Sternoclavicular joint dislocation

Case contributed by Melbourne Uni Radiology Masters

Presentation

Trauma: probable fractured clavicle.

Patient Data

Age: 16-year-old
Gender: Male
CT

CT Right shoulder

There is no fracture seen in the clavicle scapula or humerus.

The glenohumeral and acromioclavicular articulations are intact.

There is dislocation of the sternoclavicular joint, the medial end of the clavicle lies posterior to the body of the sternum.

Case Discussion

Posterior dislocation of the sternoclavicular joint is very uncommon.

It is a crucial diagnosis to make because of the risk of associated injuries in the thorax, with lung contusion, pneumothorax and rib fractures commonly seen in association.

There is also the risk of severe vascular injury, and these patients should have a contrast-enhanced CT Chest.

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Case information

rID: 38361
Published: 19th Nov 2015
Last edited: 14th Aug 2019
Tag: rmh
Inclusion in quiz mode: Included

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