CC2023: Return to Sports After Closed Reduction of Acute Traumatic Posterior Sternoclavicular Joint Dislocations: A Systematic Review (September 2023)-Return to Sports After Closed Reduction of Acute Traumatic Posterior Sternoclavicular Joint Dislocations: A Systematic Review

Return to Sports After Closed Reduction of Acute Traumatic Posterior Sternoclavicular Joint Dislocations: A Systematic Review

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Pdf Summary

Closed reduction of acute traumatic posterior sternoclavicular (SC) joint dislocations provides high rates of return to sports (RTS) with low rates of secondary surgical stabilization, according to a systematic review of the literature. The study evaluated the rate of RTS and the timeline for RTS after closed reduction of posterior SC dislocation. The review included 16 studies and an additional case, which documented RTS in a total of 31 patients. Of these patients, 74% had full RTS. The mean time to RTS was 3.1 months. Only a small percentage of patients reported restrictions with sports or activity, changed to a sport with less contact, experienced recurrence requiring surgical stabilization, or quit the sport altogether. The findings suggest that closed reduction of acute traumatic posterior SC joint dislocation is an effective treatment option for athletes, with high rates of RTS and low rates of secondary surgery. The study highlights the importance of early diagnosis and prompt closed reduction for optimal outcomes. However, it is important to note that the included studies were of low-level evidence, and there was significant heterogeneity among the study populations. Further research is needed to confirm and expand upon these findings.

Keywords

closed reduction

acute traumatic

posterior sternoclavicular joint dislocations

return to sports

secondary surgical stabilization

systematic review

rate of RTS

timeline for RTS

early diagnosis

prompt closed reduction