Posterior Sternoclavicular Dislocation in Children: A Case Report
Amine El Khassoui1, Mohamed Naoufal Idrissi Bahre1, Driss Tahiri1
1Department Pediatric Orthopedic, Mother and Child Unit, University Hospital Mohamed VI of Marrakech, Faculty of Medecine and Pharmacy, Cadi Ayyad University, 40000 Marrakech, Morocco.
Introduction:
Sternoclavicular dislocation (SCD) occurs very rarely in children. There is different clinical manifestations that reflect the direction of displacement; diagnosis is difficult, especially if the dislocation was initially unnoticed. We will report this case while conducting a review of the literature to evaluate and adapt our management.
Case Report:
We report the case of a 12-year-old boy who presented with a right posterior SCD after a trauma occurring 24 h earlier at a sports activity. Clinical examination and radiological investigations by X-ray and computed tomography scan leads to diagnosis. He underwent an orthopedic closed reduction treatment without complications at 24 months of follow-up.
Conclusion:
Management of posterior sternoclavicular dislocation is different between teams, with a tendency to use orthopedic reduction in case of fresh dislocation and absence of complications. Late diagnosis and management, as well as the presence of complications, may be difficult and life-threatening (due to vascular or tracheal compression).
