Missed Medial Clavicular Physeal Fracture-Posterior Dislocation Complicated by Brachiocephalic Pseudoaneurysm: A Case Report.


Journal

JBJS case connector
ISSN: 2160-3251
Titre abrégé: JBJS Case Connect
Pays: United States
ID NLM: 101596828

Informations de publication

Date de publication:
01 Jul 2024
Historique:
medline: 22 8 2024
pubmed: 22 8 2024
entrez: 22 8 2024
Statut: epublish

Résumé

We present a 17-year-old male patient with an initially missed posterior sternoclavicular fracture dislocation who presented with symptoms related to thrombotic emboli arising from a pseudoaneurysm. He was treated 6 weeks after injury with a figure-of-eight tendon allograft repair with good clinical outcomes. This is a unique presentation that highlights the significant risk of a missed diagnosis, life-threatening complications that may ensue, and biomechanically superior surgical intervention.

Identifiants

pubmed: 39172876
doi: 10.2106/JBJS.CC.24.00180
pii: 01709767-202409000-00036
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024 by The Journal of Bone and Joint Surgery, Incorporated.

Déclaration de conflit d'intérêts

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C415).

Références

Chaudhry S. Pediatric posterior sternoclavicular joint injuries. J Am Acad Orthop Surg. 2015;23(8):468-75.
Sons HU, Danneberg A, Jerosch J. Diagnosis and therapy of sternoclavicular joint dislocation [in German]. Z Orthop Ihre Grenzgeb. 2008;130(01):22-30.
Menez C, Kielwasser H, Faivre G, Loisel F, Obert L. Superior sternoclavicular dislocation: a case report. Int J Surg Case Rep. 2017;40:102-4.
Kalantar SH, Bagheri N, Bidaki M, Vosoughi F. Superior sternoclavicular joint dislocation presented with shoulder motion limitation: a case report and literature review. Int J Surg Case Rep. 2021;82:105887.
Varada S L, Popkin CA, Hecht EM, Ahmad CS, Levine WN, Brown M, Wong TT. Athletic injuries of the thoracic cage. Radiographics. 2021;41(2):E20-E39.
Garcia JA, Arguello AM, Momaya AM, Ponce BA. Sternoclavicular joint instability: symptoms, diagnosis and management. Orthop Res Rev. 2020;12:75-87.
Charles ER, Kumar V, Blacknall J, Edwards K, Geoghegan JM, Manning PA, Wallace WA. A validation of the Nottingham Clavicle Score: a clavicle, acromioclavicular joint and sternoclavicular joint-specific patient-reported outcome measure. J Shoulder Elbow Surg. 2017;26(10):1732-9.
Wirth MA, Rockwood CA. Acute and chronic traumatic injuries of the sternoclavicular joint. J Am Acad Orthop Surg. 1996;4(5):268-78.
Nettles JL, Linschceid RL. Sternoclavicular dislocations. J Trauma. 1968;8(2):158-64.
Camara E, Bousso A, Tall M, Sy M. Posterior sternoclavicular dislocations. Eur J Orthopaedic Surg Traumatol. 2009;19(1):7-9.
Beecroft M, Sherman SC. Posterior displacement of a proximal epiphyseal clavicle fracture. J Emerg Med. 2007;33(3):245-8.
Gobet R, Meuli M, Altermatt S, Jenni V, Willi UV. Medial clavicular epiphysiolysis in children: the so-called sterno-clavicular dislocation. Emerg Radiol. 2004;10(5):252-5.
Kusnezov N, Dunn JC, Delong JM, Waterman BR. Sternoclavicular reconstruction in the young active patient: risk factor analysis and clinical outcomes at short-term follow-up. J Orthop Trauma. 2016;30(4):e111-e117.
