The value of ultrasound in assessing displacement of a medial clavicular physeal separation in an adolescent

We describe a case of medial clavicular physeal separation with posterior displacement of the metaphysis in a 13-year-old girl, focusing on the role played by ultrasound in the diagnosis, planning of treatment and post-reduction follow-up. On clinical examination and conventional radiography, the in...

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Bibliographic Details
Published inSkeletal radiology Vol. 41; no. 7; pp. 857 - 860
Main Authors Deganello, A., Meacock, L., Tavakkolizadeh, A., Sinha, J., Elias, D. A.
Format Journal Article
LanguageEnglish
Published Berlin/Heidelberg Springer-Verlag 01.07.2012
Springer
Springer Nature B.V
Subjects
Case Report
Imaging
Medicine
Medicine & Public Health
Nuclear Medicine
Orthopedics
Pathology
Radiology
Teenage girls
Paediatric fracture
Sternoclavicular joint
Physeal separation
Ultrasound
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Summary:We describe a case of medial clavicular physeal separation with posterior displacement of the metaphysis in a 13-year-old girl, focusing on the role played by ultrasound in the diagnosis, planning of treatment and post-reduction follow-up. On clinical examination and conventional radiography, the injury is essentially indistinguishable from a sternoclavicular dislocation or a fracture of the medial aspect of the clavicle; however, the pathogenesis is different, consisting in medial physeal separation and ‘degloving’ of the inner cancellous bone of the metaphysis from the surrounding periosteal collar with posterior metaphyseal dislocation. In our case, attempted closed reduction failed, and the injury required open reduction with relocation of the clavicle into the periosteal sleeve followed by suturing of the periosteal tear.
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ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-011-1357-2