scholarly journals Posterior sternoclavicular joint dislocation: case report and discussion

CJEM ◽  
2006 ◽  
Vol 8 (05) ◽  
pp. 355-357 ◽  
Author(s):  
Nick Kuzak ◽  
Adrian Ishkanian ◽  
Riyad B. Abu-Laban

ABSTRACTThe sternoclavicular joint is the most frequently mobilized non-axial, major joint, but is the least frequently dislocated. Most sternoclavicular dislocations are anterior. When posterior sternoclavicular joint dislocations do occur, they may present with a variety of signs and symptoms, including serious intrathoracic injuries. We discuss the case of a patient with a subacute posterior sternoclavicular dislocation who presented to the emergency department 2 months after being hit in the posterior neck. We also review the signs, symptoms and management of posterior sternoclavicular dislocation and the literature on this topic.

PEDIATRICS ◽  
1976 ◽  
Vol 58 (2) ◽  
pp. 292-293
Author(s):  
Michael A. LaCombe

The atypical signs and symptoms, the misleading interpretation of symptoms by the patient's family, and the remarkable radiograph in the following case emphasize the difficulty in early diagnosis of pelvic appendicitis. CASE REPORT A 10-year-old boy came to the Emergency Department of Community Memorial Hospital, Toms River, New Jersey, complaining of pain in the pubic bone of four hours' duration. His mother thought he might have fallen on the cross-bar of his bike and was concerned about a possible fracture of the pelvis. The boy denied any nausea, vomiting, anorexia, or change in bowel habit and had no pain elsewhere. He had noticed no gross hematuria.


2017 ◽  
Vol 4 (8) ◽  
pp. 2829
Author(s):  
Praveen Kumar Pandey ◽  
Inder Prakash Pawar

Metacarpo-phalangeal (MCP) joint dislocation is a rare occurrence which commonly involves index and little finger. Thumb MCP joint dislocation is a pretty rare pathology. MCP joint dislocations are classified into dorsal or volar types. They are further categorized as incomplete, simple complete and complex complete. Complex complete MCP joint dislocation requires surgical reduction most of the times because of tissue entrapment in joint. In the present case report, a case of two and a half months old complex complete thumb MCP joint dislocation left in 18-year old male encountered which was irreducible by closed means and required surgical intervention. Dorsal hand surgical approach was utilized for reduction of dislocation. This unusual, difficult and rare case of two and a half months old complex complete dorsal dislocation of the thumb MCP joint is presented in this case report.


2018 ◽  
Vol 17 ◽  
pp. 1-4
Author(s):  
Tadashi Iwai ◽  
Kazushige Tanaka ◽  
Mamoru Okubo

Injury ◽  
2015 ◽  
Vol 46 ◽  
pp. S8-S10 ◽  
Author(s):  
Lorenzo di Mento ◽  
Leda Staletti ◽  
Matteo Cavanna ◽  
Mattia Mocchi ◽  
Marco Berlusconi

2020 ◽  
Vol 4 (4) ◽  
pp. 668-670
Author(s):  
Zach Edwards ◽  
Stephen DeMeo

Introduction: Sepsis commonly brings patients to the emergency department (ED). Patient outcomes can vary widely. In some cases, rare complications of sepsis such as autoimmune hemolytic anemia can occur. Case Report: A 68-year-old female presented with sepsis secondary to infected nephrolithiasis. The patient had signs and symptoms consistent with hemolysis upon arrival to the ED. Her hemolysis progressively worsened over a two-day period leading to a diagnosis of warm autoimmune hemolytic anemia. She responded well to treatment; however, her condition began to worsen due to a new infection caused by perforated colonic diverticula. The patient ultimately expired from complications of her perforated colonic diverticula. Conclusion: It is crucial that emergency physicians understand the risk factors, symptoms, pathophysiology, and treatment of this rare complication of sepsis so that favorable patient outcomes can be achieved.


