{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:33:56Z","timestamp":1786120436621,"version":"build-2736575974"},"reference-count":0,"publisher":"Universa BV","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Orthop Belg"],"abstract":"<jats:p>Bilateral sternoclavicular joint (SCJ) dislocation is an exceptionally rare injury, particularly when associated with inferior migration of the sternal body and multiple rib fractures. We report the case of a 51-year-old male who sustained high-energy thoracic crush trauma resulting in bilateral SCJ dislocation, inferior sternal displacement, rib fractures, and a Grade I open humeral shaft fracture. Surgical management required a multidisciplinary approach including SCJ reduction, ligament reconstruction with a semitendinosus tendon graft in a figure-of-eight configuration, clavicular fixation, and delayed intramedullary nailing of the humeral shaft. Postoperatively, neuropathy secondary to a C8\u2013T1 brachial plexus injury was diagnosed; it was considered traumatic in origin, as no intraoperative manipulation occurred. At one-year follow-up, full functional recovery was achieved in the right upper limb, whereas residual limitation on the left side was attributable to persistent neurological involvement rather than mechanical instability. This case represents an uncommon combination of bilateral SCJ dislocation with inferior sternal migration and associated thoracic and neurological injuries, providing relevant surgical and clinical insights.<\/jats:p>","DOI":"10.52628\/92.2.15405","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T21:12:14Z","timestamp":1786050734000},"source":"Crossref","is-referenced-by-count":0,"title":["Bilateral Sternoclavicular Joint Dislocation with Inferior Sternal Migration: Surgical Management and One-Year Outcome"],"prefix":"10.52628","volume":"92","author":[{"given":"A.","family":"MARESCA","sequence":"first","affiliation":[{"name":"Unit of Orthopaedics and Trauma Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R.","family":"PASCARELLA","sequence":"additional","affiliation":[{"name":"Unit of Orthopaedics and Trauma Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"VITALE","sequence":"additional","affiliation":[{"name":"Clinical Orthopaedics, School of Medicine, Universit\u00e0 Politecnica delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"CERBASI","sequence":"additional","affiliation":[{"name":"Unit of Orthopaedics and Trauma Surgery, Azienda Ospedaliera Universitaria delle Marche, Ancona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"27062","published-online":{"date-parts":[[2026,8]]},"container-title":["Acta Orthopaedica Belgica"],"original-title":[],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T21:12:19Z","timestamp":1786050739000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actaorthopaedica.be\/archive\/volume-92\/summer\/case-reports\/bilateral-sternoclavicular-joint-dislocation-with-inferior-sternal-migration-surgical-mana\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2026,8]]}},"URL":"https:\/\/doi.org\/10.52628\/92.2.15405","relation":{},"ISSN":["0001-6462"],"issn-type":[{"value":"0001-6462","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]}}}