Publications by authors named "G Tytherleigh-Strong"
Case: We describe a case of a traumatic superior dislocation of the sternoclavicular joint (SCJ) due to an isolated rupture of the costoclavicular ligament (CCL). A magnetic resonance imaging (MRI) scan demonstrated the CCL rupture with preservation of the anterior and posterior SCJ ligaments. This was successfully treated with an isolated hamstring tendon reconstruction of the CCL, resulting in a satisfactory outcome at 1 year after the procedure.
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- - CT scans are commonly used to diagnose adolescent posterior sternoclavicular joint injuries, but they can't accurately distinguish between true dislocations and physeal injuries because the medial clavicular physis isn't visible; MRIs can provide a clearer image.
- - A total of 13 adolescent patients were treated for SCJ injuries, where 1 required surgery for a true dislocation, while 8 with physeal injuries maintained bone contact were treated non-operatively, showing positive outcomes over time.
- - Follow-up evaluations indicated excellent clinical function, with low disability scores and high satisfaction rates among patients, demonstrating that both surgical and non-surgical approaches can be effective for these injuries.
Article Synopsis
- The study investigates clinical outcomes and return to sports following surgical treatment of acute traumatic posterior dislocations of the sternoclavicular joint (SCJ) using a hamstring tendon autograft.
- Researchers believe that this surgical approach leads to high survival rates, good functional outcomes, and a significant likelihood of patients returning to sports.
- Out of 19 patients studied, most showed impressive post-surgery results with high scores on various patient-reported outcome measures after an average follow-up of almost 95 months.
Background: Previous X-ray epidemiological studies have estimated the incidence of medial end clavicle fractures to account for 2-3% of all clavicle fractures.
Materials And Methods: At our institution X-rays of every patient attending the Emergency Department are reviewed at a Virtual Fracture Clinic by a Consultant Orthopaedic Surgeon. Patients with a fracture are referred to the Shoulder and Elbow Fracture Clinic.
The glenohumeral joint is the most dislocated articulation, accounting for more than 50% of all joint dislocations. The reason behind shoulder instability should be investigated in detail for successful management, and the treatment plan should be individualized for all patients. Several classification systems have been proposed for glenohumeral instability.
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