Physeal injuries of the clavicle: pediatric counterparts to adult acromioclavicular and sternoclavicular joint separations.
Acromioclavicular joint
Acromion
Adolescents
Children
Clavicle
Coracoid
Magnetic resonance imaging
Manubrium
Periosteum
Physeal fracture
Pseudodislocation
Radiography
Sternoclavicular joint
Journal
Pediatric radiology
ISSN: 1432-1998
Titre abrégé: Pediatr Radiol
Pays: Germany
ID NLM: 0365332
Informations de publication
Date de publication:
07 2023
07 2023
Historique:
received:
22
11
2022
accepted:
26
01
2023
revised:
25
01
2023
medline:
21
7
2023
pubmed:
21
3
2023
entrez:
20
3
2023
Statut:
ppublish
Résumé
The epiphyses at the medial and lateral ends of the clavicle are small, ossify relatively late, and may not fuse until early adulthood. Because of this unique anatomy, pediatric and young adult injuries that involve the clavicle often differ from the patterns typically seen in older adults. Clavicular trauma that affects the acromioclavicular joint laterally or sternoclavicular joint medially often results in a physeal fracture and as such, can go unrecognized or be mistaken for a joint dislocation. Radiographic assessment is challenging, particularly when the epiphysis is not yet ossified. However, MR imaging allows for visualization of the cartilage, periosteum and perichondrium, and ligaments of the affected joints. Lateral clavicle physeal injuries can be categorized by the Dameron and Rockwood system, the pediatric correlate to the Rockwood classification of adult acromioclavicular joint injuries. Medial clavicle physeal fractures, similar to adult sternoclavicular joint dislocations, may result in anterior or posterior displacement. Because of their great ability to heal and remodel, clavicular physeal fractures respond better to conservative management than true acromioclavicular or sternoclavicular joint dislocations. Therefore, it is essential to recognize the true nature of these injuries, as there are implications for successful treatment and appropriate prognosis.
Identifiants
pubmed: 36935435
doi: 10.1007/s00247-023-05617-6
pii: 10.1007/s00247-023-05617-6
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1513-1525Informations de copyright
© 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
Références
Carson S, Woolridge DP, Colletti J, Kilgore K (2006) Pediatric upper extremity injuries. Pediatr Clin North Am 53:41–67
pubmed: 16487784
doi: 10.1016/j.pcl.2005.10.003
Supakul N, Hicks RA, Caltoum CB, Karmazyn B (2015) Distal humeral epiphyseal separation in young children: an often-missed fracture—radiographic signs and ultrasound confirmatory diagnosis. Am J Roentgenol 204:W192–W198
doi: 10.2214/AJR.14.12788
Ogden JA, Phillips SB (1983) Radiology of postnatal skeletal development. VII The scapula Skeletal Radiol 9:157–169
pubmed: 6844934
doi: 10.1007/BF00352547
Ogden JA, Conlogue GJ, Bronson ML, Jensen PS (1979) Radiology of postnatal skeletal development. Skeletal Radiol 4:189–195
pubmed: 531583
doi: 10.1007/BF00347212
Sarwark JF, King EC, Luhmann SJ (2006) Proximal humerus, scapula and clavicle. In: Beaty J, Rockwood CA, Kasser J (eds) Wilkins Fractures in children, 6th. Lippincott Williams and Wilkins, pp 721–732
Sammarco VJ (2000) Os acromiale: frequency, anatomy, and clinical implications. J Bone Joint Surg Am 82:394–400
pubmed: 10724231
doi: 10.2106/00004623-200003000-00010
