Introduction: Sternoclavicular dislocation (SCD) occurs very rarely in children. There is different clinical manifestations that reflect the direction of displacement; diagnosis is difficult, especially if the dislocation was initially unnoticed. We will report this case while conducting a review of the literature to evaluate and adapt our management.
Case Report: We report the case of a 12-year-old boy who presented with a right posterior SCD after a trauma occurring 24 h earlier at a sports activity. Clinical examination and radiological investigations by X-ray and computed tomography scan leads to diagnosis. He underwent an orthopedic closed reduction treatment without complications at 24 months of follow-up.
Conclusion: Management of posterior sternoclavicular dislocation is different between teams, with a tendency to use orthopedic reduction in case of fresh dislocation and absence of complications. Late diagnosis and management, as well as the presence of complications, may be difficult and life-threatening (due to vascular or tracheal compression).
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http://dx.doi.org/10.13107/jocr.2023.v13.i12.4094 | DOI Listing |
Cureus
December 2024
Orthopedic Department, King Fahad Medical City, Riyadh, SAU.
Posterior sternoclavicular joint (SCJ) dislocation is a rare but potentially life-threatening injury due to its proximity to critical mediastinal structures. Early diagnosis and prompt management are essential to prevent severe complications such as vascular or respiratory compromise. We report a case of a 23-year-old male who presented to our emergency department five days after a high-energy motor vehicle accident with isolated, closed posterior dislocation of the SCJ.
View Article and Find Full Text PDFCureus
November 2024
Orthopedics and Traumatology, Hospital Francisco José Neves - Unimed Belo Horizonte (BH), Belo Horizonte, BRA.
In this report, we present a case of a triple clavicle injury, acromioclavicular joint (ACJ) dislocation, a middle third clavicle fracture, and a sternoclavicular joint (SCJ) subluxation, and describe its successful surgical treatment. A 49-year-old female patient sustained a 3 m fall, resulting in direct trauma to her left shoulder. Initial radiographs and computed tomography (CT) scans revealed a displaced middle third clavicle fracture, a high-grade ACJ dislocation, and a posterior SCJ subluxation.
View Article and Find Full Text PDFBMC Musculoskelet Disord
December 2024
Department of Trauma Orthopaedics and Hand Surgery, The Fifth Affiliated Hospital of Guangxi Medical University, Nanning, Guangxi, China.
Background: Sternoclavicular joint dislocation (SJD) is rare, and joint instability after dislocation easily leads to deformity, pain, and limitations in performing activities, often requiring surgical treatment. Currently, there is no ideal internal fixation method for SJD.
Case Presentation: We report the case of a 38-year-old female patient with anterior dislocation of the right sternoclavicular joint (SJ) caused by a car accident who underwent open reduction and internal fixation using the double plate technique combined with the cable technique.
Skeletal fractures are traumatic injuries that are widely accepted as requiring acute treatment to avoid long-term disability and dysfunction. There are a number of soft-tissue injuries or non-traditional fractures, frequently treated by sports medicine surgeons, which additionally require treatment in an expedited fashion in order to optimize healing and function. Sports medicine injuries of the lower extremity requiring acute treatment include, but are not limited to, irreducible shoulder dislocations, acute traumatic rotator cuff tears, posterior sternoclavicular joint dislocations, high grade acromioclavicular joint dislocations, pectoralis major tendon ruptures, distal biceps tendon ruptures, and triceps tendon ruptures.
View Article and Find Full Text PDFCureus
November 2024
Trauma and Orthopedics, The Princess Alexandra Hospital NHS Trust, Harlow, GBR.
This systematic review aimed to assess the literature on the treatment modalities used for acute sternoclavicular joint (SCJ) dislocation injuries. We aimed to review the clinical outcomes following these modalities by assessing functional scores, range of motion (ROM), patient satisfaction, complications, and revisions. A thorough literature search was conducted on four databases (Cochrane Library, Embase, MEDLINE, and Google Scholar) for studies published from January 2000 to May 2024 that focused on surgical treatment of sternoclavicular joint dislocation in patients over the age of 18 years.
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