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Atraumatic retrosternal dislocation of the clavicle
Efstathios H Kayias1, Georgios I Drosos, Georgia A Anagnostopoulou
12nd Department of Orthopaedic Surgery, Athens Naval Hospital, Deinocratous 70, 11521 Athens, Greece.
Acta Orthopaedica Belgica
|August 4, 2004
Summary
Atraumatic retrosternal clavicle dislocation is rare. This case highlights delayed diagnosis via CT scan and successful closed reduction, with no recurrence in an asymptomatic patient.
Area of Science:
- Orthopedics
- Radiology
- Trauma Surgery
Background:
- Atraumatic retrosternal clavicle dislocation is exceptionally rare.
- Previous reports often lack radiological confirmation.
- This condition necessitates prompt and accurate diagnosis.
Observation:
- A 30-year-old male presented with atraumatic retrosternal clavicle dislocation.
- No history of injury or underlying pathology was reported.
- Initial presentation symptoms led to a delayed diagnosis.
Findings:
- Computed Tomography (CT) scan confirmed the diagnosis ten days post-presentation.
- Successful closed reduction under general anesthesia was achieved.
- A cardiothoracic surgeon's immediate availability was crucial.
Implications:
- This case underscores the importance of advanced imaging like CT scans for diagnosing rare dislocations.
- Prompt surgical intervention, even if delayed, can yield favorable outcomes.
- Long-term asymptomatic recovery suggests successful management of this rare orthopedic condition.