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Abstract：
The primary stabiliser of the diarthrodial sterno-clavicular (SC) joint is the costo-clavicular ligament, this holds the clavicle to the first costal cartilage and the end of the first rib. The costo-clavicular and surrounding ligaments help maintain the stability and strength of the SC joint. As a result, SC joint dislocations are far less common than fractures to the clavicle due to the relatively larger forces required to disrupt these ligaments. Medial physeal injuries occur when there is a fracture through the physis of a clavicle which is yet to complete the ossification process, this can often be mistaken for sterno-clavicular joint dislocation. This report looks at a case of a posteriorly displaced medial physeal fracture in an adolescent male sustained while playing rugby. We hope this case provides the reader an insight into the potentially life threatening consequences that should be considered in such presentations and highlight the importance of prompt and appropriate imaging and specialist intervention.
摘要：
双关节胸骨锁骨（SC）关节的主要稳定器是锁骨韧带，这将锁骨固定到第一肋软骨和第一肋骨的末端。锁骨和周围韧带有助于维持SC关节的稳定性和强度。因此,由于破坏这些韧带所需的相对较大的力，SC关节脱位远不如锁骨骨折常见。当锁骨骨折尚未完成骨化过程时，就会发生内侧骨损伤，这往往会被误认为是胸锁关节脱位。本报告着眼于一名青少年男性在打橄榄球时遭受的向后移位的内侧phy骨骨折。我们希望此案例为读者提供了对此类演示文稿中应考虑的潜在威胁生命的后果的见解，并强调了及时，适当的成像和专家干预的重要性。