Lee JT, Nasreddine AY, Black EM, Bae DS, Kocher MS. Posterior sternoclavicular joint injuries in skeletally immature patients. J Pediatr Orthop. 2014;34(4):369-75.
Thomas DP, Davies A, Hoddinott HC. Posterior sternoclavicular dislocations--a diagnosis easily missed. Ann R Coll Surg Engl. 1999;81(3):201-4. Accessed February 22, 2023.
Groh GI, Wirth MA, Rockwood CA. Treatment of traumatic posterior sternoclavicular dislocations. J Shoulder Elbow Surg. 2011;20(1):107-13.
Chen X, Shafer D, Neeki AS, Dong F, Matiko J, Neeki MM. Emergent management of traumatic posterior sternoclavicular joint dislocation: a case report and literature review. Cureus. 2021;13(10):e18996.
Glass ER, Thompson JD, Cole PA, Gause TM, Altman GT. Treatment of sternoclavicular joint dislocations: a systematic review of 251 dislocations in 24 case series. J Trauma. 2011;70(5):1294-8.
Tepolt F, Carry PM, Taylor M, Hadley-Miller N. Posterior sternoclavicular joint injuries in skeletally immature patients. Orthopedics. 2014;37(2):e174-81.
Stahel PF, Barlow B, Tepolt F, Mangan K, Mauffrey C. Safe surgical technique: reconstruction of the sternoclavicular joint for posttraumatic arthritis after posterior sternoclavicular dislocation. Patient Saf Surg. 2013;7(1):38.
Worman LW, Leagus C. Intrathoracic injury following retrosternal dislocation of the clavicle. J Trauma. 1967;7(3):416-23.
Abiddin Z, Sinopidis C, Grocock CJ, Yin Q, Frostick SP. Suture anchors for treatment of sternoclavicular joint instability. J Shoulder Elbow Surg. 2006;15(3):315-8.
Wang S, Chen Z, Lin L, Pan Q, Wang B, Liu F, Zhang C. Long-term results for traumatic sternoclavicular joint dislocation treated with a sternoclavicular joint-specific plate. ANZ J Surg. 2021;91(4):653-7.
Hecox SE, Wood GW. Ledge plating technique for unstable posterior sternoclavicular dislocation. J Orthop Trauma. 2010;24(4):255-7.
Ao R, Zhu Y, Zhou J, Jian Z, Shi J, Li C, Hu W, Yu B. Locking plate for treating traumatic sternoclavicular joint dislocation: a case series. BMC Musculoskelet Disord. 2018;19(1):7.
Shuler FD, Pappas N. Treatment of posterior sternoclavicular dislocation with locking plate osteosynthesis. Orthopedics. 2008;31(3):273-4.
Cai GP, Xu CL, Deng B, Hong HX, Liang JB, Lin L. Novel sternoclavicular hook-plate for treatment of proximal clavicle fracture with dislocation of sternoclavicular joint. Zhongguo Gu Shang. 2021;34(6):563-7.
Spencer EE, Kuhn JE. Biomechanical analysis of reconstructions for sternoclavicular joint instability. J Bone Joint Surg Am. 2004;86(1):98-105.
Peebles LA, Aman ZS, Preuss FR, Samuelsen BT, Zajac TJ, Patel RB, Provencher MT. Chronic instability and pain of the sternoclavicular joint: treatment with semitendinosus allograft to restore joint stability. Arthrosc Tech. 2019;8(6):e629-e635.
Battaglia TC, Pannunzio ME, Chhabra AB, Degnan GG. Interposition arthroplasty with bone-tendon allograft: a technique for treatment of the unstable sternoclavicular joint. J Orthop Trauma. 2005;19(2):124-9.
Cerchiaro MC, Mavrogenis AF, Baracco R, Angelini A, Ruggieri P. Subclavius tendon autograft reconstruction of traumatic posterior dislocation of the sternoclavicular joint in adolescence. J Long Term Eff Med Implants. 2020;30(3):161-4.
Parker KM, Somerson JS, Warme WJ. Unicortical sternal graft reconstruction for anterior sternoclavicular joint instability. BMJ Case Rep. 2021;14(3):e237164.
