CASE REPORT

Adolescent butterfly swimmer with bilateral subluxing sternoclavicular joints

P S Echlin¹ and J E Michaelson²

¹ Providence Athletic Medicine, Providence Hospital and Medical Centers, 47601 Grand River Avenue, Suite 101, Novi, MI 48374, USA
² The Porretta Center for Orthopaedic Surgery, Providence Park, 47601 Grand River Avenue, Suite A-105, Novi, MI 48374

Correspondence to:
Correspondence to:
Dr Echlin
Fowler-Kennedy Sports Medicine Clinic 3M Centre, University of Western Ontario, London, Ontario, Canada N6A 3K7; p_echlinfp{at}hotmail.com

Sternoclavicular joint subluxation/dislocation injuries in the athlete are uncommon. They can be organised by degree (subluxation, dislocation), timing (acute, chronic, recurrent, congenital), direction (anterior, posterior), and cause (traumatic, atraumatic). The unusual case reported is an adolescent butterfly swimmer with recurrent bilateral sternoclavicular subluxation associated with pain and discomfort. The condition was treated and resolved with conservative management. The diagnosis, investigations, and treatment options are discussed.

Abbreviations: AP, anterior to posterior; CT, computed tomography; PA, posterior to anterior; SCJ, sternoclavicular joint

Keywords: sternoclavicular joint injuries; subluxation/dislocation; shoulder injuries; athletic injuries; swimming injuries

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Br. J. Sports Med. 2006 40: 366. [Extract] [Full Text] [PDF]