title: Posterior sternoclavicular joint dislocation with brachiocephalic vein injury: a case report.
abstract: Posterior dislocation of the clavicle is an uncommon injury, usually related to road traffic or contact sports accidents. The close proximity of vital structures in the mediastinum should alert the surgeon avoiding a closed reduction in the emergency setting. A multidisciplinary team of expert surgeons should be involved and a combined procedure performed. Nevertheless, the risk of developing complications is high. We report this case in order to outline one of the potential complications, to discuss appropriate imaging studies and to describe the details of a safe surgical approach.
authors.affiliation: Department of Traumatology, IRCCS Humanitas Research Hospital, Milan, Italy. Electronic address: lorenzodimento@gmail.com.
authors.forename: Lorenzo
authors.initials: L
authors.lastname: di Mento
authors.affiliation: Department of Traumatology, IRCCS Humanitas Research Hospital, Milan, Italy.
authors.forename: Leda
authors.initials: L
authors.lastname: Staletti
authors.affiliation: Department of Traumatology, IRCCS Humanitas Research Hospital, Milan, Italy.
authors.forename: Matteo
authors.initials: M
authors.lastname: Cavanna
authors.affiliation: Department of Traumatology, IRCCS Humanitas Research Hospital, Milan, Italy.
authors.forename: Mattia
authors.initials: M
authors.lastname: Mocchi
authors.affiliation: Department of Traumatology, IRCCS Humanitas Research Hospital, Milan, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Berlusconi
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D016121:Brachiocephalic Veins / Q000293:injuries* / Q000503:physiopathology; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D006801:Humans; D004204:Joint Dislocations / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D019300:Medical Errors; D009422:Nervous System Diseases / Q000209:etiology* / Q000503:physiopathology; D011183:Postoperative Complications / Q000601:surgery*; D013247:Sternoclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D013898:Thoracic Injuries / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure; D014656:Vascular Surgical Procedures; D014689:Venous Insufficiency / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology
keywords: brachiocephalic; dislocation; joint; retrosternal; sternoclavicular; trap-door