TY - CHAP M1 - Book, Section TI - Sternoclavicular Dislocation A1 - Barlotta, Kevin S. A1 - Stack, Lawrence B. A1 - Knoop, Kevin J. A2 - Knoop, Kevin J. A2 - Stack, Lawrence B. A2 - Storrow, Alan B. A2 - Thurman, R. Jason PY - 2021 T2 - The Atlas of Emergency Medicine, 5e AB - Dislocations of the sternoclavicular joint (SCJ) are uncommon due to the strength of the supporting ligaments. Anterior dislocations are nine times more frequent than posterior dislocations. Posterior dislocations are clinically more important due to the potential for injury to underlying structures. SCJ dislocations typically occur from motor vehicle crashes and sports injuries. Examination findings of an anterior SCJ dislocation include tenderness and prominence of the proximal clavicle from the sternum. The arm is often held in adduction. Posterior SCJ dislocations may be more difficult to identify. Pneumothorax, great vessel, tracheal, and esophageal injuries often accompany posterior SCJ dislocations. Pain and depression of the medial clavicle relative to the sternum may be seen. Superior and inferior dislocations may also be seen. CT scan through the SCJ is the best diagnostic study to evaluate this injury. SN - PB - McGraw-Hill CY - New York, NY Y2 - 2024/04/19 UR - accessmedicine.mhmedical.com/content.aspx?aid=1181040843 ER -