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Temporary Sternoclavicular Stabilization Using an Innovative Blocking Technique with Kirschner Wires for the Treatment of Posterior Sternoclavicular Joint Injury in Adolescent Patients

A Report of Two Cases

Ishii, Nariyoshi, MD1,a; Matsumura, Noboru, MD, PhD1,b; Iwamoto, Takuji, MD, PhD1,c; Sato, Kazuki, MD, PhD1,d; Nakamura, Masaya, MD, PhD1,e; Matsumoto, Morio, MD, PhD1,f

doi: 10.2106/JBJS.CC.18.00010
Case Reports
Disclosures

Case: A 15-year-old boy with a posterior physeal fracture-dislocation of the medial aspect of the clavicle and a 14-year-old boy with a posterior sternoclavicular joint dislocation were successfully treated with temporary sternoclavicular stabilization using an innovative blocking technique with Kirschner wires.

Conclusion: When treating posterior sternoclavicular joint injuries, posterior instability should be securely stabilized. Temporary blocking stabilization of the sternoclavicular joint using Kirschner wires does not rigidly fix the sternoclavicular joint, but it prevents posterior displacement of the proximal aspect of the clavicle. This stabilizing technique is a simple, safe, and viable treatment option for adolescent patients with a posterior sternoclavicular joint injury.

1Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan

aE-mail address for N. Ishii: nariyoshi.ishii@gmail.com

bE-mail address for N. Matsumura: noboru18@gmail.com

cE-mail address for T. Iwamoto: iwatakuji@gmail.com

dE-mail address for K. Sato: kazuki@a5.keio.jp

eE-mail address for M. Nakamura: masa@a8.keio.jp

fE-mail address for M. Matsumoto: morio@a5.keio.jp

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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