Posterior sternoclavicular dislocation with mediastinal occupancy: a challenging diagnosis after chest trauma

Authors

  • Marcel Leonardo Quintero Contreras Instituto de Enfermedades del Tórax del Nororiente Colombiano INTÓRAX
  • Mónica Kathalina Rodríguez Perdomo Instituto de Enfermedades del Tórax del Nororiente Colombiano INTÓRAX
  • Santiago Uzcátegui Parra Instituto de Enfermedades del Tórax del Nororiente Colombiano INTÓRAX
  • Valeria Stephania Obregón Vergel Instituto de Enfermedades del Tórax del Nororiente Colombiano INTÓRAX https://orcid.org/0009-0004-6764-6452

DOI:

https://doi.org/10.24054/cbs.v2i1.2781

Keywords:

Sternoclavicular Joint, Reduction, Mediastinum

Abstract

Sternoclavicular dislocations are a rare but important condition that can occur after direct or indirect trauma. Most cases involve anterior dislocations, which are less serious than posterior dislocations, the latter representing a significant risk due to their proximity to vital vascular and nervous structures. The diagnosis is based on clinical findings and confirmation by radiological images. Evaluation includes a detailed history, physical examination, and imaging studies such as contrast enhanced CT scan. Treatment varies from conservative methods to surgical interventions, depending on the severity of the injury and the presence of complications. We present a case of posterior sternoclavicular dislocation with mediastinal involvement successfully treated surgically, highlighting the importance of an accurate diagnosis and timely management to avoid long-term complications.

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References

Sernandez, H., & Riehl, J. (2019). Sternoclavicular Joint Dislocation: A Systematic Review and Meta-analysis. Journal of orthopaedic trauma, 33(7), e251–e255. https://doi.org/10.1097/BOT.0000000000001463 DOI: https://doi.org/10.1097/BOT.0000000000001463

Ingoe, H., Mohammed, K. D., Malone, A., Beadle, G., Sharpe, T. R., Cockfield, A., Lloyd, R. E., Singh, H., & Colgan, F. (2023). Traumatic posterior sternoclavicular joint dislocation – Current aspects of management. Injury-International Journal of The Care of The Injured, 54(11), 110983. https://doi.org/10.1016/j.injury.2023.110983 DOI: https://doi.org/10.1016/j.injury.2023.110983

Carius, B. M., Long, B., & Gottlieb, M. (2021). Evaluation and Management of Sternoclavicular Dislocation in the Emergency Department. The Journal of emergency medicine, 61(5), 499–506. https://doi.org/10.1016/j.jemermed.2021.07.038 DOI: https://doi.org/10.1016/j.jemermed.2021.07.038

Morell, D. J., & Thyagarajan, D. S. (2016). Sternoclavicular joint dislocation and its management: A review of the literature. World journal of orthopedics, 7(4), 244–250. https://doi.org/10.5312/wjo.v7.i4.244 DOI: https://doi.org/10.5312/wjo.v7.i4.244

Martínez, A., Rodríguez, A., González, G., Herrera, A., & Domingo, J. (1999). Atraumatic spontaneous posterior subluxation of the sternoclavicular joint. Archives of orthopaedic and trauma surgery, 119(5-6), 344–346. https://doi.org/10.1007/s004020050424 DOI: https://doi.org/10.1007/s004020050424

Fraind-Maya, G., & Pons-Carrera, G. A. (2022). Anterior sternoclavicular dislocation, description of surgical technique. Acta Ortopédica Mexicana, 36(1), 48-51. DOI: https://doi.org/10.35366/106759

Escobar, L. F. N., Tobón, J. J. D., & Correa, J. B. (2016). Tratamiento quirúrgico de la luxación esternoclavicular. Revista Colombiana de Ortopedia y Traumatología, 30(4), 144-149. DOI: https://doi.org/10.1016/j.rccot.2016.11.006

Kiel, J., Ponnarasu, S., & Kaiser, K. (2023). Sternoclavicular Joint Injury. In StatPearls. StatPearls Publishing.

Pimenta, R., Alegrete, N., Vidinha, V., Lima, S., & Pinto, I. (2013). Medial Epiphyseal Fracture-detachment of the Sternoclavicular Joint with Posterior Displacement in a Judo Athlete - equivalent of Posterior Sternoclavicular Dislocation. Revista brasileira de ortopedia, 48(2), 196–199. https://doi.org/10.1016/j.rboe.2012.05.007 DOI: https://doi.org/10.1016/j.rboe.2012.05.007

Published

2024-02-21

How to Cite

Quintero Contreras, M. L., Rodríguez Perdomo, M. K., Uzcátegui Parra , S., & Obregón Vergel, V. S. (2024). Posterior sternoclavicular dislocation with mediastinal occupancy: a challenging diagnosis after chest trauma. Basic Health Sciencies Journal, 2(1), 47–53. https://doi.org/10.24054/cbs.v2i1.2781

Issue

Section

Clinical Cases

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