Superior sternoclavicular dislocation: A case report

Int J Surg Case Rep. 2017:40:102-104. doi: 10.1016/j.ijscr.2017.09.019. Epub 2017 Sep 23.

Abstract

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.

Keywords: Case report; Functional treatment; Superior sternoclavicular dislocation.