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Right sternoclavicular dislocation after traumatic delivery: a case report
S Aretz1, G Benz-Bohm, H J Helling
1Children's Hospital, Institute of Diagnostic Radiology, Department of Surgery, University of Cologne, Köln-Lindenthal, Germany.
Insights
Neonatal sternoclavicular (SC) dislocation, a rare birth injury, can be mistaken for other conditions. This case highlights successful management using polydioxanon cord fixation for this traumatic injury.
Area of Science:
- Orthopedic Surgery
- Neonatal Medicine
- Pediatric Traumatology
Background:
- Sternoclavicular (SC) dislocation is exceptionally rare in newborns, with limited existing literature on traumatic birth injuries.
- Differentiating SC dislocation from more common epiphyseal separation in neonates presents diagnostic challenges.
Observation:
- A neonate sustained a sternoclavicular (SC) dislocation secondary to birth trauma.
- The injury was challenging to distinguish from other potential neonatal skeletal injuries.
Findings:
- Early diagnosis and prompt surgical intervention are crucial for managing complete SC dislocations.
- Successful treatment was achieved using polydioxanon cord fixation for the traumatic SC dislocation.
Implications:
- This case establishes polydioxanon cord fixation as a viable treatment option for neonatal SC dislocation.
- Highlights the importance of considering SC dislocation in neonates with suspected birth-related upper extremity trauma.
- Emphasizes the need for specialized diagnostic and management strategies for rare neonatal orthopedic injuries.
Abstract:
Sternoclavicular (SC) dislocation is an injury that is very rare in the newborn. Thus far there have been no reports describing this in neonates after a traumatic birth injury. This condition can be difficult to differentiate from epiphyseal separation, which occurs more often in older children. For successful treatment, early diagnosis is essential. Timely surgical reposition and fixation with following immobilization is recommended in instances of complete (SC) dislocation. We report a trauma-induced case of SC dislocation in a neonate successfully managed by polydioxanon cord fixation.