Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature
Physeal fractures of the medial clavicle with posterior displacement of the metaphysis are very rare injuries, but additional injuries can be life-threatening. Due to the specific clavicular ossification process, skeletally immature patients present usually not true sternoclavicular joint (SCJ) disl...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2018/4986061 |
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| author | C. Siebenmann F. Ramadani G. Barbier E. Gautier P. Vial |
| author_facet | C. Siebenmann F. Ramadani G. Barbier E. Gautier P. Vial |
| author_sort | C. Siebenmann |
| collection | DOAJ |
| description | Physeal fractures of the medial clavicle with posterior displacement of the metaphysis are very rare injuries, but additional injuries can be life-threatening. Due to the specific clavicular ossification process, skeletally immature patients present usually not true sternoclavicular joint (SCJ) dislocations accordingly to adults but rather displaced physeal fractures. There is no consensus in the current literature on the best treatment of this lesion. Conservative treatment is not resulting in good outcome; closed reduction is often not successful, and open reduction with internal fixation is finally required. Several methods are described for stabilizing these physeal fractures. We treated three osseous immature patients with this lesion. Due to the small dimension of the medial clavicular epiphysis, we performed in one case a transosseous figure-of-eight suture of the clavicular metaphysis towards the sternum, and in the two other cases, a transosseous suture from the clavicular metaphysis on the anterior clavicular periosteum. The latter technique avoids harm to the small epiphysis or the SCJ and minimizes the risk of retrosternal complications. |
| format | Article |
| id | doaj-art-e8286d5d16e3415eb7e6199929319d56 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-e8286d5d16e3415eb7e6199929319d562025-02-03T05:44:04ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/49860614986061Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the LiteratureC. Siebenmann0F. Ramadani1G. Barbier2E. Gautier3P. Vial4Department of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, SwitzerlandDepartment of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, SwitzerlandDepartment of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, SwitzerlandDepartment of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, SwitzerlandDepartment of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, SwitzerlandPhyseal fractures of the medial clavicle with posterior displacement of the metaphysis are very rare injuries, but additional injuries can be life-threatening. Due to the specific clavicular ossification process, skeletally immature patients present usually not true sternoclavicular joint (SCJ) dislocations accordingly to adults but rather displaced physeal fractures. There is no consensus in the current literature on the best treatment of this lesion. Conservative treatment is not resulting in good outcome; closed reduction is often not successful, and open reduction with internal fixation is finally required. Several methods are described for stabilizing these physeal fractures. We treated three osseous immature patients with this lesion. Due to the small dimension of the medial clavicular epiphysis, we performed in one case a transosseous figure-of-eight suture of the clavicular metaphysis towards the sternum, and in the two other cases, a transosseous suture from the clavicular metaphysis on the anterior clavicular periosteum. The latter technique avoids harm to the small epiphysis or the SCJ and minimizes the risk of retrosternal complications.http://dx.doi.org/10.1155/2018/4986061 |
| spellingShingle | C. Siebenmann F. Ramadani G. Barbier E. Gautier P. Vial Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature Case Reports in Orthopedics |
| title | Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature |
| title_full | Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature |
| title_fullStr | Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature |
| title_full_unstemmed | Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature |
| title_short | Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature |
| title_sort | epiphysiolysis type salter i of the medial clavicle with posterior displacement a case series and review of the literature |
| url | http://dx.doi.org/10.1155/2018/4986061 |
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