J Korean Fract Soc JKFS Journal of the Korean Fracture Society 1225-1682 The Korean Fracture Society 10.12671/jkfs.2013.26.1.56 Case Report Treatment of Traumatic Posterior Dislocation of the Sternoclavicular Joint - A Case Report - Kim Dong-Hee M.D. Kim Do-Hoon M.D. Kang Seok-Kwon M.D. Lee Eui-Chul M.D. Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Changwon, Korea. Address reprint requests to: Do-Hoon Kim, M.D. Department of Orthopaedic Surgery, Samsung Changwon Hospital, 158, Paryong-ro, Masanhoewon-gu, Changwon 630-723, Korea. Tel: 82-55-290-6030, Fax: 82-55-290-6888, kdh7483@gmail.com 01 2013 17 01 2013 26 1 56 59 17 09 2012 17 10 2012 23 10 2012 Copyright © 2013 The Korean Fracture Society 2013

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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.

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Clinically evident posterior dislocation of the left sternoclavicular joint.

(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.

Initial postoperative chest radiograph.

Postoperative 2 months. Hobbs view.