{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T07:06:17Z","timestamp":1783667177508,"version":"3.55.0"},"reference-count":30,"publisher":"MDPI AG","issue":"18","license":[{"start":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T00:00:00Z","timestamp":1726185600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Posterior sternoclavicular joint (SCJ) dislocations are rare events that can evolve into real emergencies due to the vital structures in the mediastinum. When closed reduction maneuvers fail, open SCJ reconstruction becomes mandatory, with literature proposing several stabilization techniques that either preserve or remove the SCJ\u2019s mobility. This study is a narrative review of the most recent literature regarding posterior trauma to the SCJ along with a single institution\u2019s experience of this pathology, managed either conservatively or surgically, with a figure-of-eight autologous semitendinosus graft in case of closed reduction failure. Methods: This article provides an overview of posterior traumatic SCJ dislocation, and it describes five cases of patients managed for traumatic posterior SCJ dislocation treated either conservatively or surgically with a figure-of-eight semitendinosus tendon autograft reinforced with high-strength suture tape. A comparison with the most recent literature is performed, focusing on biomechanics. Results: The demographics, the mechanism of injury, the management algorithm and the surgical strategy align with the most recent literature. Despite the final treatment, at one year of follow-up, the ROM was restored with full strength throughout the range of motion of the shoulder with no neurological deficits. The reduced joint successfully healed in imaging, and patients returned to their daily lives. The surgical site wounds and donor harvest sites were perfectly healed. Conclusions: Although recent recommendations for treating posterior traumatic SCJ dislocation have advanced, no universally accepted method of stabilization exists, and the surgical strategy is generally entrusted to the surgeon\u2019s experience. The literature still increasingly supports figure-of-eight ligament reconstruction with a biological or synthetic graft. This work further implements the literature by reporting good outcomes at follow-up.<\/jats:p>","DOI":"10.3390\/jcm13185428","type":"journal-article","created":{"date-parts":[[2024,9,13]],"date-time":"2024-09-13T03:03:37Z","timestamp":1726196617000},"page":"5428","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Management Options for Traumatic Posterior Sternoclavicular Joint Dislocation: A Narrative Review with a Single Institution\u2019s Experience"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7094-4344","authenticated-orcid":false,"given":"Corrado","family":"Ciatti","sequence":"first","affiliation":[{"name":"Department of Orthopedics and Traumatology, Guglielmo da Saliceto Hospital, AUSL Piacenza, 29121 Piacenza, Italy"},{"name":"Department of Orthopedics and Traumatology, University of Parma, 43121 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Virginia","family":"Masoni","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Turin, Via Zuretti, 29, 10126 Turin, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5637-6774","authenticated-orcid":false,"given":"Pietro","family":"Maniscalco","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Guglielmo da Saliceto Hospital, AUSL Piacenza, 29121 Piacenza, Italy"},{"name":"Department of Orthopedics and Traumatology, University of Parma, 43121 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chiara","family":"Asti","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Guglielmo da Saliceto Hospital, AUSL Piacenza, 29121 Piacenza, Italy"},{"name":"Department of Orthopedics and Traumatology, University of Sassari, 07100 Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Calogero","family":"Puma Pagliarello","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Guglielmo da Saliceto Hospital, AUSL Piacenza, 29121 Piacenza, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7618-6732","authenticated-orcid":false,"given":"Gianfilippo","family":"Caggiari","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Sassari, 07100 Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2848-0283","authenticated-orcid":false,"given":"Marco","family":"Pes","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, University of Sassari, 07100 Sassari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabrizio","family":"Rivera","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Ospedale SS Annunziata, ASL CN1, Via