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- W2095288092 abstract "23-year-old man sustained extensive polytrauma in a high-speed motor vehicle crash. Initial chest radiography showed a widened mediastinum, and thoracic aortography showed an isolated occlusion of the internal mammary arteries bilaterally and posterior dislocation of the manubriosternal joint (Fig. 1). Sternomanubrial dislocation is a rare injury, typically resulting from a high-energy trauma. However, among patients with preexisting sternomanubrial arthropathy (most commonly, rheumatoid arthritis), dislocation can be caused by a minor trauma [1]. The sternomanubrial joint may be synovial, synchondral, or synosteal. Dislocation is most common with the synovial type of joint, whereas synchondral and synosteal types typically fracture through the manubrium rather than dislocate at the joint [2]. Two types of sternomanubrial dislocations have been described: type 1, in which the sternum is dislocated posteriorly with respect to the manubrium, and type 2, in which the manubrium is dislocated posteriorly with respect to the sternum. Type 1 injuries are caused by a direct impact to the body of the sternum. Type 2 injuries, which are more common, are due to hyperflexion of the upper thoracic spine that transmits a downward and posterior force to the manubrium via the first ribs [3]." @default.
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- W2095288092 date "2003-03-01" @default.
- W2095288092 modified "2023-09-27" @default.
- W2095288092 title "Traumatic Sternomanubrial Dislocation with Associated Bilateral Internal Mammary Artery Occlusion" @default.
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- W2095288092 doi "https://doi.org/10.2214/ajr.180.3.1800810" @default.
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