title: Posterior displacement of a proximal epiphyseal clavicle fracture.
abstract: Posterior clavicle dislocations are uncommon injuries but are associated with serious complications based on their proximity to mediastinal structures. In children, the physis is the weakest point structurally, making a displaced Salter I fracture more common than a true sternoclavicular joint dislocation. This injury may be missed on exam and routine radiographs unless a high suspicion is maintained. A CT scan with contrast may be helpful for diagnosis of this injury and detection of complications to mediastinal structures. Emergent reduction is required in cases where there is vascular compromise.
authors.affiliation: Department of Emergency Medicine, Cook County Hospital (Stroger), Chicago, Illinois 60612, USA.
authors.forename: Matt
authors.initials: M
authors.lastname: Beecroft
authors.forename: Scott C
authors.initials: SC
authors.lastname: Sherman
mesh_terms: D000058:Accidental Falls; D002648:Child; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D050723:Fractures, Bone / Q000150:complications* / Q000601:surgery; D006801:Humans; D007103:Immobilization; D004204:Joint Dislocations / Q000000981:diagnostic imaging; D008297:Male; D013247:Sternoclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries; D014057:Tomography, X-Ray Computed