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CASE REPORT
Year : 2017  |  Volume : 6  |  Issue : 2  |  Page : 47-50

A rare case of anterior sternoclavicular joint dislocation with clavicle fracture with subclavian artery thrombosis


Department of Orthopaedics, JSS Hospital, Mysore, Karnataka, India

Correspondence Address:
Dr. Supreeth Nekkanti
Department of Orthopaedics, JSS Hospital, Mysore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ajt.ajt_3_18

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Sternoclavicular (SC) joint injuries are rare. These usually follow violent injuries or high-velocity trauma events. These injuries can be either anterior or posterior dislocations. Anterior dislocations may be left alone, but posterior dislocations could cause complication by compressing the posterior structures including major vessels, airway esophagus, and larynx. We report a 17-year-old boy who fell from his two-wheeler sideways and injured his left shoulder. He presented to the emergency department with an open fracture of the clavicle. A detailed evaluation revealed an associated anterior SC joint dislocation, and there was an injury to the subclavian artery. The patient was planned for an emergency surgery, and the clavicle fracture was fixed following thrombectomy of the subclavian artery. The patient was successfully treated and had a good functional range of movement of his shoulder at 1 year follow-up. Anterior SC joint dislocations with concomitant open clavicle fracture are an unusual injury pattern. We report a complex injury pattern of the clavicle associated with traumatic vascular injury. We report this case for its complexity and the technical challenge it poses to the treating surgeons.


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