Ultrasonography in Sternoclavicular Joint Posterior Dislocation in an Adolescent: A Case Report

Noh,  Young Min; Jeon,  Seung Hyub; Yoon,  Hyung Moon

doi:2014.17.4.205

Clin Shoulder Elb > Volume 17(4); 2014 > Article

Case Report

Clinics in Shoulder and Elbow 2014;17(4):205-208.
DOI: https://doi.org/10.5397/CiSE.2014.17.4.205 Published online December 31, 2014.

Ultrasonography in Sternoclavicular Joint Posterior Dislocation in an Adolescent: A Case Report

Young Min Noh, Seung Hyub Jeon, Hyung Moon Yoon

¹Department of Orthopedic Surgery, Seoul Red Cross Hopsital, Seoul, Korea. iulius00@naver.com
²Department of Orthopedic Surgery, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.

Received: 20 November 2014 • Revised: 27 November 2014 • Accepted: 29 November 2014

Abstract

Sternoclavicular joint posterior dislocations are considered a very uncommon, and type of injury where if esophagus or airway injury occurs behind the clavicle, it poses a high risk to the patient. In addition, if epiphyseal fracture occurs as a result of the sternoclavicular joint posterior dislocation, surgical treatment is often required. However, in the absence of a complete ossification of the clavicle, it is difficult to differentiate between a simple dislocation and epiphyseal fracture-dislocation solely based on simple radiographs or computed tomography scans. In this case report, the authors present a case in which a sternoclavicular joint posterior dislocation was diagnosed in a 14-year-old male athlete. The case report discusses how the posterior dislocation without epiphyseal fracture was diagnosed using an ultrasound and subsequently treated with successful outcomes using manual reduction. The case report presents our findings along with discussion that includes a literature review of relevant research.

Key Words: Sternoclavicular joint; Dislocations; Ultrasonography