A rare case of complicated pure posterior sternoclavicular dislocation in a young athlete: Sternoclavicular dislocation in adolescent

Filippo Calderazzi; Margherita Menozzi; Piergiulio Valenti; Alessandra Colacicco; Paolo Bastia; Francesco Pogliacomi; Francesco Ceccarelli

doi:10.23750/abm.v91i14-S.10949

A rare case of complicated pure posterior sternoclavicular dislocation in a young athlete

Sternoclavicular dislocation in adolescent

Authors

Filippo Calderazzi Dipartimento Scienze Chirurgiche Ospedale Maggiore Parma, U.O. Clinica Ortopedica https://orcid.org/0000-0002-9087-5147
Margherita Menozzi a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy https://orcid.org/0000-0003-1303-3453
Piergiulio Valenti a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy
Alessandra Colacicco a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy
Paolo Bastia a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy
Francesco Pogliacomi a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy
Francesco Ceccarelli a) Department of Medicine and Surgery, Orthopaedic Clinic, Parma University Hospital, Via Gramsci 14,43100 Parma, Italy

DOI: https://doi.org/10.23750/abm.v91i14-S.10949

Keywords:

Sternoclavicular dislocation; Adolescent; Surgery

Abstract

Sternoclavicular joint dislocation (SCJD) is a rare injury, generally classified in anterior and posterior. The posterior SCJD is very infrequent yet potentially associated with life-threatening complications. In patients with unfused medial clavicle physis, SCJD can be associated with fracture-dislocation (Salter type I or II).

We hereby present the case of a 12- year-old basketball player with severe pain in sternoclavicular region and arising dysphagia after a fall and tackle by another player. A SCJ injury was hypothesised and the CT scan detected the presence of a true posterior SCJD with no associated fracture, which was also confirmed during open reduction. As the patient complained dysphagia, it was also necessary to study other possible mediastinal compressions by a contrast medium CT scan of the great vessels.

The CT scanned brachiocephalic vein compression without additional clinical evidence or signs. Twenty hours after the trauma the patient underwent an unsuccessful closed reduction; for this reason, surgical treatment with open reduction and fixation was mandatory. After 12 weeks of therapy she returned to her previous sport activity.

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