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Posterior sternoclavicular dislocation. Report of two cases.
A M Hidalgo Ovejero1, S García Mata, J J Sanchez Villares
1Orthopaedics Department, Virgen del Camino Hospital and Ubarmin Clinic, Pamplona, Spain. angel.hidalgo.ovejero@cfnavarra.es
Acta Orthopaedica Belgica
|May 29, 2003
Summary
Posterior sternoclavicular dislocation is a rare but serious injury. Prompt diagnosis with CT scans and appropriate treatment, such as orthopedic or surgical reduction, leads to satisfactory outcomes and long-term patient recovery.
Area of Science:
- Orthopedics
- Trauma Surgery
- Radiology
Background:
- Posterior sternoclavicular dislocation is an uncommon injury often missed on initial plain radiography.
- It requires prompt diagnosis and management due to potential neurovascular complications from clavicle displacement.
Observation:
- Two cases of posterior sternoclavicular dislocation are presented.
- Diagnosis was confirmed using computed tomography (CT) scans.
Findings:
- Case 1: Successful non-operative orthopedic reduction.
- Case 2: Required open reduction and internal fixation with Kirschner wires.
- Both patients achieved satisfactory outcomes and remained asymptomatic at 3 and 5 years post-trauma.
Implications:
- CT scanning is crucial for diagnosing posterior sternoclavicular dislocations when initial radiology is negative.
- Both non-operative and operative management can yield excellent results.
- Early intervention is key to preventing serious complications and ensuring good patient prognosis.