Book review
https://doi.org/10.20471/acc.2024.63.03-04.43
Complicated Posterior Sternoclavicular Joint Dislocation with Aortic Arch Impingement
Domagoj Lemac
; Department of Orthopedic and Trauma Surgery, University Hospital Dubrava, Zagreb, Croatia
Ivo Dumić-Čule
; Department of Diagnostic and Interventional Radiology, University Hospital Dubrava, University of Zagreb School of Medicine, Zagreb, Croatia
Ante Legac
; Department of Orthopedic and Trauma Surgery, University Hospital Dubrava, Zagreb, Croatia
Tomislav Čengić
; Department of Orthopedic and Trauma Surgery, Clinical Hospital Sisters of Mercy, University of Applied Health Sciences, Zagreb, Croatia
Igor Nikolić
; Department of Thoracic Surgery, University Hospital Dubrava, Zagreb, Croatia
Igor Čikara
; Department of Diagnostic and Interventional Radiology, University Hospital Dubrava, University of Zagreb School of Medicine, Zagreb, Croatia; School of Medicine, University of Osijek, Croatia
Boris Brkljačić
; Department of Diagnostic and Interventional Radiology, University Hospital Dubrava, University of Zagreb School of Medicine, Zagreb, Croatia
Gordana Ivanac
; Department of Diagnostic and Interventional Radiology, University Hospital Dubrava, University of Zagreb School of Medicine, Zagreb, Croatia
*
* Corresponding author.
Abstract
Posterior sternoclavicular dislocation accompanied by clavicular end fracture is an
extremely rare injury according to the available literature. We present a case of a young male with this
injury, resulting from a vehicle accident, and additionally complicated by a clavicular bone fragment in
the proximity of the aortic arch. An initial X-ray showed no signs of bone trauma, which was, however,
revealed on a CT scan. Stable fixation of the fragment and sternoclavicular joint was achieved utilizing
a plate and screws. The osteosynthetic material was removed after eight weeks due to the plate breaking.
There were no complications in the 5-year follow-up period, and a full range of motion was accomplished.
We aimed to emphasize the importance of early diagnosis and appropriate surgical management
of complicated posterior sternoclavicular dislocations to avoid life-threatening events.
Keywords
Shoulder dislocation; Sternoclavicular joint; Aortic arch; Fracture fixation
Hrčak ID:
333363
URI
Publication date:
31.12.2024.
Visits: 692 *