Although acute and chronic traumatic injuries of the sternoclavicular joint are relatively uncommon, the potential for serious complications, including respiratory distress, venous congestion, arterial insufficiency, brachial plexus compression, and myocardial conduction abnormalities, necessitates diagnostic vigilance and judicious management.

Traumatic injuries of the sternoclavicular joint require accurate diagnosis and management if complications are to be avoided.

Posterior dislocation of the sternoclavicular joint requires prompt closed or open reduction.

Myriad of procedures have been recommended for repair or reconstruction of the sternoclavicular joint.

I recommend surgical resection of the medial clavicle, with maintenance, repair, or reconstruction of the costoclavicular ligaments, when surgery is indicated.