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

Özer, Utku Erdema; Yalçin, Mehmet Buraka; Kanberoglu, Kayab; Bagatur, Ali Erdema

Journal of Pediatric Orthopaedics B: July 2014 - Volume 23 - Issue 4 - p 375–378
doi: 10.1097/BPB.0000000000000043
Upper Limb

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.

Departments of aOrthopaedic Surgery and Traumatology

bRadiology, Medicana International Istanbul Hospital, Istanbul, Turkey

Correspondence to Utku Erdem Özer, MD, Department of Orthopaedic Surgery and Traumatology, Medicana International Istanbul Hospital, Beylikdüzü Cad., No. 3 Beylidüzü, 34520 Istanbul, Turkey Tel: +90 533 529 7441; fax: +90 212 867 7677; e-mail: utkuerdemozer@gmail.com

© 2014 by Lippincott Williams & Wilkins, Inc.