996.
• 16. Laffosse JM, Espié A, Bonnevialle N, et al: Posterior dislocation of the sternoclavicularjoint and epiphyseal disruption of the medial clavicle with posterior displacement in sports participants. J Bone Joint Surg Br 2010;92(1):103-9.
• 17. Groh GI, Wirth MA, Rockwood CA Jr: Treatment of traumatic posteriorsternoclavicular dislocations. J Shoulder Elbow Surg. 2011;20(1):107-13.
• 18. Gobet R, Meuli M, Altermatt S, Jenni V, Willi UV. Medial clavicular epiphysiolysis in children: the so-called sternoclavicular dislocation. Emerg Radiol. 2004;10(5):252–5.
• 19. Simurda MA. Retrosternal dislocation of the clavicle: a report of four cases and a method of repair. Can J Surg. 1968 Oct;11(4):487–490.
• 20. Rang M. Children's fractures. Philapdephia: J.B. Lippincott Company; 1974.
• 21. Venissac N, Alifano M, Dahan M, Mouroux J: Intrathoracic migration of Kirschner pins. Ann Thorac Surg 2000;69 (6):1953-1955.
• 22. Abiddin Z, Sinopidis C, Grocock CJ,Yin Q, Frostick SP: Suture anchors for treatment of sternoclavicular joint instability. J Shoulder Elbow Surg 2006;15(3):315-318.
• 23. Cooper GJ, Stubbs D, Waller DA, Wilkinson GA, Saleh M: Posterior sternoclavicular dislocation: A novel method of external fixation. Injury. 1992;23(8):565-6.
• 24. Franck WM, Jannasch O, Siassi M, Hennig FF: Balser plate stabilization: Analternate therapy for traumatic sternoclavicular instability. J Shoulder Elbow Surg. 2003;12(3):276-81.