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Posterior sternoclavicular dislocations--a diagnosis easily missed
D P Thomas1, A Davies, H C Hoddinott
1Department of Orthopaedics, Morriston Hospital, Swansea, UK.
Annals of the Royal College of Surgeons of England
|June 12, 1999
Summary
Posterior sternoclavicular joint dislocation is a rare injury often missed on initial X-rays. Prompt CT scans are crucial for accurate diagnosis and surgical treatment of this condition.
Area of Science:
- Orthopedic Surgery
- Trauma Management
- Diagnostic Imaging
Background:
- Posterior sternoclavicular joint dislocation is an uncommon injury.
- Acute diagnosis can be challenging, potentially leading to delayed treatment.
- This injury often results from significant blunt trauma to the shoulder region.
Observation:
- Three cases of posterior sternoclavicular joint dislocation presented to the Accident & Emergency Department.
- Patients reported medial clavicle pain and, in two cases, dysphagia.
- Initial plain X-rays of the shoulder and chest were inconclusive.
Findings:
- Computed tomography (CT) scans were essential for diagnosing the posterior sternoclavicular joint dislocations.
- Diagnosis was delayed due to the limitations of plain radiography.
- All three patients underwent open reduction and stabilization procedures.
Implications:
- Highlights the diagnostic difficulty of posterior sternoclavicular joint dislocations.
- Emphasizes the importance of CT scans in cases of suspected sternoclavicular joint injury.
- Underscores the need for timely surgical intervention for successful outcomes.