VIDEO: Dislocation of sternoclavicular joint in pediatric patient
Click Here to Manage Email Alerts
An 11-year-old left hand-dominant boy with no medical or surgical history presented to the pediatric orthopedic surgery clinic approximately 5 months after falling off a trampoline and falling directly onto his right shoulder.
He was initially diagnosed with a sternoclavicular joint dislocation and treated non-weight-bearing in a sling for 10 weeks. After the trial of immobilization, he was pain-free; however, he continued to feel gross instability when moving his shoulder certain ways. He was treated with several weeks of physical therapy, which did not improve his instability.
Physical examination demonstrated mild atrophy of the right shoulder girdle. He had mild tenderness over the right sternoclavicular joint and no tenderness around the distal clavicle or acromioclavicular joint. He had full range of motion of the right shoulder, with painless subluxation of the sternoclavicular joint at terminal range of forward flexion and abduction.
Demonstrated in this video is the patient dislocating the joint anteriorly with minimal elevation of his shoulder by contracting his trapezius, which reduces with an audible clunk with relaxation.
Collapse
Click Here to Manage Email Alerts