Park JG, Lee JK, Phelps CT (1994) Os acromiale associated with rotator cuff impingement: MR imaging of the shoulder. Radiology 193:255–257
pubmed: 8090902
doi: 10.1148/radiology.193.1.8090902
Winfeld M, Rosenberg ZS, Wang A, Bencardino J (2015) Differentiating os acromiale from normally developing acromial ossification centers using magnetic resonance imaging. Skeletal Radiol 44:667–672
pubmed: 25605542
doi: 10.1007/s00256-015-2098-4
Roedl JB, Morrison WB, Cicotti MG, Zoga AC (2015) Acromial apophysiolysis: superior shoulder pan and acromial nonfusion in the young throwing athlete. Radiology 274:201–209
pubmed: 25314006
doi: 10.1148/radiol.14140587
Dameron TB, Rockwood CA (1984) Fractures and dislocations of the shoulder. In: Rockwood CA (ed) Fractures in children. Lippincott, pp 577–682
Alyas F, Curtis M, Speed C et al (2008) MR imaging appearances of acromioclavicular joint dislocation. Radiographics 28:463–79 (quiz 619)
pubmed: 18349451
doi: 10.1148/rg.282075714
Kothary S, Rosenberg ZS, Poncinelli LL, Kwong S (2014) Skeletal development of the glenoid and glenoid–coracoid interface in the pediatric population: MRI features. Skeletal Radiol 43:1281–1288
pubmed: 24986651
doi: 10.1007/s00256-014-1936-0
Ogawa K, Inokuchi W, Matsumura N (2020) Physeal injuries of the coracoid process are closely associated with sports activities: a systematic review. Orthop J Sports Med 8:2325967120967914
pubmed: 33403213
pmcid: 7747117
doi: 10.1177/2325967120967914
Ha AS, Petscavage-Thomas JM, Tagoylo GH (2014) Acromioclavicular joint: the other joint in the shoulder. AJR Am J Roentgenol 202:375–385
pubmed: 24450680
doi: 10.2214/AJR.13.11460
Renfree KJ, Wright TW (2003) Anatomy and biomechanics of the acromioclavicular and sternoclavicular joints. Clin Sports Med 22:219–237
pubmed: 12825527
doi: 10.1016/S0278-5919(02)00104-7
Flores DV, Goes PK, Gómez CM et al (2020) Imaging of the acromioclavicular joint: anatomy, function, pathologic features, and treatment. Radiographics 40:1355–1382
pubmed: 32762593
doi: 10.1148/rg.2020200039
Petersson CJ, Redlund-Johnell I (1983) Radiographic joint space in normal acromioclavicular joints. Acta Orthop Scand 54:431–433
pubmed: 6858662
doi: 10.3109/17453678308996596
Edgar C (2019) Acromioclavicular and sternoclavicular joint injuries. In: Tornetta P, Ricci W, Court-Brown CM, McQueen MM (eds) Rockwood and Green’s Fractures in Adults. Lippincott Williams & Wilkins, pp 917–975
You T, Frostick S, Zhang W-T, Yin Q (2019) Os acromiale: reviews and current perspectives. Orthop Surg 11:738–744
pubmed: 31486589
pmcid: 6819188
doi: 10.1111/os.12518
Schaefer FK, Schaefer PJ, Brossmann J et al (2006) Experimental and clinical evaluation of acromioclavicular joint structures with new scan orientations in MRI. Eur Radiol 16:1488–1493
pubmed: 16435136
doi: 10.1007/s00330-005-0093-1
Odgen JA (1984) Distal clavicular physeal injury. Clin Orthop Relat Res 188:68–73
Falstie-Jensen S, Mikkelsen P (1982) Pseudodislocation of the acromioclavicular joint. J Bone Joint Surg B 64:368–369
doi: 10.1302/0301-620X.64B3.7096407
Black GB, McPherson JA, Reed MH (1991) Traumatic pseudodislocation of the acromioclavicular joint in children. A fifteen year review. Am J Sports Med 19:644–646
pubmed: 1781505
doi: 10.1177/036354659101900616
Craig EV (1996) Chapter 17 fractures of the clavicle. In: Rockwood CA, Green DP, Bucholz RW, Heckman JD (eds) Rockwood and Green’s Fractures in Adults. Lippincott Williams & Wilkins, pp 1109–1192
