Posterior sternoclavicular dislocations

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Résumé

The frequency of posterior sternoclavicular
dislocations represents 0.019% of the shoulder injuries in
the Centre of Traumatology and Orthopedics of Dakar.
The posterior form is 0.033% compared to the anterior
form. The authors report the cases of posterior sternoclavicular
dislocations, occurred with seven men and one
woman. Seven of these dislocations were located on the
left side, including one case of polytraumatism, one associated
with a brachial plexus compression, and one case
with a fracture of the kneecap. The authors show the
interest of the incidence of Heinig in the diagnosis. The
open treatment following the technique of burrows which
uses the tendon of the subclavius gives satisfactory
results in both functional and anatomical respects. They
discuss the orthopaedic methods and insist on their disadvantages,
especially in the event of vascular lesion with a
risk of haemorrhage of a clogged breach or source of
instability, and the diYculty of radiological control after
reduction.

Mots-clés

Posterior sternoclavicular dislocation · Visceral compression · Incidence of Heinig · Open reduction