Article

The records of 4 children of under 14 years of age treated at our institution for
traumatic sternoclavicular dislocation (SCJ) were reviewed. Closed reduction in
posterior SCJ after computed tomography (CT) was successful as immediate
procedure. For anterior SCJ instability, open reduction and SCJ reconstruction
obtained satisfactory results. Conservative treatment of SCJ subluxation for
asymptomatic children was sufficient. Radiographs in "serendipity view" were
useful for confirming reduction and stability in children. No postoperative CT
was needed for this purpose. Closed reduction in posterior SCJ dislocation and
surgical treatment in anterior SCJ dislocation in young children can provide
stability and a satisfactory return to a normal function, but with some
limitation when intense or competitive shoulder motion is required during sport.
Young children and parents should be aware about this possibility. Conservative
treatment of SCJ subluxation for asymptomatic children is useful. Reflection is
required regarding the correct imaging examination after treatment to check
stable reduction in a SCJ injury.

Langue : ANGLAIS