Retrosternal displacement of the clavicle after medial physeal fracture in an adolescent: MRI

Retrosternal displacement of the medial clavicular metaphysis after a medial physeal fracture is a rare and potentially fatal injury because of possible damage of neurovascular structures, trachea and oesophagus. As the medial clavicular epiphysis does not ossify until 18-20 years of age and the med...

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Bibliographic Details
Published inJournal of pediatric orthopaedics. B Vol. 23; no. 4; p. 375
Main Authors Ozer, Utku Erdem, Yalçin, Mehmet Burak, Kanberoglu, Kaya, Bagatur, Ali Erdem
Format Journal Article
LanguageEnglish
Published United States 01.07.2014
Subjects
Adolescent
Clavicle - injuries
Epiphyses - injuries
Fractures, Bone - complications
Fractures, Bone - diagnosis
Fractures, Bone - surgery
Humans
Joint Dislocations - complications
Joint Dislocations - diagnosis
Joint Dislocations - surgery
Magnetic Resonance Imaging
Male
Sternoclavicular Joint
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Summary:Retrosternal displacement of the medial clavicular metaphysis after a medial physeal fracture is a rare and potentially fatal injury because of possible damage of neurovascular structures, trachea and oesophagus. As the medial clavicular epiphysis does not ossify until 18-20 years of age and the medial clavicular physis is the last to close, around 22-25 years of age, this injury is difficult to demonstrate with plain radiographs in younger patients and is often mistaken for a sternoclavicular joint dislocation. We report on a 16-year-old boy with a fracture of the medial clavicular physis with retrosternal displacement of the metaphysis that was diagnosed with MRI, and discuss the diagnostic tools and treatment options in this rare injury.
ISSN:1473-5865
DOI:10.1097/BPB.0000000000000043