Orthonotes
Orthonotes
by the.bonestories
v3.0 Fusion
v3.0 Fusion
trauma topic hub

Medial Clavicle Physeal Injury (Pseudodislocation) — Pattern

Physeal separation of medial clavicle mimics SCJ dislocation — the physis is weaker than ligaments in children. Posterior displacement threatens mediastinal structures — requires urgent reduction (often operative). CT is essential to distinguish true SCJ dislocation from physeal injury.

Overview

Topic summary

View wiki
Physeal separation of medial clavicle mimics SCJ dislocation — the physis is weaker than ligaments in children. Posterior displacement threatens mediastinal structures — requires urgent reduction (often operative). CT is essential to distinguish true SCJ dislocation from physeal injury.
MCQs

High-yield practice questions

Start topic quiz
Question 1

What is the most common type of displacement in medial clavicle physeal injuries in children?

Question 2

Which imaging modality is essential to differentiate a true sternoclavicular joint dislocation from a medial clavicle physeal injury?

Question 3

What is a significant risk associated with posterior displacement of the medial clavicular metaphysis?

Question 4

At what age does the medial clavicular physis typically fuse?

Question 5

In a medial clavicle physeal injury, what happens to the medial clavicle epiphysis?

Question 6

What clinical sign is typically associated with anterior displacement of the medial clavicle?

Question 7

What mechanism of injury is most commonly associated with posterior displacement of the medial clavicle?

Question 8

What is the primary concern with anterior displacement of the medial clavicle?

Question 9

What type of Salter-Harris injury is typically seen in medial clavicle physeal fractures?

Question 10

Which symptom might suggest posterior displacement of the medial clavicle?