A rare case of posterior sternoclavicular joint dislocation in a motorcycle rider Un raro caso di lussazione dell’articolazione sterno-claveare posteriore in un motociclista
Medicina dello Sport, cilt.72, sa.3, ss.468-473, 2019 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 72 Sayı: 3
- Basım Tarihi: 2019
- Doi Numarası: 10.23736/s0025-7826.19.03466-5
- Dergi Adı: Medicina dello Sport
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.468-473
- Anahtar Kelimeler: Joint dislocations, Sternoclavicular joint, Accidents, Wound and injuries, Hospital emergency service
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Sternoclavicular joint dislocations (SCJDs) are the least encountered large joint dislocations and are generally caused by high-energy blunt trauma, such as motor vehicle accidents, sports injuries, or falls from heights. This report discusses posterior SCJD (PSCJD), a very rare case, presenting to the emergency department following a motorcycle accident in the light of the current literature. A 20-year-old man presented to the Emergency Department with pain and swelling in the neck resulting from a fall from a motorcycle one day previously. Forward deviation was present in the left shoulder, and he held the upper extremity in flexion, supporting the left elbow with the other hand, while his head was deviated to the left. Physical examination revealed restricted movement in the neck and left arm, and deformity in the region of the left sternoclavicular joint (SCJ). Lung X-ray revealed a difference in the levels of the bilateral SCJs. Computerized tomography (CT) of the neck and thorax revealed PSCJD without accompanying injury. Closed reduction with sedation was attempted in the emergency department, but this was unsuccessful, and the patient was interned for open reduction. PSCJDs may be accompanied by fatal additional injuries. Dislocation may not be visible with standard radiographic imaging. Emergency department physicians should suspect PSCJD on the basis of history and careful physical examination findings and need to perform with-contrast CT scans. Closed reduction may be attempted with appropriate sedation in the emergency department in the case of PSCJDs without accompanying injuries.