Ospedali, 9, 12038 Savigliano, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3180-4234","authenticated-orcid":false,"given":"Fabrizio","family":"Quattrini","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Traumatology, Guglielmo da Saliceto Hospital, AUSL Piacenza, 29121 Piacenza, Italy"},{"name":"Department of Orthopedics and Traumatology, University of Parma, 43121 Parma, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,9,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e1076","DOI":"10.5435\/JAAOS-D-19-00611","article-title":"Sternoclavicular Joint Instability and Reconstruction","volume":"30","author":"Provencher","year":"2022","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e2","DOI":"10.2106\/JBJS.RVW.17.00157","article-title":"Clinical Outcomes and Complications Following Surgical Management of Traumatic Posterior Sternoclavicular Joint Dislocations: A Systematic Review","volume":"6","author":"Kendal","year":"2018","journal-title":"JBJS Rev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"110983","DOI":"10.1016\/j.injury.2023.110983","article-title":"Traumatic posterior sternoclavicular joint dislocation\u2014Current aspects of management","volume":"54","author":"Ingoe","year":"2023","journal-title":"Injury"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1097\/TA.0000000000000888","article-title":"Incidence, characteristics, and long-term follow-up of sternoclavicular injuries: An epidemiologic analysis of 92 cases","volume":"80","author":"Boesmueller","year":"2016","journal-title":"J. Trauma Acute Care Surg."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1016\/j.jse.2012.02.009","article-title":"Reconstruction of the sternoclavicular joint in active patients with the figure-of-eight technique using hamstrings","volume":"22","author":"Singer","year":"2013","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1399","DOI":"10.1007\/s00068-019-01178-2","article-title":"Injuries of the sternoclavicular region indicate concomitant lesions and need distinguished imaging","volume":"47","author":"Helfen","year":"2021","journal-title":"Eur. J. Trauma. Emerg. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"380","DOI":"10.1016\/j.mporth.2012.05.002","article-title":"Traumatic dislocation of the sternoclavicular joint","volume":"26","author":"Philipson","year":"2012","journal-title":"Orthop. Trauma."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1302\/2058-5241.3.170078","article-title":"Swellings of the sternoclavicular joint: Review of traumatic and non-traumatic pathologies","volume":"3","author":"Edwin","year":"2018","journal-title":"EFORT Open Rev."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1177\/1758573218756880","article-title":"Sternoclavicular joint","volume":"10","author":"Dhawan","year":"2018","journal-title":"Shoulder Elb."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/BPO.0000000000000114","article-title":"Posterior Sternoclavicular Joint Injuries in Skeletally Immature Patients","volume":"34","author":"Lee","year":"2014","journal-title":"J. Pediatr. Orthop."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"468","DOI":"10.5435\/JAAOS-D-14-00235","article-title":"Pediatric Posterior Sternoclavicular Joint Injuries","volume":"23","author":"Chaudhry","year":"2015","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2517","DOI":"10.1177\/0363546514523386","article-title":"Posterior Sternoclavicular Joint Injuries in the Adolescent Population: A Meta-analysis","volume":"42","author":"Tepolt","year":"2014","journal-title":"Am. J. Sports Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"727","DOI":"10.1016\/j.otsr.2014.07.011","article-title":"Assessment of the function and resistance of sternoclavicular ligaments: A biomechanical study in cadavers","volume":"100","author":"Negri","year":"2014","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1","DOI":"10.5435\/00124635-201101000-00001","article-title":"Management of traumatic sternoclavicular joint injuries","volume":"19","author":"Groh","year":"2011","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"268","DOI":"10.5435\/00124635-199609000-00005","article-title":"Acute and Chronic Traumatic Injuries of the Sternoclavicular Joint","volume":"4","author":"Wirth","year":"1996","journal-title":"J. Am. Acad. Orthop. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1080\/00913847.2019.1568771","article-title":"Sports-related sternoclavicular joint injuries","volume":"47","author":"Hellwinkel","year":"2019","journal-title":"Phys. Sportsmed."