Sternoclavicular joint dislocation

Case contributed by Ayaz Hidayatov
Diagnosis certain

Presentation

History of a sports injury and pain in the upper left half of the chest.

Patient Data

Age: 15 years
Gender: Male

Axial CT showing left sternoclavicular joint incongruence with posterior dislocation of the clavicle.

The dislocated segment of left clavicle is indenting the left brachiocephalic vein.

There is also a medial epiphyseal fracture of left clavicle with bone fragments. 

Case Discussion

Posterior sternoclavicular dislocation is a rare traumatic injury that presents a potential risk of injury to mediastinal vascular structures.

The diagnosis is clinical, but x-ray and CT are crucial for better characterization of the injury.

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