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Posterior dislocation of the sternoclavicular joint leading to mediastinal compression

1996; Elsevier BV; Volume: 61; Issue: 2 Linguagem: Inglês

10.1016/0003-4975(95)00745-8

1552-6259

Jacques Jougon, D. Lépront, Claire Dromer,

Infectious Diseases and Tuberculosis

Dislocations of the sternoclavicular joint are uncommon, and the posterior variety have a potential for considerable morbidity. We report a case with compression of the vital structures within the superior mediastinum. It was a rugby player getting run over by the scrum. The mechanism was an indirect force exerted forward and laterally against the shoulder. The patient complained of pain and dysphagia. A systolic right cervical murmur was heard. Angiography was normal and esophagography showed extrinsic esophageal compression. Surgical reduction was performed because there was a slight pneumomediastinum on the computed tomography. This case report demonstrates the mechanism, complications, and treatment of such a lesion.