Images in clinical medicine | Volume 39, Article 81, 27 May 2021 | 10.11604/pamj.2021.39.81.29240

Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury

Savas Deftereos, Georgios Drosos

Corresponding author: Savas Deftereos, Radiology Department, Democritus University of Thrace, Alexandroupolis, Greece

Received: 07 Apr 2021 - Accepted: 10 May 2021 - Published: 27 May 2021

Domain: Radiology,Emergency medicine

Keywords: Posterior sternoclavicular joint, dislocation, computed tomography

©Savas Deftereos et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Savas Deftereos et al. Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury. Pan African Medical Journal. 2021;39:81. [doi: 10.11604/pamj.2021.39.81.29240]

Available online at: https://www.panafrican-med-journal.com/content/article/39/81/full

Home | Volume 39 | Article number 81

Images in clinical medicine

Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury

Posterior sternoclavicular joint dislocation, a rare but “dangerous” injury

Savas Deftereos1,&, Georgios Drosos2

 

1Radiology Department, Democritus University of Thrace, Alexandroupolis, Greece, 2Department of Orthopaedic Surgery, Democritus University of Thrace, Alexandroupolis, Greece

 

 

&Corresponding author
Savas Deftereos, Radiology Department, Democritus University of Thrace, Alexandroupolis, Greece

 

 

Image in medicine    Down

A 17 years of age male patient presented with pain and movement restriction of right upper-extremity after a fall from his bicycle. On examination local swelling, tenderness, and depression of the medial end of the clavicle were present. Any attempt of shoulder movement was causing excruciating pain in this area. There was no other apparent injury and apart from the above-mentioned symptoms and clinical findings, all patients´ vital signs were normal. No prominent fracture or other pathology were noticed on X-rays. The clinical findings were compatible with an injury of the sternoclavicular joint; a posterior sternoclavicular joint (SCJ) dislocation in particular. Posterior dislocation of the SCJ can be associated with injuries of the structures that lie behind the manubrium resulting in life threatening complications such as neurovascular, tracheal and oesophageal injuries. Therefor prompt diagnosis and treatment is required. Based on the clinical findings, a computed tomography (CT) was performed and the clinical suspicion was confirmed (A,B). The dislocation was reduced under general anesthesia by closed means, followed by arm immobilization.

Figure 1: computerized tomography (CT) scan depicting axial (A) views of a right posterior sternoclavicular joint dislocation (arrow) and normal positioned left sternoclavicular joint (arrowhead) and 3D reconstruction (B) (notice the narrowed space behind manubrium on the 3D-reconstruction image)

 

 

 

 

Images in clinical medicine

Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury

Images in clinical medicine

Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury

Images in clinical medicine

Posterior sternoclavicular joint dislocation, a rare but "dangerous" injury

Volume 39 (May - Aug 2021)
This article authors
On Pubmed
On Google Scholar
Citation [Download]
Zotero
EndNote XML
Reference Manager
BibTex
ProCite

Navigate this article
Similar articles in
Key words

Posterior sternoclavicular joint

Dislocation

Computed tomography

Article metrics
Countries of access