Acute Traumatic Retrosternal Dislocation of Clavicle: A Case Report
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概要
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A case of acute traumatic retrosternal dislocation of the right clavicle in a 16-year-old male Judo player is presented. A depression at the medial part of the clavicle was noticed, and diagnosis was made by X-rays and computed tomographic scan. Closed reduction under general anesthesia was attempted, the arm being hyper-abducted and extended, but was not achieved. Open reduction was carried out through transverse incision. Large tears of posterior part of the capsule, the sternoclaviclar and costoclaviclular ligament were found, and the medial part of the clavicle was displaced under the sternum. Type I epiphyseal injury according to Salter-Harris classification was found. Following reduction, the sternoclavicular joint was fixed with K-wires. Plaster cast was applied for 4 weeks, and 4 months following reduction, the patient had recovered full ROM without pain and returned to his previous activities.
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