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2012
DOI: 10.1007/s00590-012-1098-5
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Anterior sternoclavicular dislocation associated with clavicular fracture: a case report and review of the literature

Abstract: Although clavicle fractures are common, fracture dislocations of the medial end are rare. We report on a case of a 17-year-old patient who presented with a fracture of the medial clavicle with an associated anterior dislocation of the sternoclavicular joint. The patient underwent successful surgical management resulting in fracture union, restoration of shoulder stability and full functional range of motion at latest follow-up.

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Cited by 14 publications
(20 citation statements)
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“…Hence the use of CT has become the gold standard whenever there is doubt regarding the diagnosis. In addition, CT can give information to discern true SCJ dislocation from a physeal injury in younger patients with an open physis [2,18,19]. The patients' age and previous radiation exposure must be considered when using this modality.…”
Section: Introductionmentioning
confidence: 97%
“…Hence the use of CT has become the gold standard whenever there is doubt regarding the diagnosis. In addition, CT can give information to discern true SCJ dislocation from a physeal injury in younger patients with an open physis [2,18,19]. The patients' age and previous radiation exposure must be considered when using this modality.…”
Section: Introductionmentioning
confidence: 97%
“…To date, four case reports of concomitant anterior SC joint dislocation and ipsilateral midshaft fracture of the clavicle have been reported in the literature in which all cases were treated surgically. [1][2][3][4] The SC joint shows a low congruency and is mainly stabilized by the surrounding ligaments and posterior capsule. [8,9] Conservative treatment of isolated SC joint dislocations shows redislocation up to 100%.…”
Section: Discussionmentioning
confidence: 99%
“…[14] Concurrent sternoclavicular (SC) joint dislocation and ipsilateral clavicle fracture is a very rare injury with only few cases reported in the literature. [1][2][3][4] Even isolated SC dislocations are rare injuries and account for only 3% of all dislocations around the shoulder. [5] Anterior SC joint dislocations occur nine times more often than posterior SC joint dislocations.…”
mentioning
confidence: 99%
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“…Although rare, such injuries require rapid diagnosis followed by effective treatment to avoid future complications [8]. Specifically, periarticular and intraarticular fractures remain a therapeutic challenge: The medial fragment is too small to stabilize with common linear implants, and bending forces that occur during shoulder motion are disproportionately high [9].…”
mentioning
confidence: 99%