Aortic arch impingement with Salter Harris II epiphyseal fracture of the medial clavicle : A novel use of video assisted thoracoscopy

© 2023 The Authors..

Posterior dislocation of the sternoclavicular joint (SCJ), although uncommon, can be life-threatening. Displacement of the clavicular head poses a threat to the vital structures of the mediastinum. We describe the case of a 15-year-old boy with traumatic Salter Harris II medial clavicular fracture with posterior dislocation of the metaphysis resulting in impingement of the aortic arch, left subclavian and common carotid artery, as well as partial obstruction of the brachiocephalic vein. We describe the novel use of video-assisted thoracoscopy to assist with a safe open reduction and fixation of the fracture dislocation. The case highlights the importance of computer tomography imaging for diagnosis of posterior SCJ fracture/dislocations and the early recognition of potential life-threatening complications in the mediastinum.

Media Type:

Electronic Article

Year of Publication:

2023

Publication:

2023

Contained In:

To Main Record - volume:46

Contained In:

Trauma case reports - 46(2023) vom: 14. Aug., Seite 100856

Language:

English

Contributors:

Cook, Victoria [Author]
Norquay, Miranda [Author]
Moopanar, Terence [Author]
Brady, Peter [Author]

Links:

Volltext

Keywords:

Aortic impingement
Case Reports
Mediastinal compression
Sternoclavicular dislocation
Thoracic trauma
VATS
Video-assisted thoracoscopic surgery

Notes:

Date Revised 20.06.2023

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.tcr.2023.100856

funding:

Supporting institution / Project title:

PPN (Catalogue-ID):

NLM35835045X