title: Retrosternal displacement of the clavicle after medial physeal fracture in an adolescent: MRI.
abstract: 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.
authors.affiliation: Departments of aOrthopaedic Surgery and Traumatology bRadiology, Medicana International Istanbul Hospital, Istanbul, Turkey.
authors.forename: Utku Erdem
authors.initials: UE
authors.lastname: Ozer
authors.forename: Mehmet Burak
authors.initials: MB
authors.lastname: Yalçin
authors.forename: Kaya
authors.initials: K
authors.lastname: Kanberoglu
authors.forename: Ali Erdem
authors.initials: AE
authors.lastname: Bagatur
mesh_terms: D000293:Adolescent; D002968:Clavicle / Q000293:injuries*; D004838:Epiphyses / Q000293:injuries; D050723:Fractures, Bone / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D013247:Sternoclavicular Joint