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Sternoclavicular dislocation as a possible complication for surgical Scheuermann’s deformity correction: a case report

  • Joaquim Soares do BritoEmail author
  • Samuel Martins
  • Pedro Fernandes
Case Report

Abstract

Objective

We present a sternoclavicular dislocation as a non-reported complication after spinal kyphotic deformity surgical correction.

Background

The sternocostal complex seems to have an important role in the pathology of Scheuermann’s kyphotic deformity. A role for the sternoclavicular complex has never been reported in association with Scheuermann’s disease pathology but could explain anterior sternoclavicular dislocation after spinal kyphotic deformity correction.

Methods

A 19-year-old male patient underwent surgery for a 74° thoracic kyphosis associated with a 35° thoracic and a 50° lumbar scoliotic curve. In the early post-operative period, the patient developed pain over the left sternoclavicular joint articulation, with a very obvious lump. An X-ray disclosed an anterior sternoclavicular dislocation. After surgical treatment failed, the dislocation was repaired in a second surgical procedure with a flexion and lengthening osteotomy of the middle third of the clavicle followed by capsular repair reinforced with sternocleidomastoid fascia.

Results

At an 8-year follow-up after his spine procedure and 6 years after his clavicular surgery, the patient had full shoulder range of motion and no joint pain, despite the presence of a new sternoclavicular anterior dislocation.

Conclusion

Sternoclavicular dislocation after spine kyphotic deformity correction is presented for the first time; however, it is not possible to establish a causative association. Additional studies are necessary to delineate the role of the sternoclavicular complex in Scheuermann’s disease.

Keywords

Scheuermann’s kyphosis Pathogenesis Sternocostal complex Sternoclavicular dislocation Sternoclavicular complex 

Notes

Acknowledgements

The authors wish to thank Merry Diana Johannes (independent editor) for her assistance in preparing and revising the manuscript.

Compliance with ethical standards

Conflict of interest

None of the authors has any potential conflict of interest.

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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Orthopaedics DepartmentUniversity Hospital Santa Maria - Centro Hospitalar Lisboa NorteLisbonPortugal

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