2018 ◽  
Vol 0 (Avance Online) ◽  
Author(s):  
Bernat de Pablo Márquez ◽  
David Mateu Vicent ◽  
Pablo Castillón Bernal

Resumen La luxación esternoclavicular posterior es una patología extremadamente infrecuente, que se presenta, sobre todo, en varones jóvenes como consecuencia de un traumatismo de alta energía. Hasta en un 25% de los casos pueden aparecer complicaciones potencialmente letales por compresión de estructuras mediastínicas, que requieren de la reducción urgente de la luxación. El diagnóstico radiográfico puede ser difícil, siendo de gran utilidad la tomografía computerizada para determinar el tipo y grado de desplazamiento, así como la relación anatómica con las estructuras mediastínicas. Se presenta el caso de una paciente de 14 años de edad que presentó una luxación esternoclavicular posterior traumática aguda tras una caída practicando karate. Abstract Posterior sternoclavicular joint dislocation is an extremely rare condition, usually seen in males after high energy concussion. Potentially lethal complications may appear in 25% of cases, due to compression of mediastinic structures. Radiological diagnose may be difficult, why computed tomography is usually used to determine type and grade of displacement and relation with mediastinic structures. We present a case of a 14 year-old woman who presented a posterior sternoclavicular dislocation due to a fall while playing karate. Resumo A luxação posterior esternoclavicular é a condição extremamente rara, que ocorre principalmente em homens jovens, como resultado de trauma de alta impacto. Em até 25% dos casos, podem acontecer complicações potencialmente fatais por compressão de estruturas do mediastino, que exigem a redução urgente da luxação. O diagnóstico radiográfico pode ser difícil, sendo a tomografia computadorizada considerada útil para determinar o tipo e grau de deslocamento e a relação anatômica com as estruturas do mediastino. Aqui se apresenta o caso de um jovem de 14 anos que apresentou uma luxação esternoclavicular posterior traumática aguda após uma queda durante a prática de karatê.


2021 ◽  
Vol 14 (2) ◽  
pp. e240146
Author(s):  
Anna Li ◽  
Fadak Mohammadi ◽  
Helen Crocker

This case report presents the unusual complication of bilateral temporomandibular joint dislocation following bronchoscopy, highlighting the importance of recognising it as a differential diagnosis in patients having jaw symptoms. The delayed diagnosis in this case resulted in multiple unsuccessful reduction attempts under sedation, which added to the distress of the patient. Notably, the procedure yielded a rare diagnosis for the patient that intrinsically changed the management of her breast cancer.


2009 ◽  
Vol 16 (3) ◽  
pp. 168-171 ◽  
Author(s):  
A Saritas ◽  
M Emet ◽  
H Kocaturk ◽  
S Aslan ◽  
ZG Cakir

Atrial myxomas are the most common primary heart tumours. Symptoms are produced by mechanical interference with cardiac function or embolization. Neurological symptoms may occur approximately in one third of the patients. We report a patient who was admitted to the emergency department with only a complaint of complete aphasia and without other neurological signs and symptoms. Transthoracic echocardiography demonstrated a large mobile mass sized 4 × 4.5 cm prolapsing into the left ventricle through the mitral valve from the left atrium, suggesting the diagnosis of atrial myxoma. After surgery, aphasia resolved completely. Our objective is to inform clinicians that aphasia alone can be a symptom of atrial myxoma.


BJPsych Open ◽  
2019 ◽  
Vol 5 (5) ◽  
Author(s):  
David Goldrich ◽  
Anita Sreedhar ◽  
Rehan Aziz ◽  
Kenneth R. Kaufman ◽  
Anthony Tobia ◽  
...  

Aspirin-use disorder is an underreported condition. Identification of the signs and symptoms of aspirin misuse are important in light of prevalent non-prescribed medicine/over-the-counter medication (NPM/OTC) misuse. We discuss here the case of a patient with a history of chronic aspirin misuse who presented to the emergency department with salicylate intoxication and described elation secondary to deliberate aspirin consumption. This case highlights the importance of screening for NPM/OTC medication misuse in at-risk populations.


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