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1177\/0363546519900896","article-title":"Minimum 5-Year Clinical Outcomes, Survivorship, and Return to Sports After Hamstring Tendon Autograft Reconstruction for Sternoclavicular Joint Instability","volume":"48","author":"Lacheta","year":"2020","journal-title":"Am. J. Sports Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1302\/0301-620X.92B1.22186","article-title":"Posterior dislocation of the sternoclavicular joint and epiphyseal disruption of the medial clavicle with posterior displacement in sports participants","volume":"92","author":"Laffosse","year":"2010","journal-title":"J. Bone Jt. Surg. Br. Vol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"98","DOI":"10.2106\/00004623-200401000-00015","article-title":"Biomechanical analysis of reconstructions for sternoclavicular joint instability","volume":"86","author":"Spencer","year":"2004","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_20","unstructured":"Maniscalco, P., Ciatti, C., Gattoni, S., Quattrini, F., Pagliarello, C.P., Patane, A.C., Capelli, P., Banchini, F., Rivera, F., and Sanna, F. (2021). Proximal humerus fractures in COVID-19 lockdown: The experience of three orthopedics and traumatology departments in the first ten weeks of the Italian epidemic. Acta Biomed., 92."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"COVIDSurg Collaborative (2021). Machine learning risk prediction of mortality for patients undergoing surgery with perioperative SARS-CoV-2: The COVIDSurg mortality score. Br. J. Surg., 108, 1274\u20131292.","DOI":"10.1093\/bjs\/znab183"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.tcr.2018.09.001","article-title":"Closed reduction of a posterior sternoclavicular joint dislocation: A case report","volume":"17","author":"Iwai","year":"2018","journal-title":"Trauma. Case Rep."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"e697","DOI":"10.1016\/j.eats.2023.01.006","article-title":"The Floating Clavicle: Surgical Technique for Management of an Ipsilateral Acromioclavicular and Sternoclavicular Joint Dislocation","volume":"12","author":"Oladeji","year":"2023","journal-title":"Arthrosc. Tech."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/j.jse.2010.03.009","article-title":"Treatment of traumatic posterior sternoclavicular dislocations","volume":"20","author":"Groh","year":"2011","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1067\/mse.2002.119394","article-title":"Ligamentous restraints to anterior and posterior translation of the sternoclavicular joint","volume":"11","author":"Spencer","year":"2002","journal-title":"J. Shoulder Elb. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"378","DOI":"10.2106\/JBJS.G.01483","article-title":"Motion of the shoulder complex during multiplanar humeral elevation","volume":"91","author":"Ludewig","year":"2009","journal-title":"J. Bone Jt. Surg. Am."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1097\/TA.0b013e3182092c7b","article-title":"Treatment of Sternoclavicular Joint Dislocations: A Systematic Review of 251 Dislocations in 24 Case Series","volume":"70","author":"Glass","year":"2011","journal-title":"J. Trauma Acute Care Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1097\/BTH.0000000000000027","article-title":"Artificial ligament reconstruction of sternoclavicular joint instability: Report of a novel surgical technique with early results","volume":"18","author":"Quayle","year":"2014","journal-title":"Tech. Hand Up. Extrem. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"118","DOI":"10.1016\/j.otsr.2011.09.015","article-title":"Endopelvic migration of a sternoclavicular K-wire. Case report and review of literature","volume":"98","author":"Ballas","year":"2012","journal-title":"Orthop. Traumatol. Surg. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"3635","DOI":"10.1177\/03635465221124267","article-title":"Clinical Outcomes and Return to Sports after Open Reduction and Hamstring Tendon Autograft Reconstruction in Patients with Acute Traumatic First-Time Posterior Dislocation of the Sternoclavicular Joint","volume":"50","author":"Sabharwal","year":"2022","journal-title":"Am. J. Sports Med."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/18\/5428\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T15:55:12Z","timestamp":1760111712000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/13\/18\/5428"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,13]]},"references-count":30,"journal-issue":{"issue":"18","published-online":{"date-parts":[[2024,9]]}},"alternative-id":["jcm13185428"],"URL":"https:\/\/doi.org\/10.3390\/jcm13185428","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,13]]}}}