The Use of a Dynamic 4-Dimensional Computed Tomography Scan in the Diagnosis of Atraumatic Posterior Sternoclavicular Joint Instability.

Autor: Hislop-Jambrich JL; From the *Centre for Medical Research Development, Toshiba Medical, North Ryde, New South Wales; and †Medical Imaging Department, Monash Medical Centre, Clayton; and ‡Department of Orthopaedic Surgery, The Alfred Hospital, Prahran, Victoria, Australia., Troupis JM, Moaveni AK
Jazyk: angličtina
Zdroj: Journal of computer assisted tomography [J Comput Assist Tomogr] 2016 Jul-Aug; Vol. 40 (4), pp. 576-7.
DOI: 10.1097/RCT.0000000000000410
Abstrakt: Recurrent symptomatic sternoclavicular (SC) joint instability is rare and most commonly occurs following high-energy trauma or in patients with generalized ligamentous laxity. We report an unusual case of an atraumatic posterior subluxation of the SC joint, leading to a feeling of choking. The posterior subluxation, which occurred during shoulder motion and in supine body position, was demonstrated using a dynamic wide-volume 4-dimensional computed tomography scan. Based on continuing patient symptoms and imaging findings, surgical stabilization of the SC joint was undertaken.
Databáze: MEDLINE