ISSN 1941-5923

Logo



Get your full text copy in PDF

Traumatic posterior sternoclavicular joint dislocation

Gavin Huw Owen Brigstocke, Guy Perry Paremain

Am J Case Rep 2008; 9:117-119

ID: 828549


Background: Traumatic posterior dislocation of the sternoclavicular joint is an uncommon injury and easily missed at the acute presentation. However, all posterior sternoclavicular joint dislocations require treatment due to the life-threatening risk of injury to surrounding structures.
Case Report: A 14-year-boy presented to casualty with an acutely painful right shoulder following a fall sustained whilst playing rugby. Plain radiographs revealed no obvious abnormality and the patient was subsequently referred to the fracture clinic. Upon review by an experienced clinician, a posterior dislocation of the sternoclavicular joint was diagnosed. A CT scan confirmed the diagnosis and demonstrated no evidence of mediastinal compression. The patient proceeded to surgery for an open reduction.
Conclusions: Posterior sternoclavicular joint dislocation is an easily missed injury. The emergency physician must maintain a high index of clinical suspicion and awareness of the role of CT to aid the diagnosis of this life-threatening condition.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree