Abstract
Dislocations of the sternoclavicular joint are uncommon, with the posterior variety having a potential for considerable morbidity. Radiologic management and diagnosis can be difficult. In this review article, the joint antomy and mechanisms of dislocation are discussed and the incidence and clinical manifestations described. Six case reports are presented to illustrate causative mechanisms, diagnoses, and radiologic appearances. Computed tomography is the best method of demonstrating the sternoclavicular joint, but a number of specialized plain film projections are also described and illustrated; these should be more widely known. Treatment of the joint dislocations is briefly discussed.
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References
Abel MS (1979) Symmetrical anteroposterior projections of the sternoclavicular joints with motion studies. Radiology 132:757
Buckerfield CT, Castle ME (1984) Acute traumatic retrosternal dislocation of the clavicle. J Bone Joint Surg [Am] 66:379
Burnstein MI, Pozniak MA (1990) Computed tomography with stress maneuver to demonstrate sternoclavicular joint dislocation. J Comput Assist Tomogr 14:159
Cooper A (1824) A treatise on dislocations and on fractures of the joints. Cooper, London, p 559
Cope R, Riddervold HO (1988) Posterior dislocation of the sternoclavicular joint: report of two cases, with emphasis on radiologic management and early diagnosis. Skeletal Radiol 17:247
Cope R, Riddervold HO, Shore JL, Sistrom CL (1991) Dislocations of the sternoclavicular joint: anatomic basis, etiologies and radiologic diagnosis. J Orthop Trauma 5:379
Denham RH Jr, Dingley AF Jr (1967) Epiphyseal separation of the medial end of the clavicle. J Bone Joint Surg [Am] 49:1179
DePalma AF (1963) Surgical anatomy of acromioclavicular and sternoclavicular joints. Surg Clin North Am 43:1541
Destouet JM, Gilula LA, Murphy WA, Sagel SS (1981) Computed tomography of the sternoclavicular joint and sternum. Radiology 138:123
Gangahar DM, Flogaites T (1978) Retrosternal dislocation of the clavicle producing thoracic outlet syndrome. J Trauma 18:369
Gardner MAH, Bidstrup BP (1983) Intrathoracic great vessel injury resulting from blunt chest trauma associated with posterior dislocation of the sternoclavicular joint. Aust N Z J Surg 53:427
Heinig CF (1968) Retrosternal dislocation of the clavicle: early recognition, X-ray diagnosis and management. J Bone Joint Surg [Am] 50:830
Hobbs DW (1968) Sternoclavicular joint: a new axial radiographic view. Radiology 90:801
Kattan KP (1973) Modified view for use in roentgen examination of the sternoclavicular joints. Radiology 108:8
Lee FA, Gwinn JL (1974) Retrosternal dislocation of the clavicle. Radiology 110:631
Leighton RK, Buhr AJ, Sinclair AM (1986) Posterior sternoclavicular dislocation. Can J Surg 29:104
Levinsohn EM, Bunnell WP, Yuan HA (1979) Computed tomography in the diagnosis of dislocations of the sternoclavicular joint. Clin Orthop 140:12
Lourie JA (1980) Tomography in the diagnosis of posterior dislocation of the sternoclavicular joint. Acta Orthop Scand 51:579
Louw JA, Louw JA (1987) Posterior dislocation of the sternoclavicular joint associated with major spinal injury. S Afr Med J 71:791
Mehta JC, Sachdev A, Collins JJ (1973) Retrosternal dislocation of the clavicle. Injury 5:79
Merril V (1985) Atlas of roentgenographic projections and standard radiologic procedures, vol 1, 6th edn. Mosby, St. Louis, p 364
Moore T, Watkins G (1991) Radiographic demonstration of the dislocated sc joint. Radiogr Today 57:13
Nettles JL, Linscheid RL (1968) Sternoclavicular dislocations. J Trauma 8:158
Newlin NS (1978) Congenital retrosternal subluxation of the clavicle simulating an intrathoracic mass. AJR 130:1184
Ogden JA (1990) Skeletal injury in the child, 2nd edn. Saunders, Philadelphia, pp 594–609
Post M (1988) The shoulder: surgical and nonsurgical management. Lea & Febiger, Philadelphia, pp 594–609
Rockwood CA Jr, Odor JM (1989) Spontaneous atraumatic anterior subluxation of the sternoclavicular joint. J Bone Joint Surg [Am] 71:1280
Rockwood CA, Green DP, Bucholz RW (1991) Fractures in adults, vol 1, chap 15, 3rd edn. Lippincott, Philadelphia, pp 1253–1307
Rogers LF (1991) Radiology of skeletal trauma, 2nd edn. Lippincott, Philadelphia, pp 670–680
Rowe CR, Marble HC (1958) Sternoclavicular dislocations. In: Cave FF (ed) Fractures and other injuries. Year Book Medical, Chicago, p 258
Selesnick FH, Jablon M, Frank C, Post N (1984) Retrosternal dislocation of the clavicle. J Bone Joint Surg [Am] 66:287
Swallow RA, Naylor E, Whitley AS, Roebuck EJ (1986) Clark's positioning in radiography, 11th edn. Mosby, St. Louis, p 84
Winter J, Sterner S, Maurer D, Varecka T, Zarzycki M (1989) Retrosternal epiphyseal disruption of medial clavicle: case and review in children. J Emerg Med 7:9
Worrell J, Fernandez GN (1986) Retrosternal dislocation of the clavicle. An important injury easily missed. Arch Emerg Med 3:133
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Cope, R. Dislocations of the sternoclavicular joint. Skeletal Radiol. 22, 233–238 (1993). https://doi.org/10.1007/BF00197665
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DOI: https://doi.org/10.1007/BF00197665