Knowledge

  • Adolescent butterfly swimmer with bilateral subluxing sternoclavicular joints
    The unusual case reported is an adolescent butterfly swimmer with recurrent bilateral sternoclavicular subluxation associated with pain and discomfort. The condition was treated and resolved with conservative management.
  • Spontaneous Dislocation of the Sterno-Clavicular Joint
    A description is given of 22 patients, with a spontaneous forward subluxation of the sternal end of the clavicle, seen over a 5-year period. The majority were middle-aged women presenting with a lump at the root of the neck...
  • Surgical Treatment of Dislocations of The Sternoclavicular Joint
    Six patients with dislocation of the sternoclavicular joint are presented. Their main complaints were chronic recurrent spontaneous dislocation and local tenderness and discomfort during normal use of the shoulder. Two patients were treated according to Browns modified procedure while four patients were operated with Burrows technique.
  • Sternoclavicular dislocation: A plea for open treatment
    I report 12 cases of dislocation of the sternoclavicular joint. Eight cases were treated by closed reduction and redislocation occurred in five. The result was good in five out of these eight cases.
  • A 'safe' surgical technique for stabilisation of the SC joint...
    We present a new, 'safe' technique of surgical stabilisation of the sternoclavicular joint that is not technically demanding and does not require exposure of the first rib, as is often the case in other methods described.
  • Spontaneous Atraumatic Anterior Subluxation of the Sternoclavicular Joint
    We reviewed the cases of thirty-seven young patients, ten to thirty-six years old, who had had spontaneous atraumatic anterior subluxation of the sternoclavicular joint. Sudden atraumatic subluxation is quite alarming to the patient and the physician.
  • Resection Arthroplasty of the Sternoclavicular Joint
    The results of resection of the medial end of the clavicle to treat a painful sternoclavicular joint in fifteen patients were retrospectively reviewed...We conclude that preservation or reconstruction of the costoclavicular ligament is essential at the time of resection...
  • Direct observations on the function of the capsule of the sternoclavicular joint...
    ...the ligaments of the sternoclavicular joint might play an important role in maintaining clavicular poise, thereby explaining the decrease or absence of activity in the trapezius in the fully depressed position.
  • Surgical Treatment of Chronic Dislocation of the Sternoclavicular Joint
    Chronic, or recurrent, dislocation may cause pain and disabifity on strenuous activity and necessitate surgical treatment. The operation of tenodesis of the subclavius tendon with capsulorrhaphy described by Burrows (1951) has been adopted. The infraarticular meniscus is often damaged and displaced, and may block reduction; its removal is then necessary.
  • Posterior Sternoclavicular Joint Dislocation
    Traumatic sternoclavicular joint dislocation is an uncommon condition whose diagnosis is often missed.1 The posterior version of this dislocation has been associated with multiple complications...
  • Operation For Old Sternoclavicular Dislocation
    Twelve patients were operated upon after unsuccessful conservative treatment for complete dislocation of the sternoclavicularjoint. Three methods were used; stabifisation using fascial loops, reconstruction with a tendon graft, and resection of the sternal end of the clavicle.
  • Spontaneous Dislocation of The Sternoclavicular Joint
    Simplicity and innocence appear to be as disarming to the medical author as they are to the novelist, and this explains why no reference to the condition of slow, painless subluxation of the sternoclavicular joint in elderly people has been found in the literature until the appearance of the paper by Bremner (1959).
  • A Case of Sternoclavicular Dislocation with Scapulothoracic Dissociation
    SD results from a direct, violent force to the forequarter causing complete disruption of the muscular, osseous, and ligamentous attachments of the shoulder girdle. with only the skin remaining intact [I, 3. 4].
  • Traumatic Floating Clavicle
    This present report describes a further case of dislocation of both ends of the clavicle, otherwise known as traumatic floating clavicle, double dislocation of the clavicle or pan-clavicular dislocation ; unlike those previously described the injury was the result of a minor fall at home...
