Sternoclavicular joint posterior subluxation

Case contributed by Heba Abdelmonem
Diagnosis certain

Presentation

Fall from a ladder.

Patient Data

Age: 20 years
Gender: Female

Axial CT showing aberrant left sternoclavicular joint with a posteriorly subluxed proximal end of the clavicle. The proximal clavicular end is closely related to the left brachiocephalic vein (giving the limitation on non-contrast images). No abnormal edema or surrounding soft tissue swelling.

Case Discussion

The absence of abnormal soft tissue edema or swelling suggests congenital sternoclavicular joint sublaxtaion, a finding that has no relation to the patient's trauma history, rather than a traumatic injury. 

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