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Dislocation of the sternoclavicular joint. Evaluation using paraxial computed tomographic reconstruction

C T Laurencin1, P Senatus, J Patti

  • 1Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston.

Orthopaedic Review
|January 1, 1993
PubMed

Insights

Sternoclavicular dislocations are rare injuries. This case report details an unusual anterior dislocation with a superior component, highlighting the utility of CT scans for diagnosis.

Area of Science:

  • Orthopedic Surgery
  • Radiology
  • Anatomy

Background:

  • Sternoclavicular (SC) dislocations are infrequent, accounting for less than 1% of all dislocations.
  • The SC joint, crucial for upper extremity axial skeleton articulation, has minimal osseous stability.
  • Dislocations are typically anterior or posterior, with anterior being more prevalent.

Observation:

  • This report describes a rare case of anterior sternoclavicular dislocation with a significant superior displacement.
  • The unique presentation required advanced imaging for accurate assessment.

Findings:

  • Coronal paraxial computed tomographic (CT) reconstruction proved highly effective in evaluating this complex SC joint injury.
  • CT imaging provided detailed visualization of the dislocation's superior component.

Implications:

  • This case underscores the importance of considering unusual presentations of SC dislocations.
  • Advanced imaging techniques like CT reconstruction are vital for diagnosing and managing complex sternoclavicular joint injuries.
  • Understanding these injuries aids orthopedic surgeons in treatment planning and patient outcomes.

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