  • Radiographic Clues for High-Energy Trauma: Three Cases of Sternoclavicular Dislocation
    On nonrotated frontal radiographs, a difference in relative craniocaudal positions of the medial clavicles greater than 50% of the width of the heads of the clavicles suggests dislocation.
  • Pain Referral From The Sternoclavicular Joint: A Study in Normal Volunteers
    Case reports suggest that it may refer pain to distant areas, potentially leading to delays in disgnosis and inapproproately targeted investigations. Therefore, we studied the patterns of pain referral from the SCJ of nine healthy volunteers.
  • Aging and Osteoarthritis of the Human Sternoclavicular Joint
    The aim of the present investigation was to analyze the role of articular aging in the pathogenesis of osteoarthritis, a problem which has been under discussion for a long time.'-6 Moreover, it was intended to study the changes in the ground substance...
  • The Sternoclavicular Joint: The Appendicular Axial Anchor
    It may seem strange but the sternoclavicular joint creates a certain degree of excitement on my part. This is not in a fetishist way but from an orthopaedic perspective. Clinically speaking, it is a very overlooked and under treated joint of large significance.
  • Sternoclavicular Dislocation: Trauma Round Interview
    When seen in the outpatient department one week later he still complained of pain on moving his right shoulder, particularly on abduction. Three weeks later he presented with similar complaints. A lump was now noted over the right sternoclavicular area and further x-rays were taken.
  • Congenital Retrosternal Subluxation of the Clavicle Simulating an Intrathoracic Mass
    A rare case of bilateral congenital netnostennal subluxations of the medial ends of the clavicles was discovered, and is being reported, because of its disturbing appearance on a routine frontal chest x-ray. To my knowledge, no similar case has been documented.
  • Posterior sternoclavicular dislocation: an American football injury
    Posterior dislocation of the sternoclavicular joint is uncommon, accounting for less than 0-11% of all dislocations. Since 1824 a little more than 100 cases have been reported, and the majority in the past 20 years. A review of published reports suggests that this injury is seen particularly in connection with American football.
  • Posterior sternoclavicular joint dislocation: case report and discussion
    We discuss the case of a patient with a subacute posterior sternoclavicular dislocation who presented to the emergency department 2 months after being hit in the posterior neck. We also review the signs, symptoms and management of posterior sternoclavicular dislocation...
  • Posterior sternoclavicular dislocation in a rugby player as a cause of silent vascular compromise: a case report
    We describe a case in which there was no clinical evidence of complication, although CT imaging revealed complete obstruction of the brachiocephalic vein and impingement of the aorta. This required open reduction...
  • Retrosternal dislocation of the clavicle: an important injury easily missed
    Dislocation of the sternoclavicular joint is an uncommon injury. The anterior displacement is well recognized but posterior displacement is much more unusual, one per 1600 cases of shoulder trauma (Rowe & Marble, 1958). Early diagnosis is important as this affects ease of reduction...
  • Calcific Tendinitis Mimicking Acute Sternoclavicular Joint Arthritis
    We report a patient with acute calcific tendinitis of the sternal head of the sternocleidomastoid muscle mimicking acute arthritis of the sternoclavicular joint. This has not been reported before.
  • Bilateral Spontaneous Atraumatic Anterior Subluxation of The Sternoclavicular Joint
    A 19-year-old woman presented with a 10-month history of pain without previous injury in the medial side of the clavicles and displacement of both sternoclavicular joint. The discomfort was severe...
  • Long Term Effects of Dextrose Prolotherapy for Anterior Cruciate Ligament Laxity
    An injection method to create strengthening and tightening of the ACL ligament would be a valuable integrative medicine tool usable by general practitioners.
  • The Non-Surgical Repair of A Complete Achilles Tendon Rupture by Prolotherapy
    A 26-year old athlete suffered a full thickness tear of the Achilles tendon. After initial casting, biological reconstruction by prolotherapy was undertaken. A satisfactory result in terms of function and imaging is reported, at four months follow-up.
  • High-Resolution Ultrasound and Magnetic Resonance Imaging to Document Tissue Repair After Prolotherapy
    ...it is proposed that tissue growth and repair after prolotherapy in these structures can be documented with ultrasound and confirmed with magnetic resonance imaging.
