[Posterior dislocation of the sternoclavicular joint]
Tatu Mäkinen1, Rami Madanat, Mikko Heinänen
1HUS, Töölön sairaala, ortopedian ja traumatologian klinikka.
Duodecim; Laaketieteellinen Aikakauskirja
|July 4, 2013
Summary
Posterior sternoclavicular joint dislocation is rare but serious. Early diagnosis and treatment, often with closed reduction, lead to good long-term outcomes for this sternoclavicular joint injury.
Area of Science:
- Orthopedics
- Traumatology
- Radiology
Background:
- Posterior sternoclavicular joint dislocation is an uncommon injury.
- This condition can present with severe, life-threatening complications.
- Associated injuries require careful evaluation.
Purpose of the Study:
- To review the diagnosis and management of posterior sternoclavicular joint dislocation.
- To highlight the importance of imaging in detecting associated injuries.
- To discuss treatment strategies and outcomes.
Main Methods:
- Computed tomography (CT) is the preferred imaging modality.
- Acute injuries are typically managed with closed reduction under general anesthesia.
- Surgical intervention is considered for delayed diagnoses or failed reductions.
Main Results:
- CT scans are crucial for identifying associated injuries.
- Closed reduction is the primary treatment for acute dislocations.
- Fracture-dislocations are less stable than isolated dislocations.
Conclusions:
- Early diagnosis and prompt management are key to favorable outcomes.
- Posterior sternoclavicular joint dislocations necessitate a thorough diagnostic approach.
- Effective treatment strategies ensure good long-term results for patients.
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