Delgado J, Jaramillo D, Chauvin NA (2016) Imaging the injured pediatric athlete: upper extremity. Radiographics 36:1672–1687
pubmed: 27726752
doi: 10.1148/rg.2016160036
Protass JJ, Stampfli FV, Osmer JC (1975) Coracoid process fracture diagnosis in acromioclavicular separation. Radiology 116:61–64
pubmed: 1138284
doi: 10.1148/116.1.61
Clifton Willimon S, Ellis HB, Millett PJ (2012) Distal clavicle fixation in the skeletally immature. Tech Shoulder Elbow Surg 13:81
doi: 10.1097/BTE.0b013e3182499ec8
Shah RR, Kinder J, Peelman J et al (2010) Pediatric clavicle and acromioclavicular injuries. Journal of Pediatric Orthopaedics 30:S69
doi: 10.1097/BPO.0b013e3181ba9e94
Klein MA, Miro PA, Spreitzer AM, Carrera GF (1995) MR imaging of the normal sternoclavicular joint: spectrum of findings. Am J Roentgenol 165:391–393
doi: 10.2214/ajr.165.2.7618564
Wirth MA, Rockwood CA Jr (1996) Acute and chronic traumatic injuries of the sternoclavicular joint. J Am Acad Orthop Surg 4:268–278
pubmed: 10797194
doi: 10.5435/00124635-199609000-00005
Chaudhry S (2015) Pediatric posterior sternoclavicular joint injuries. J Am Acad Orthop Surg 23:468–475
pubmed: 26116848
doi: 10.5435/JAAOS-D-14-00235
Lee JT, Nasreddine AY, Black EM et al (2014) Posterior sternoclavicular joint injuries in skeletally immature patients. J Pediatr Orthop 34:369–375
pubmed: 24172671
doi: 10.1097/BPO.0000000000000114
Carmichael KD, Longo A, Lick S, Swischuk L (2006) Posterior sternoclavicular epiphyseal fracture-dislocation with delayed diagnosis. Skeletal Radiol 35:608–612
pubmed: 16508791
doi: 10.1007/s00256-005-0076-y
Ernberg LA, Potter HG (2003) Radiographic evaluation of the acromioclavicular and sternoclavicular joints. Clin Sports Med 22:255–275
pubmed: 12825529
doi: 10.1016/S0278-5919(03)00006-1
Hobbs DW (1968) Sternoclavicular joint: a new axial radiographic view. Radiology 90:801
pubmed: 5640816
doi: 10.1148/90.4.801
Heinig CF (1968) Retrosternal dislocation of the clavicle: early recognition, x-ray diagnosis, and management. J Bone Joint Surg 50:830
Allman FL Jr (1967) Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am 49:774–784
pubmed: 6026010
doi: 10.2106/00004623-196749040-00024
Tepolt F, Carry PM, Heyn PC, Miller NH (2014) Posterior sternoclavicular joint injuries in the adolescent population: a meta-analysis. Am J Sports Med 42:2517–2524
pubmed: 24569702
doi: 10.1177/0363546514523386
Waters PM, Bae DS, Kadiyala RK (2003) Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents. J Pediatr Orthop 23:464–469
pubmed: 12826944
doi: 10.1097/01241398-200307000-00010
Gobet R, Meuli M, Altermatt S et al (2004) Medial clavicular epiphysiolysis in children: the so-called sterno-clavicular dislocation. Emerg Radiol 10:252–255
pubmed: 15290471
doi: 10.1007/s10140-003-0285-4
Bishop JY, Flatow EL (2005) Pediatric shoulder trauma. Clin Orthop Relat Res 41–48. https://doi.org/10.1097/01.blo.0000156005.01503.43 <
Tepolt F, Carry PM, Taylor M, Hadley-Miller N (2014) Posterior sternoclavicular joint injuries in skeletally immature patients. Orthopedics 37:e174–e181
pubmed: 24679205
doi: 10.3928/01477447-20140124-22
Bae DS, Kocher MS, Waters PM et al (2006) Chronic recurrent anterior sternoclavicular joint instability: results of surgical management. J Pediatr Orthop 26:71–74
pubmed: 16439906
doi: 10.1097/01.bpo.0000187998.91837.b2