Sternoclavicular joint dislocation March 2018 | by EMauthor •Suspect it clinically in all injuries around shoulder •Special x-rays views required, diagnosis is mainly clinical •The common anterior dislocation will present with an obvious painful swelling over the area •The much rarer posterior dislocation will present with severe pain and tenderness over the joint without obvious swelling initially, this is highly suspicious although a swelling will develop in cases that present late •If posterior dislocation is suspected a CT scan of the joint is the investigation of choice, ask for senior advice urgently oAnterior dislocation: minor subluxation will require broad arm sling, analgesia and fracture clinic follow up, gross dislocation may require reduction under GA, discuss with orthopaedics oPosterior dislocation carry the risk of major vessel injury, and need urgent reduction and refer to orthopaedics |
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