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- Mary Jacob, Jonathan Snashall, Annette Dorfman, and Robert Shesser.
- Emergency Department, George Washington University Hospital, Washington DC, 20037, USA.
- Am J Emerg Med. 2013 Jan 1;31(1):260.e3-5.
AbstractPosterior sternoclavicular dislocation is a rare injury that must be recognized by the emergency physician because failure to rapidly reduce can lead to serious vascular complications. A high index of suspicion must be maintained in the appropriate setting because these injuries are difficult to detect on physical examination as well as on plain radiography. We present a case of a 19-year-old man with an isolated posterior sternoclavicular dislocation, in the setting of minor blunt trauma. The correct diagnosis required multiple imaging modalities over 2 emergency department visits and was ultimately successfully managed with intraoperative reduction.
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