Posterior sternoclavicular epiphyseal fracture-dislocation with delayed diagnosis

Kelly Carmichael, Anthony Longo, Scott Lick, Leonard Swischuk

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Posterior sternoclavicular joint dislocations and epiphyseal fractures are relatively rare injuries. We present a case report of a 16-year-old male who presented with a 10-day delay in diagnosis. The medial clavicular fragment was widely displaced and rested against the cervical vertebral body. Despite the degree of displacement, the patient had very few symptoms, and the diagnosis was not appreciated in the emergency department and became apparent at 10-day clinic follow-up. Treatment consisted of attempts at closed reduction, which were not successful. Open reduction was performed and the repair done with strong sutures. At 1-year follow-up the patient is doing well without any symptoms. A literature review consisting of anatomy, ossification patterns, classification systems, diagnosis and associated symptoms, imaging recommendations, treatment recommendations, outcomes, and complications is included.

Original languageEnglish (US)
Pages (from-to)608-612
Number of pages5
JournalSkeletal Radiology
Volume35
Issue number8
DOIs
StatePublished - Aug 2006

Fingerprint

Delayed Diagnosis
Sternoclavicular Joint
Joint Dislocations
Osteogenesis
Sutures
Hospital Emergency Service
Anatomy
Wounds and Injuries
Fracture Dislocation
Therapeutics

Keywords

  • CT scan
  • Epiphyseal injuries
  • Posterior sternoclavicular fracture dislocations
  • Radiographs

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

Posterior sternoclavicular epiphyseal fracture-dislocation with delayed diagnosis. / Carmichael, Kelly; Longo, Anthony; Lick, Scott; Swischuk, Leonard.

In: Skeletal Radiology, Vol. 35, No. 8, 08.2006, p. 608-612.

Research output: Contribution to journalArticle

Carmichael, Kelly ; Longo, Anthony ; Lick, Scott ; Swischuk, Leonard. / Posterior sternoclavicular epiphyseal fracture-dislocation with delayed diagnosis. In: Skeletal Radiology. 2006 ; Vol. 35, No. 8. pp. 608-612.
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