Posterior sternoclavicular joint dislocation with thoracic costovertebral joints fracture-dislocations: A case report

Hiroshi Takahashi; Shinsuke Takeda; Ryutaro Shibata; Shingo Kurahashi; Hiroki Ito; Koshiro Matsumoto; So Mitsuya; Ken-Ichi Yamauchi

doi:10.1016/j.tcr.2023.100766

Posterior sternoclavicular joint dislocation with thoracic costovertebral joints fracture-dislocations: A case report

Trauma Case Rep. 2023 Jan 9:43:100766. doi: 10.1016/j.tcr.2023.100766. eCollection 2023 Feb.

Authors

Hiroshi Takahashi^{1

2}, Shinsuke Takeda^{1

2}, Ryutaro Shibata^{1

2}, Shingo Kurahashi^{1

2}, Hiroki Ito^{1

2}, Koshiro Matsumoto², So Mitsuya^{1

2}, Ken-Ichi Yamauchi²

Affiliations

¹ Trauma and Microsurgery Center, Toyohashi Municipal Hospital, Toyohashi, Japan.
² Department of Orthopaedic Surgery, Toyohashi Municipal Hospital, Toyohashi, Japan.

Abstract

Case: A 59-year-old man presented with posterior sternoclavicular joint dislocation concomitant with fracture-dislocations of multiple thoracic costovertebral joints caused by traumatic injury. The posterior sternoclavicular joint dislocation was treated using an ultra-high molecular weight polyethylene fiber cable and the joint was stabilized. The degree of malpositioning of the thoracic costovertebral joints was difficult to reduce.

Conclusion: The patient achieved an excellent shoulder range of motion at 12 months postoperatively; however, chronic shoulder stiffness and posterior neck discomfort persisted.

Keywords: NESPLON Cable System; Posterior sternoclavicular joint dislocation; Thoracic costovertebral joints fracture-dislocations; Ultra-high molecular weight polyethylene fiber cable.

Publication types

Case Reports