Management of sternoclavicular pseudo-dislocation: A physeal fracture-separation of the medial clavicle

Proximal clavicular physeal fracture-separation is an extremely rare injury in adolescents and young adults. It involves a fracture-disruption between the clavicle and its ossification center, often mimicking a sternoclavicular dislocation. The authors report a case of proximal clavicular physeal fracture-separation in a 17-year-old male, with no associated neurovascular injury. A CT scan was essential for accurate diagnosis. Surgical management consisted of open reduction of the fracture-separation followed by stabilization using two Kirschner wires (K-wires).The clinical and radiological outcome was excellent at the 6-month follow-up.