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Ipsilateral sternoclavicular dislocation and clavicle fracture.
1Department of Orthopaedic Surgery, Medical University of South Carolina, Charleston.
Journal of Orthopaedic Trauma
|January 1, 1989
Summary
This case report details a rare combination of distal clavicle fracture and sternoclavicular joint dislocation. Surgical fixation of the clavicle fracture was necessary before the dislocation could be reduced.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Ipsilateral distal clavicle fractures and sternoclavicular joint dislocations are uncommon injuries.
- These injuries often result from sequential, distinct traumatic forces.
Observation:
- A case involving simultaneous ipsilateral distal clavicle fracture and sternoclavicular joint dislocation is presented.
- The injuries were attributed to two separate, sequential forces.
Findings:
- Successful closed reduction of the sternoclavicular joint dislocation was only achieved after open reduction and internal fixation of the distal clavicle fracture.
- The free-floating clavicle segment precluded manipulation for dislocation reduction.
Implications:
- This case highlights the complex biomechanics of combined clavicle and sternoclavicular joint injuries.
- Thorough clinical evaluation for associated brachial plexus injuries is crucial in managing these specific fracture-dislocations.