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Ann Thorac Surg 1996;61:711-713
© 1996 The Society of Thoracic Surgeons

Case Report

Posterior Dislocation of the Sternoclavicular Joint Leading to Mediastinal Compression

Jacques B. Jougon, MD, Denis J. Lepront, MD, Claire E. H. Dromer, MD

Thoracic Surgery Unit, Xavier Arnozan Hospital, Pessac, France

Accepted for publication August 3, 1995.

Dislocations of the sternoclavicular joint are uncommon, and the posterior variety have a potential for considerable morbidity. We report a case with compression of the vital structures within the superior mediastinum. It was a rugby player getting run over by the scrum. The mechanism was an indirect force exerted forward and laterally against the shoulder. The patient complained of pain and dysphagia. A systolic right cervical murmur was heard. Angiography was normal and esophagography showed extrinsic esophageal compression. Surgical reduction was performed because there was a slight pneumomediastinum on the computed tomography. This case report demonstrates the mechanism, complications, and treatment of such a lesion.




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