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

Dong-Hee Kim; Do-Hoon Kim; Seok-Kwon Kang; Eui-Chul Lee

doi:10.12671/jkfs.2013.26.1.56

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Kim, Kim, Kang, and Lee: Treatment of Traumatic Posterior Dislocation of the Sternoclavicular Joint - A Case Report -

Case Report

Journal of the Korean Fracture Society

Journal of the Korean Fracture Society 2013; 26(1): 56-59.

Published online: 17 January 2013

DOI: https://doi.org/10.12671/jkfs.2013.26.1.56

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

Dong-Hee Kim, M.D., Do-Hoon Kim, M.D., Seok-Kwon Kang, M.D., Eui-Chul Lee, 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

Received 17 September 2012 Revised 17 October 2012 Accepted 23 October 2012

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Sternoclavicular joint, Sternoclavicular posterior dislocation

Figures and Tables

Fig. 1

Clinically evident posterior dislocation of the left sternoclavicular joint.

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.

Fig. 3

Initial postoperative chest radiograph.

Fig. 4

Postoperative 2 months. Hobbs view.

References

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