  • Early Inflammatory Response of Knee Ligaments to Prolotherapy in a Rat Model
    It has been advocated as a treatment for ligament and joint laxity. Treatment involves the injection of a solution known as a proliferant at painful ligament or tendon insertions and in adjacent joint spaces in three to five treatment sessions...
  • Prolotherapy: A Literature Review and Retrospective Study
    A review of the literature is provided and a retrospective study presented which demonstrates a 66% reduction of sacroiliac low back pain in two-thirds of the patients who received this form of treatment.
  • A Systematic Review of Prolotherapy for Chronic Musculoskeletal Pain
    Prolotherapy, an injection-based treatment of chronic musculoskeletal pain, has grown in popularity and has received significant recent attention. The objective of this review is to determine the effectiveness of prolotherapy...
  • Fluoroscopically Guided Cervical Prolotherapy for Instability With Blinded Pre and Post Radiographic Reading
    The results of this study demonstrate statistically significant correlations between proliferant injections, a reduction of both cervical flexion and extension translation, as well as a reduction in pain VAS score.
  • Evidence-Based Regenerative Injection Therapy in Sports Medicine
    This chapter will cover the pathology of injury; the current treatment methods and their limitations; and the rationale, basic science, and clinical studies of prolotherapy/RIT.
  • A Rationale For Prolotherapy
    Prolotherapy, the technology for strengthening lax ligaments, has found increased acceptance in recent years.
  • Prolotherapy in Knee Pain
    Conclusion Prolotherapy is a reasonable and conservative approach to knee tendonitis/tendonosis, knee sprain-strains, knee instability, diagnosis of meniscal tear, patellofemoral pain syndrome... pain.
  • Prolotherapy for Osteoarthritic Thumb and Finger Joints
    Dextrose prolotherapy was clinically effective and safe in the treatment of pain with joint movement and range limitation in osteoarthritic finger joints.
  • Efficacy of Dextrose Prolotherapy in Elite Male Kicking-Sport Athletes With Chronic Groin Pain
    Dextrose prolotherapy showed marked efficacy for chronic groin pain in this group...
  • Prolotherapy for Musculoskeletal Pain
    Prolotherapy works by raising growth factor levels or effectiveness to promote tissue repair or growth.2 It can be used years after the initial pain or problem began, as long as the patient is healthy.
  • Dextrose Prolotherapy and Pain of Chronic TMJ Dysfunction
    Many of the subjective symptoms of pain, stiffness, and crunching sensation in patients with TMJ dysfunction were reduced greater than 50% in 92% of the prolotherapy patients in this study.
  • The efficacy of prolotherapy for lateral epicondylosis: A pilot study
    Prolotherapy with dextrose and sodium morrhuate was well tolerated, effectively decreased elbow pain and improved strength testing in subjects with refractory lateral epicondylosis compared to Control injections.
  • Injuries Of The Sterno-Clavicular Joint In Backpackers
    "Anterior sterno-clavicular dislocation, or fracture dislocation, as a result of carrying a backpack has not previously been described.We describe two cases, and reflect on the factors that may have led to the injuries..."
  • Old unreduced posterior sternoclavicular dislocation and coracoid impingement
    We report a patient who had an old unreduced posterior SCJ dislocation and coracoid impingement syndrome.
  • Sternoclavicular Joint Reconstruction: A Systematic Review
    Conclusion: Reconstruction with tendon tissue woven in a figure-of-eight pattern through drill holes in the manubrium and clavicle is stronger than reconstructions with local tissue.
  • Posterior dislocation of the sternoclavicular joint in a young rugby player
    We present the case of a 17-year-old male rugby player in which the diagnosis was not recognised at his initial presentation.
  • Microperforation prolotherapy: a novel method for successful nonsurgical treatment of atraumatic spontaneous anterior sternoclavicular subluxation, with an illustrative case
    This manuscript discusses a novel approach known as "microperforation prolotherapy." To illustrate the technique, the care of a patient who benefitted from this treatment is reviewed.