J Korean Fract Soc.  2013 Jan;26(1):56-59. 10.12671/jkfs.2013.26.1.56.

Treatment of Traumatic Posterior Dislocation of the Sternoclavicular Joint: A Case Report

• Kim DH
• Kim DH
• Kang SK
• Lee EC

• KMID: 1431718
• DOI: http://doi.org/10.12671/jkfs.2013.26.1.56

Abstract

Compared with acromioclavicular dislocation, dislocation of the clavicle at its sternal end is uncommon and accounts for 3% of all injuries to the shoulder girdle. Furthermore, the posterior dislocation of the sternoclavicular joint is relatively a rare injury compared to the other types of sternoclavicular dislocation. We report this case since we have experience with similar cases of traumatic posterior dislocation at the sternoclavicular joint, which were successfully treated with x-ray guided reduction.

Keyword

Sternoclavicular joint; Sternoclavicular posterior dislocation

MeSH Terms

Clavicle
Dislocations
Shoulder
Sternoclavicular Joint

Figure

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  Fig. 1 Clinically evident posterior dislocation of the left sternoclavicular joint.

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  Fig. 2 (A) Initial chest radiograph. Antero-posterior radiograph of the left sternoclavicular dislocation. The left clavicle is slightly inferiorly displaced compared to the right side and has lost its normal articulation with the sternum. (B) Initial lordotic view. Posteior dislocation of the left sternoclavicular joint. Note that the left medial clavicle is displaced inferiorly to the normal right medial clavicle. (C) Computed tomography scan showing the posteriorly dislocated clavicle.

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  Fig. 3 Initial postoperative chest radiograph.

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  Fig. 4 Postoperative 2 months. Hobbs view.

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