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Flail Chest-II

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:

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Updated: May 7, 2025

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

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Traumatic Posterior Sternoclavicular Joint Dislocation With a Five-Day Delayed Presentation: A Case Report.

Salem Althuwaykh¹, Ahmed Alghamdi¹

¹Orthopedic Department, King Fahad Medical City, Riyadh, SAU.

|January 7, 2025

Summary

Posterior sternoclavicular joint dislocation, though rare, demands prompt diagnosis and management. Closed reduction is effective even for delayed cases, ensuring full recovery and preventing serious complications.

Keywords:

dislocation posterior sternoclavicular joint dislocation sternoclavicular sternoclavicular joint sternoclavicular joint dislocation

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Area of Science:

Orthopedic Surgery
Trauma Management

Background:

Posterior sternoclavicular joint (SCJ) dislocations are rare but dangerous due to mediastinal structure proximity.
Prompt diagnosis and management are vital to avoid vascular or respiratory compromise.

Observation:

A 23-year-old male presented with delayed posterior SCJ dislocation 5 days post-high-energy motor vehicle accident.
Symptoms included shoulder pain, dysphagia, and limb tingling; imaging showed posterior SCJ dislocation with mild brachiocephalic vein compression.

Findings:

Successful closed reduction under general anesthesia was achieved using a towel clamp.
Intraoperative fluoroscopy confirmed stability; the patient was discharged within 24 hours post-procedure.

Implications:

Posterior SCJ dislocations require high suspicion due to potential severe complications.
Closed reduction is a viable treatment for delayed presentations up to 5 days.
Multidisciplinary team involvement is crucial for comprehensive care and risk mitigation.