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Posterior sternoclavicular joint dislocation: case report and discussion

Published online by Cambridge University Press:  21 May 2015

Nick Kuzak*
Affiliation:
Department of Emergency Medicine, Vancouver General Hospital, Vancouver, BC FRCP in Emergency Medicine; resident in Anesthesia, University of British Columbia, Vancouver, BC
Adrian Ishkanian
Affiliation:
University of British Columbia, Vancouver, BC
Riyad B. Abu-Laban
Affiliation:
Department of Emergency Medicine, Vancouver General Hospital, Vancouver, BC Division of Emergency Medicine, Department of Surgery, University of British Columbia, and Center for Clinical Epidemiology and Evaluation, Vancouver General Hospital, Vancouver, BC
*
Department of Emergency Medicine, Vancouver General Hospital, 855 West 12th Ave., Vancouver BC V5Z 1M9

Abstract

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The sternoclavicular joint is the most frequently mobilized non-axial, major joint, but is the least frequently dislocated. Most sternoclavicular dislocations are anterior. When posterior sternoclavicular joint dislocations do occur, they may present with a variety of signs and symptoms, including serious intrathoracic injuries. We discuss the case of a patient with a subacute posterior sternoclavicular dislocation who presented to the emergency department 2 months after being hit in the posterior neck. We also review the signs, symptoms and management of posterior sternoclavicular dislocation and the literature on this topic.

Type
Case Report • Observations de cas
Copyright
Copyright © Canadian Association of Emergency Physicians 2006

References

1.Yeh, GL, Williams, GR. Conservative management of sternoclavicular injuries. Orthop Clin North Am 2000;31:189203.Google Scholar
2.Bulstrode, CKJ, et al, editors. Oxford textbook of orthopedics and trauma. 10th ed. Oxford: Oxford University Press; 2001. p. 693–6; 2053–5.Google Scholar
3.Cave, ER, Burke, JF, Boyd, RJ. Trauma management. Chicago: Year Book Medical; 1974. p.409–11.Google Scholar
4.Nettles, JL, Linscheid, RL. Sternoclavicular dislocations. J Trauma 1968;8(2):158–64.Google Scholar
5.Rockwood, CA, Wirth, MA. Fractures in adults. 5th ed. Philadelphia: Lippincott-Raven; 2001. p. 1245–92.Google Scholar
6.Jain, S, Monbaliu, D, Thompson, JF. Thoracic outlet syndrome caused by chronic retrosternal dislocation of the clavicle. Successful treatment by transaxillary resection of the first rib. J Bone Joint Surg Br 2002;84:116–8.Google Scholar
7.Noda, M, Shiraishi, H, Mizuno, K.Chronic posterior sternoclavicular dislocation causing compression of a subclavian artery. J Shoulder Elbow Surg 1997;6:564–9.CrossRefGoogle ScholarPubMed
8. Rayan, GM. Compression brachial plexopathy caused by chronic posterior dislocation of the sternoclavicular joint. J Okla State Med Assoc 1994;87:79.Google Scholar
9.Wirth, MA, Rockwood, CA Jr. Acute and chronic traumatic injuries of the sternoclavicular joint. J Am Acad Orthop Surg 1996;4:268–78.Google Scholar
10.Buckerfield, CT, Castle, ME. Acute traumatic retrosternal dislocation of the clavicle. J Bone Joint Surg Am 1984;66:379–85.Google Scholar
11.Canale, ST, editor. Campbell’s operative orthopaedics. 10th ed. Elsevier Canada; 2003. p. 2395–6; 3177; 3196–7.Google Scholar
12.Venissac, N, Alifano, M, Dahan, M, et al. Intrathoracic migration of Kirschner pins. Ann Thorac Surg. 2000;69(6):1953–5.Google Scholar