Traumatic manubriosternal dislocation: an interesting case
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Baljinder Singh Dhinsa & Azal Jalgaonkar & Zuhair Nawaz & Vellala Raghuprasad & Yateen Morar & S. Thiagaraj & S. Koka
- چاپ و سال / کشور: 2011
Description
Introduction Manubriosternal joint dislocation is an uncommon injury. This condition may be predisposed by rheumatoid arthritis and severe kyphosis. Case report We report a case of a 61-year-old female with traumatic manubriosternal dislocation which was initially not diagnosed by the acute medical team. She presented with acute chest pain after being kicked by a horse. On examination, it was felt that whilst she had bruising on the right side of her chest indicative of possible rib fractures, and confirmed by standard anteroposterior chest X-ray, the central chest pain may be of cardiac cause. After thorough investigation, a cardiac cause had been ruled out, and a surgical opinion was requested due to unresolved thoracic pain. On full clinical examination, an obvious deformity of the sternum at the manubriosternal junction was seen. Lateral chest X-rays revealed anterior displacement of the body of the sternum, which has been treated conservatively with successful outcome. Conclusion It is important in such cases of thoracic trauma that a lateral view chest X-ray is performed as the anteroposterior view is not sufficient to evaluate thoracic injuries.
Eur Orthop Traumatol (2011) 1:185–187 DOI 10.1007/s12570-010-0032-8
