TY  - JOUR
PY  - 2015//
TI  - Incidence, characteristics and long-term follow-up of sternoclavicular injuries - an epidemiological analysis of 92 cases
JO  - Journal of trauma and acute care surgery
A1  - Boesmueller, Sandra
A1  - Wech, Margit
A1  - Tiefenboeck, Thomas M.
A1  - Popp, Domenik
A1  - Bukaty, Adam
A1  - Wolfgang, Huf
A1  - Fialka, Christian
A1  - Greitbauer, Manfred
A1  - Platzer, Patrick
SP  - 289
EP  - 295
VL  - 80
IS  - 2
N2  - INTRODUCTION: The majority of published studies concerning sternoclavicular injuries are case series, or systematic reviews. Prospective studies on the subject are hindered by the low incidence of these lesions. The aim of the present study was to provide an overview of this rare entity compared with literature and to present the long-term clinical outcome. MATERIAL AND METHODS: We performed a retrospective data analysis of all sternoclavicular injuries treated at a single level-I trauma center from 1992 to 2011. Long-term clinical outcome was assessed using the ASES (American Shoulder and Elbow Surgeons), SST (Simple Shoulder Test), UCLA (University of California-Los Angeles) and VAS (Visual Analogue Scale) at latest follow-up. <br><br>RESULTS: We detected an overall incidence of 0.9% of sternoclavicular injuries related to all shoulder-girdle lesions. Ninety-two patients (52 male and 40 female) with a mean age of 39.2 years ± 19.5 years (median 41 years; range, 4 to 92 years) were included in this study. The main trauma mechanisms were falls. Classification was performed according to Allman, the time point of treatment after initial trauma, and the direction of the dislocation. Nine patients of the 15 grade-III lesions were treated conservatively by closed reduction and immobilization while four patients were treated surgically by open reduction and internal fixation (ORIF). 49% of the patients were available for long-term follow-up at a median of 11.3 years (range, 5.3 - 22.6 years) with a mean ASES of 96.21, SST of 11.69, UCLA of 31.89 and VAS of 0.47. <br><br>CONCLUSION: We found an overall incidence of 0.9% of sternoclavicular joint injuries related to all shoulder-girdle lesions and of 1.1% related to all dislocations, which is slightly lower compared to literature. Furthermore, we observed a high number of physeal sternoclavicular injuries with a percentage of 16% and overall good to excellent results at long-term follow-up. LEVEL OF EVIDENCE: Level IV, retrospective epidemiological and clinical study.<p />  <p>Language: en</p>
LA  - en
SN  - 2163-0755
UR  - http://dx.doi.org/10.1097/TA.0000000000000888
ID  - ref1
ER  -