Posterior dislocation right sternoclavicular joint

Case
A 25-year-old male player presented acutely after a fall onto his right shoulder. He described falling directly on to the shoulder, experiencing a cracking sensation and being unable to move the entire upper right extremity due to pain. At the time of his presentation he was found to have a global restriction of his shoulder movements as well as a deformity (visible and palpable) of the medial aspect of the right clavicle. There were no neurovascular symptoms or signs, he had no issues with swallowing and did not have any airway issues.

Findings
An AP x-ray image suggests a posterior dislocation of the right sternoclavicular joint. A CT scan was then conducted to better define the injury. Coronal CT images confirm a posterior dislocation of the clavicle (without any evidence of a fracture). Subsequent post-surgical x-ray images show satisfactory reduction of the injury with surgical stabilisation.

Discussion
The player was managed with early surgical stabilisation of the injured joint. Open reduction and internal fixation was completed, taking care of the blood vessels of the subclavian bundles. After the surgery, the player was immobilised in a sling for four weeks. At this point he started a physical therapy programme involving range of motion exercises and progressive strengthening exercises. He is expected to return to play between 3-6 months following his injury.

Dislocations of the SCJ are not common injuries among football players. When dislocations do occur, they generally occur in the anterior direction. Posterior dislocations are relatively rare injuries and are associated with a higher rate of complications. This is because of the close relationship to the innominate artery, innominate vein, trachea, oesophagus, and thoracic duct. As a result, posterior dislocations are generally managed as an emergency. A close history and examination assessing for dysphagia, shortness of breath and neurovascular symptoms is very important.

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Dr Aniemena-George Chidi Chinenye
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Dr Aniemena-George Chidi Chinenye

A very unique case.

Francisco E. Arroyo Paz
Member

Yes we are agree and also that the during the surgical procedure we have different specialized medical doctors to do it

bangoura
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bangoura

L articulation stéréo claviculaire est peu mobile le mécanisme de traumatisme est plus souvent indirect par compression du moignon de l épaule ou direct par IMPACTION.la LUXATION postérieure suivent quand l épaule est poussée vert l avant plus généralement elle est stable une fois réduite. Le diagnostique est difficile car l oedème masque rapidement la déformation surtout danls les formes posterieursmes Il est impératif de rechercher les signes de complications Difficulté à respirer à avaler paresie des membres superieurs. Le diagnostique sera confirmé par des clichés standards de RADIOGRAPHIE de l épaule et du thorax sont peu sensibles.le SCANER est… Read more »

bangoura
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bangoura

Je vous informe que depuis un certain temps je rencontre des soucit sur mon clavier
Tant tôt c est des textes qui sont imprimés en anglais
La déformation pur et simple de mes textes les rendant incompréhensible je prie d en tenir compte