Incarcerated Sternoclavicular Joint Intra-articular Disc Following Closed Reduction of a Posterior Dislocation Leading to Recurrent Anterior Instability
Abstract
Traumatic posterior dislocations of the sternoclavicular joint (SCJ) are rare. One option for management is to undertake a closed reduction within 48 hours, confirmed by a post-reduction computed tomography (CT) scan. We describe the case of a 17-year-old male patient who sustained a posterior SCJ dislocation that was treated within 48 hours by a closed reduction confirmed by CT. However, he went on to develop recurrent SCJ instability. A magnetic resonance imaging (MRI) arthrogram demonstrated that the intra-articular disc had been incarcerated at the back of the joint at the time of reduction and tears to both the anterior and posterior capsule. He underwent a successful open excision of the disc and hamstring tendon autograft reconstruction. Following closed reduction for an acute posterior SCJ dislocation, we would recommend undertaking a post-reduction MRI scan to confirm the reduction and status of the soft tissues.
How strong is the evidence?
Evidence Hub reads this as a case report, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
Read the paper
Related studies
- A Survey on Knowledge Graphs: Representation, Acquisition, and Applications
- Toxicity of nanomaterials
- The Human Gene Mutation Database: towards a comprehensive repository of inherited mutation data for medical research, genetic diagnosis and next-generation sequencing studies
- Halogen bonding (X‐bonding): A biological perspective
- Biofilm formation at the air–liquid interface by the Pseudomonas fluorescens SBW25 wrinkly spreader requires an acetylated form of cellulose
- Opioid Activation of Toll-Like Receptor 4 Contributes to Drug Reinforcement
Go deeper in Evidence Hub
Evidence Hub adds a study data sheet (design, sample size, evidence level, key numbers), an AI summary and a chat grounded in the paper's text.