CASE REPORT   

Chirurgia 2017 December;30(6):216-9

DOI: 10.23736/S0394-9508.17.04653-8

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Acute posterior sternoclavicular joint physeal fracture-dislocation in a young soccer player: a case report

Daniele MUNEGATO ¹, Stefano GUERRASIO ¹, Marco PUNGITORE ¹, Aurelién COURVOISIER ², Marco TURATI ^{1, 2, 3} ✉, Marco BIGONI ^{1, 3}

¹ Department of Orthopedics, San Gerardo Hospital, University of Milano-Bicocca, Monza, Italy; ² Department of Pediatric Orthopedic Surgery, Couple Enfants Hospital, Grenoble Alpes University, Grenoble, France; ³ Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy

Posterior sternoclavicular joint (SCJ) dislocations are rare and are often associated with mediastinal complications. Early diagnosis and closed reduction under general anesthesia is recommended. The success of closed reduction is variable and is higher if performed within the first 24-48 hours. We present a case of a 16-year-old male soccer player with a posterior SCJ dislocation associated to a medial clavicular physeal fracture treated with closed reduction without anesthesia. At one year follow-up the patients was asymptomatic and the MRI was normal.

KEY WORDS: Sternoclavicular joint - Joint dislocations - Salter-Harris fractures