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Case Report: Medial Clavicle Physeal Injury Mimicking a Posterior Clavicular Dislocation in a Young Adult.
J Orthop Case Rep
October 2024
Department of Orthopedics, Paramount Hospital and ICCU, Mumbai, Maharashtra, India.
Article Synopsis
- Sternoclavicular injuries are rare, constituting only 1% of all dislocations, and medial clavicular physeal separations can sometimes be confused with these injuries.
- A case involving a 22-year-old male who suffered a right shoulder injury from a motorcycle accident highlights the misdiagnosis, initially thought to be a posterior sternoclavicular dislocation but later identified as a medial clavicular physeal injury.
- Treatment involved an unsuccessful closed reduction followed by an open reduction, confirming the physeal injury, which was successfully repaired using affordable suture materials, leading to a positive recovery outcome for the patient.
Missed Medial Clavicular Physeal Fracture-Posterior Dislocation Complicated by Brachiocephalic Pseudoaneurysm: A Case Report.
JBJS Case Connect
July 2024
Department of Orthopedics, University of Massachusetts Chan Medical Center, Worcester, Massachusetts.
Case: We present a 17-year-old male patient with an initially missed posterior sternoclavicular fracture dislocation who presented with symptoms related to thrombotic emboli arising from a pseudoaneurysm. He was treated 6 weeks after injury with a figure-of-eight tendon allograft repair with good clinical outcomes.
Conclusion: This is a unique presentation that highlights the significant risk of a missed diagnosis, life-threatening complications that may ensue, and biomechanically superior surgical intervention.
Innominate artery pseudoaneurysm from a Salter-Harris fracture of the sternoclavicular joint.
J Vasc Surg Cases Innov Tech
April 2024
Division of Vascular and Endovascular Surgery, University of Massachusetts Chan Medical School, Worcester, MA.
Fractures and dislocations of the sternoclavicular joint (SCJ) are uncommon, accounting for <5% of all shoulder girdle injuries. They are relatively more common in the pediatric population than in the adult population and can often present concurrently as a posteriorly displaced medial clavicular dislocation with a fracture through the unfused physis. It is especially important to recognize this injury, because its management and potential sequelae are very different from those for fractures of the clavicle shaft.
View Article and Find Full Text PDFAdolescent displaced lateral-end clavicle fractures are not comparable to the adult variant. Epidemiology, fracture patterns and outcome of non-operative management.
Shoulder Elbow
December 2023
Department of Orthopaedic Surgery, University of Edinburgh, Edinburgh, UK.
Background: The primary aim of this study was to determine the epidemiology of lateral-end clavicle fractures in adolescents. The secondary aim was to assess the outcome following non-operative management.
Methods: A retrospective review of all adolescent clavicle fractures over a 10-year period was undertaken.
Traumatic posterior sternoclavicular joint dislocation - Current aspects of management.
Injury
November 2023
Christchurch Hospital, Riccarton Avenue, Christchurch, 8140, New Zealand; Department of Interventional Radiology, Christchurch Hospital, Christchurch, 8011 New Zealand.
The posterior sternoclavicular joint dislocation is a rare and potentially life-threatening injury, as massive haemorrhage can occur at the time of trauma, during reduction manoeuvres and drilling. These injuries are rare and a collective experience of managing them is of paramount importance. We present our multidisciplinary experience of managing several of these injuries in our centre, with learning points we have identified.
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