Date of Presentation
5-2-2024 12:00 AM
College
Rowan-Virtua School of Osteopathic Medicine
Poster Abstract
Reported is a case of a 24-year-old male who presented with left shoulder pain and decreased range of motion of the same shoulder upon awakening, diagnosed with a posterior dislocation of the proximal clavicle, with the clavicular head residing in the mediastinum. In the conscious, ambulatory, young adult it is arguably much more common for major bony trauma involving the upper extremity and shoulder to present with pain, deformity, and a known mechanism. This is an example that lacks all three of these characteristics and highlights the importance of details in the physical examination as well as clinical gestalt.
Keywords
Clavicle, Fracture Dislocation, Shoulder, Physical Examination
Disciplines
Diagnosis | Emergency Medicine | Medicine and Health Sciences | Musculoskeletal System | Orthopedics | Surgery | Therapeutics | Tissues
Document Type
Poster
DOI
10.31986/issn.2689-0690_rdw.stratford_research_day.61_2024
Included in
Diagnosis Commons, Emergency Medicine Commons, Musculoskeletal System Commons, Orthopedics Commons, Surgery Commons, Therapeutics Commons, Tissues Commons
Case Report: Hidden Posterior Dislocation of the Clavicular Head
Reported is a case of a 24-year-old male who presented with left shoulder pain and decreased range of motion of the same shoulder upon awakening, diagnosed with a posterior dislocation of the proximal clavicle, with the clavicular head residing in the mediastinum. In the conscious, ambulatory, young adult it is arguably much more common for major bony trauma involving the upper extremity and shoulder to present with pain, deformity, and a known mechanism. This is an example that lacks all three of these characteristics and highlights the importance of details in the physical examination as well as clinical gestalt.