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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
Incidence of sports-related sternoclavicular joint dislocations in the United States over the last two decades
Alexis B Sandler, Michael D Baird, John P Scanaliato, Ayden LW Harris, Sorana Raiciulescu, Clare K Green, John C Dunn, Nata Parnes
Alexis B Sandler, John P Scanaliato, John C Dunn, Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, El Paso, TX 79905, United States
Michael D Baird, Ayden LW Harris, Department of Orthopaedic Surgery, Walter Reed National Military Medical Center, Bethesda, MD 20307, United States
Sorana Raiciulescu, Department of Preventive Medicine and Biostatistics, Uniformed Services University, Bethesda, MD 20307, United States
Clare K Green, School of Medicine and Health Sciences, The George Washington University, Washington, DC 20001, United States
Nata Parnes, Department of Orthopaedic Surgery, Carthage Area Hospital, Carthage, NY 13619, United States
Nata Parnes, Department of Orthopaedic Surgery, Claxton-Hepburn Medical Center, Ogdensburg, NY 13669, United States
Author contributions: Sandler AB contributed to the data collection, statistical analysis, presentation of data, writing of manuscript, presentation of figures and tables, and revisions of manuscript; Baird MD and Scanaliato JP contributed to the statistical analysis, and the writing, editing, and revision of the manuscript; Harris AL contributed to the writing and editing of the manuscript; Raiciulescu S contributed to the statistical analysis and editing of the manuscript; Green CK and Dunn JC contributed to the editing of the manuscript; Parnes N contributed to the conception of the idea for the manuscript, oversight throughout the course of the study, and writing, editing, revisions of the manuscript.
Institutional review board statement: All data used in the above study were obtained from a free, publicly-accessible database: The National Electronic Injury Surveillance System.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
https://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Alexis B Sandler, MD, Doctor, Surgeon, Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center El Paso, 4801 Alberta Ave, El Paso, TX 79905, United States. alexisbsandler@gmail.com
Received: February 19, 2023
Peer-review started: February 19, 2023
First decision: March 24, 2023
Revised: April 1, 2023
Accepted: May 8, 2023
Article in press: May 8, 2023
Published online: June 18, 2023
Processing time: 119 Days and 15 Hours
ARTICLE HIGHLIGHTS
Research background
Epidemiological characterization of acute sternoclavicular (SC) dislocations is sparse, with classic epidemiology of injury dating back to the 1950s.
Research motivation
Characterize the epidemiology of acute SC dislocations over the last two decades.
Research objectives
This study aims to describe the epidemiological trends of SC dislocations that present to United States Emergency Departments (EDs) related to sports participation.
Research methods
Data for this cross-sectional, descriptive epidemiological study were obtained from the National Electronic Injury Surveillance System database spanning two decades.
Research results
The incidence of SC dislocations nationwide was found to be 0.262 per 1000000 people and comprised 0.1% of shoulder and upper trunk dislocations. The majority of patients were male (91%, n = 1480) and between ages 5-17 (61%, n = 982), and most sustained injuries in contact sports (59%, n = 961) with football the most frequently implicated sport. Most patients (82%, n = 1337) were discharged from the ED. Patients with SC dislocations from contact sports had a significantly increased risk of hospital admission or transfer rather than discharge from the ED (incidence rate ratio = 1.46, CI: 1.32-1.61, P < 0.001).
Research conclusions
SC dislocations sustained during sports are rare. Ultimately, contact sports are a frequent source of injury and the majority of patients are discharged directly from the ED.
Research perspectives
Future research will further clarify incidence of anterior vs posterior SC dislocations and characterize trends in treatment over time.
