Presentation
Trauma, probable fractured clavicle.
Patient Data
Age: 16 years
Gender: Male
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There is no fracture 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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