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Spontaneous Remodeling of Posterior Sternoclavicular Joint Dislocations in Skeletally Immature Patients: A Case
Abdalla O Abdalla1,2, Eoin Fahey1,2, Rebecca Lyons1,2
1Department of Trauma and Orthopaedics, Cork University Hospital, Cork, Ireland.
Introduction:
Posterior sternoclavicular joint (SCJ) dislocations are rare but potentially life-threatening injuries due to their proximity to vital mediastinal structures. Management traditionally favors urgent reduction with surgical stabilization indicated when persistent instability poses ongoing risk to mediastinal structures.
Case Report:
We present a case of a 13-year-old male with a posterior SCJ dislocation who demonstrated significant spontaneous remodeling over 6 years following conservative management. This case highlights the remodeling potential of the skeletally immature SCJ and supports non-operative treatment in select patients without mediastinal compromise.
Conclusion:
Awareness of this natural history may help guide management decisions and improve informed consent discussions.
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