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Acta ortopédica mexicana
Print version ISSN 2306-4102
Abstract
CANCELA, N; JOHAN VON HEIDEKEN, J; JUAN DEL CASTILLO, J and SILVERI, C. Salter 1 medial collarbone epiphysiolysis with acute posterior displacement in the immature skeleton. Acta ortop. mex [online]. 2019, vol.33, n.6, pp.400-405. Epub Aug 20, 2021. ISSN 2306-4102. https://doi.org/10.35366/93349.
Sternoclavicular epiphysiolysis is a rare lesion, the posterior variant being even less common. Its clinical presentation may be subtle, or it may compromise mediastinal structures, either initially or during evolution, which is a serious and potentially fatal picture. This case report documents sternoclavicular dissociation in a patient with an immature skeleton, given by a Salter and Harris 1-type injury, which was surgically treated by open reduction and internal fixation with transosseous configuration with non-reabsorbable suture. With a 10-month follow-up and excellent results. This technique seems to be a good option for the treatment of sternoclavicular dislocation in the schematically immature patient, regaining function and avoiding complications.
Keywords : Sternoclavicular joint; epiphysiolysis; dislocation; acute; immature skeleton; treatment.