Fatal posterior sternoclavicular joint dislocation due to occult trauma

Posterior Sternoclavicular Joint Injuries in the Adolescent Population

“…Death was reported in 1 patient secondary to complete laceration of the brachiocephalic vein at the time of the initial injury. 8 Based on our meta-analysis of 140 adolescents, there is sufficient evidence to conclude that closed reduction and open reduction with internal fixation are utilized at relatively equal frequencies. Closed reduction was commonly attempted in patients presenting less than 48 hours after the injury (n = 77) with or without associated symptoms.…”

Incidence, characteristics, and long-term follow-up of sternoclavicular injuries

“…9,30 In our series, we treated two (40%) of five patients with posterior dislocation conservatively by closed reduction and immobilization. One patient who underwent closed reduction and another who underwent open reduction and internal fixation were available for long-term follow-up and presented with good-to-excellent results.…”

Judo-Related Traumatic Posterior Sternoclavicular Joint Dislocation in a Child

“…Considering that the posterior fibroligamentous structures are more flexible and resistant to rupture than the anterior structures, it makes sense that posterior SC joint dislocations are less common than anterior, with a 1:9 4 or 1:20 ratio. 3,10 Patients with PSCJD will usually present with severe pain over the SC joint, exacerbated by arm movement. That explains why PSCJD is so frequent in combat and collision sports.…”