Skip to main content
SpringerLink
Log in

Posterior dislocation of the sternoclavicular joint: report of two cases, with emphasis on radiologic management and early diagnosis

  • Articles
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Posterior dislocations of the sternoclavicular joint are uncommon, but are potentially quite serious. Radiologic diagnosis and management are frequently difficult. The specialized projections available are not widely known, and the role of plain films is poorly understood. The incidence, pathomechanics, and clinical manifestations of such dislocations are presented and the radiologic diagnosis is discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Abel MS (1979) Symmetrical anteroposterior projections of the sternoclavicular joints with motion studies. Radiology 132:757

    PubMed  Google Scholar 

  2. Buckerfield CT, Castle ME (1984) Acute traumatic retrosternal dislocation of the clavicle. J Bone Joint Surg [Am] 66:379

    Google Scholar 

  3. Cooper A (1824) A treatise on dislocations and on fractures of the joints. The Author, London, p 559

  4. de Palma AF (1963) Surgical anatomy of acromioclavicular and sternoclavicular joints. Surg Clin North Am 43:1541

    PubMed  Google Scholar 

  5. Destouet JM, Gilula LA, Murphy WA, Sagel SS (1981) Computed tomography of the sternoclavicular joint and sternum. Radiology 138:123

    PubMed  Google Scholar 

  6. Gardner MAH, Bidstrup BP (1983) Intrathoracic great vessel injury resulting from blunt chest trauma associated with posterior dislocation of the sternoclavicular joint. Aust NZ J Surg 53:427

    Google Scholar 

  7. Heinig CF (1968) Retrosternal dislocation of the clavicle: Early recognition, X-ray diagnosis and management. J Bone Joint Surg [Am] 50:830

    Google Scholar 

  8. Hobbs DW (1968) Sternoclavicular joint: a new axial radiographic view. Radiology 90:801

    PubMed  Google Scholar 

  9. Kattan KP (1973) Modified view for use in roentgen examination of the sternoclavicular joints. Radiology 108:8

    PubMed  Google Scholar 

  10. Lee FA, Gwinn JL (1974) Retrosternal dislocation of the clavicle. Radiology 110:631

    PubMed  Google Scholar 

  11. Leighton RK, Buhr AJ, Sinclair AM (1986) Posterior sternoclavicular dislocation. Can J Surg 29:104

    PubMed  Google Scholar 

  12. Levinsohn EM, Bunnell WP, Yuan HA (1979) Computed tomography in the diagnosis of dislocations of the sternoclavicular joint. Clin Orthop 140:12

    PubMed  Google Scholar 

  13. Lourie JA (1980) Tomography in the diagnosis of posterior dislocation of the sternoclavicular joint. Acta Orthop Scand 51:579

    PubMed  Google Scholar 

  14. Louw JA, Louw JA (1987) Posterior dislocation of the sternoclavicular joint associated with major spinal injury. Afr Med J 71:791

    Google Scholar 

  15. Mehta JC, Sachdev A, Collins JJ (1973) Retrosternal dislocation of the clavicle. Injury 5:79

    PubMed  Google Scholar 

  16. Merril V (1985) Atlas of roentgenographic projections and standard radiologic procedures, Vol. 1, 6th edn. C V Mosby, St. Louis, p 364

    Google Scholar 

  17. Meschan I (1975) An atlas of anatomy basic to radiology. WB Saunders, Philadelphia, p 632

    Google Scholar 

  18. Nettles JL, Linscheid RL (1968) Sternoclavicular dislocations. J Trauma 8:158

    PubMed  Google Scholar 

  19. Newlin NS (1978) congenital retrosternal subluxation of the clavicle simulating an intrathoracic mass. AJR 130:1184

    PubMed  Google Scholar 

  20. Post M (1978) The shoulder: Surgical and nonsurgical management. Lea & Febiger, Philadelphia, p 488

    Google Scholar 

  21. Rockwood CA, Green DP (1984) Fractures in adults, Vol 1, 2nd edn. JB Lippincott Co, Philadelphia, p 920

    Google Scholar 

  22. Rowe CR, Marble HC (1958) Sternoclavicular dislocations. In: Cave FF (ed) Fractures and other injuries. Year Book Medical, Chicago, p 258

    Google Scholar 

  23. Selesnick FH, Jablon M, Frank C, Post M (1984) Retrosternal dislocation of the clavicle. J Bone Joint Surg [Am] 66:287

    Google Scholar 

  24. Swallow RA, Naylor E, Whitley AS, Roebuck EJ (1986) Clark's positioning in radiography, 11th edn. CV Mosby, St. Louis, p 84

    Google Scholar 

  25. Worrell J, Fernandez GN (1986) Retrosternal dislocation of the clavicle: An important injury easily missed. Arch Emerg Med 3:133

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, School of Medicine, University of Missouri, 65212, Columbia, MO, USA

    Ray Cope M.D.

  2. Department of Radiology, University of Virginia Medical Center, Charlottesville, Virginia, USA

    Hans Olav Riddervold M.D.

Authors
  1. Ray Cope M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Hans Olav Riddervold M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Cope, R., Riddervold, H.O. Posterior dislocation of the sternoclavicular joint: report of two cases, with emphasis on radiologic management and early diagnosis. Skeletal Radiol 17, 247–250 (1988). https://doi.org/10.1007/BF00401805

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00401805

Key words

Search

Navigation