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Superior sternoclavicular dislocation: A case report

INTRODUCTION: Sternoclavicular dislocations are difficult to diagnose and often missed. Anterior dislocations are more common than posterior dislocations and typically have a low risk of complications. PRESENTATION OF CASE: We report the third case of post-traumatic superior sternoclavicular disloca...

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Detalles Bibliográficos
Autores principales: Menez, C., Kielwasser, H., Faivre, G., Loisel, F., Obert, L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5633822/
https://www.ncbi.nlm.nih.gov/pubmed/28965084
http://dx.doi.org/10.1016/j.ijscr.2017.09.019
Descripción
Sumario:INTRODUCTION: Sternoclavicular dislocations are difficult to diagnose and often missed. Anterior dislocations are more common than posterior dislocations and typically have a low risk of complications. PRESENTATION OF CASE: We report the third case of post-traumatic superior sternoclavicular dislocation, which was successfully treated by functional treatment. DISCUSSION: The sternoclavicular joint is a diarthrodial joint with three degrees of freedom that is relatively immobile and incongruent. The treatment strategy for these injuries is based on two criteria: the possibility of vascular, nerve or tracheal compression such as in posterior dislocations, which is a surgical indication because of potential risk to life and function; the second indication is to improve esthetics, which is especially a concern with anterior dislocations. CONCLUSION: Superior sternoclavicular dislocation is a rare condition, with only three published cases up to now. Functional treatment can be used without complications.