Retrosternal dislocation of the clavicle. Report of four cases.

Selesnick, F. Harlan; Jablon, Michael; Frank, Cyril B.; Post, Melvin

doi:10.2106/00004623-198466020-00017

Cited by 66 publications

(34 citation statements)

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“…All retrosternal clavicular dislocations in patients under 18 years must be initially considered as Salter-Harris type I epiphysiolysis instead of fractures or dislocations. After age 25, the injury can be considered a pure dislocation [22].…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of posterior sternoclavicular dislocation in children

Rodríguez

Sanz-Ruíz

Martínez

et al. 2011

Eur Orthop Traumatol

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Introduction Posterior sternoclavicular dislocation must be diagnosed and treated early to prevent disastrous complications. The low frequency of this lesion means that it is rarely suspected, and diagnosis is often erroneous. Plain radiographs of the injury are difficult to interpret. Patients and methods We present a retrospective review of four cases treated in our department with closed reduction and a figure-of-eight bandage. The patients were studied using plain radiography and computed axial tomography. Results After 12 months of follow-up, the functional outcome according to the Rockwood scale was excellent. Discussion Although one of the most dangerous joint injuries, posterosternoclavicular dislocation can be cured with excellent functional outcome and minimal complications if diagnosis is prompt and adequate closed reduction is performed.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of posterior sternoclavicular dislocation in children

Rodríguez

Sanz-Ruíz

Martínez

et al. 2011

Eur Orthop Traumatol

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show abstract

“…27 The adult variant of this injury, which is almost universally pure dislocation, can be treated by both closed and open reduction methods, 26 but considering the chances of recurrent instability and potentially devastating consequences, open treatment yields more definitive results. 3,17,22,28 Various stabilization techniques have been described for open reduction. K-wire fixation has largely been abandoned because of multiple reports of K-wire migration resulting in either intracardiac or intrapulmonary displacement and great vessel injury.…”

Section: Discussionmentioning

confidence: 99%

Posterior sternoclavicular fracture-dislocation: A case report and novel treatment method

Pensy

Eglseder

2010

Journal of Shoulder and Elbow Surgery

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“…On assiste souvent à un retard diagnostique [6,7] en raison d'une clinique parfois frustre et du contexte de polytraumatisme, notamment en cas de luxation postérieure. Il faut suspecter une luxation sternoclaviculaire devant un patient se présentant avec une attitude de traumatisé du membre supérieur (supportant le coude, en inclinant la tête du côté douloureux) avec une asymé-trie de la distance séparant le sternum du bord latéral de l'épaule, suite à un traumatisme brutal de l'épaule.…”

Section: Signes Cliniquesunclassified