Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 24267
TREATMENT OF STERNO CLAVICULAR JOINT FRACTURE DISLOCATION BY
OPEN REDUCTION AND STABILIZATION BY THREADED K-WIRES
Ashok Kumar DAS
Calcutta Medical Research Institute., Kolkata (INDIA)
Sternoclavicular joint connects axial skeleton to pectoral girdle. 3% shoulder injuries
includes SCJ dislocation. Anterior dislocations are more than Posterior dislocation.
These are caused by sport injury, car accidents and fall from height.The purpose of
this study is to evaluate the treatment option for SCJ fracture dislocation by Threaded
K-wire fixation?.19 patients, with Anterior and posterior dislocation, between 13 to 42
years, 3-5days old were operated. Out of 19 cases 2 are fracture dislocation of SCJ,
14 anterior dislocation and 3 cases posteriorly displaced physeal fractures.Under GA
medial end of clavicle and sternoclavicular joint exposed, fracture reduced.
Stabilization of reduction done by multiple threaded K-wires under C-arm control.
Results analysis done in terms of pain, infection, range of movements, and
recurrence at the end of 6weeks, 3months, 6months and 1year. Pain persisted till
6weeks in 7 patients, 2 had infection. All had nearly full range of movement after
3months.Anterior dislocation occurs more than posterior fracture dislocation. The
physis of medial clavicle ossifies and fuses from ages 22-25years. So, most injuries
are physeal fractures. Pure dislocation are rare. All patients were stabilized by
threaded K-wires of 2.5 to 3mm diameter. It is cost effective and removal is an OPD
procedures. Open reduction and threaded K-wire fixation is very good modality for
treatment of SCJ fracture dislocation. Threaded K-wires are of cost effective, easily
available, less surgical trauma, maintain stability, needs no second surgery for
removal of implants.
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