Aure A, Hetland KR, Rokkum M. Chronic posterior sternoclavicular dislocation. J Orthopaedic Trauma. 2012(4):e33-e35.
Sabatini JB, Shung JR, Clay TB, Oladeji LO, Minnich DJ, Ponce BA. Outcomes of augmented allograft figure-of-eight sternoclavicular joint reconstruction. J Shoulder Elbow Surg. 2015;24(6):902-7.
Thut D, Hergan D, Dukas A, Day M, Sherman OH. Sternoclavicular joint reconstruction--a systematic review. Bull NYU Hosp Jbulletin NYU Hospital Joint Diseasest Dis. 2011;69(2):128-35.
Ponce BA, Kundukulam JA, Pflugner R, McGwin G, Meyer R, Carroll W, Minnich DJ, Larrison MC. Sternoclavicular joint surgery: how far does danger lurk below? J Shoulder Elbow Surg. 2013;22(7):993-9.
Marcus MS, Tan V. Cerebrovascular accident in a 19-year-old patient: a case report of posterior sternoclavicular dislocation. J Shoulder Elbow Surg. 2011;20(7):e1-e4.
Hobbs DW. Sternoclavicular joint: a new axial radiographic view. Radiology. 1968;90(4):801.
Heinig C. Retrosternal dislocation of the clavicle: early recognition, x-ray diagnosis, and management. J Bone Joint Surg. 1968;50:830.
Siddiqui AA, Turner SM. Posterior sternoclavicular joint dislocation: the value of intra-operative ultrasound. Injury. 2003;34(6):448-53.
Kennedy J. Retrosternal dislocation of the clavicle. J Bone Joint Surg Br. 1949;31B(1):74.
Sewell MD, Al-Hadithy N, Le Leu A, Lambert SM. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. Bone Joint J. 2013;95-B(6):721-31.
Laffosse JM, Espié A, Bonnevialle N, Mansat P, Tricoire JL, Bonnevialle P, Chiron P, Puget J. Posterior dislocation of the sternoclavicular joint and epiphyseal disruption of the medial clavicle with posterior displacement in sports participants. J Bone Joint Surg Br. 2010;92(1):103-9.
Tepolt F, Carry PM, Heyn PC, Miller NH. Posterior sternoclavicular joint injuries in the adolescent population: a meta-analysis. Am J Sports Med. 2014;42(10):2517-24.
Ting BL, Bae DS, Waters PM. Chronic posterior sternoclavicular joint fracture dislocations in children and young adults: results of surgical management. J Pediatr Orthop. 2014;34(5):542-7.
Franck WM, Jannasch O, Siassi M, Hennig FF. Balser plate stabilization: an alternate therapy for traumatic sternoclavicular instability. J Shoulder Elbow Surg. 2003;12(3):276-81.
Guan JJ, Wolf BR. Reconstruction for anterior sternoclavicular joint dislocation and instability. J Shoulder Elbow Surg. 2013;22(6):775-81.
Sanchez-Sotelo J, Baghdadi Y, Nguyen NTV. Sternoclavicular joint allograft reconstruction using the sternal docking technique. JSES Open Access. 2018;2(4):190-3.
Lunseth PA, Chapman KW, Frankel VH. Surgical treatment of chronic dislocation of the sterno-clavicular joint. J Bone Joint Surg Br. 1975;57(2):193-196.

Auteurs

Palak Walia (P)

Department of Orthopedics, University of Massachusetts Chan Medical Center, Worcester, Massachusetts.
University of Massachusetts Chan Medical Center, Worcester, Massachusetts.

Ryan Fredette (R)

University of Massachusetts Chan Medical Center, Worcester, Massachusetts.

Errol Mortimer (E)

Department of Orthopedics, University of Massachusetts Chan Medical Center, Worcester, Massachusetts.
University of Massachusetts Chan Medical Center, Worcester, Massachusetts.

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