Abstract
Posterior medial clavicular physeal separations are rare injuries with potentially devastating consequences. Patients can present with dyspnea or dysphagia secondary to compression on mediastinal structures which are in close proximity to the sternoclavicular joint. These injuries can be confused with a posterior sternoclavicular dislocation, and generally the age of the patient determines the underlying pathophysiology. Diagnosis requires a high index of suspicion and is confirmed with a CT scan. A closed reduction can be attempted however open reduction and suture fixation is often required. This is best completed with a cardiothoracic surgeon available for assistance. We present a case of a 13-year-old male who presented with midsternal pain and dysphagia after a football injury who did well with open reduction and fixation of his medial clavicular physeal separation.
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Berling, S.E., Samora, J.B. (2019). Medial Clavicular Physeal Separation. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_2-1
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DOI: https://doi.org/10.1007/978-3-319-28226-8_2-1
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-319-28226-8
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