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Bony Thorax Case 2 Diagnosis

Sternoclavicular dislocation is often not visible on chest x-ray so high index of suspicion must be maintained in suspicious clinical scenarios. Chest x-ray is the initial test to look for other thoracic injuries and complications of SC joint dislocation, such as pneumothorax, pneumomediastinum, and hemopneumothorax. A chest x-ray with serendipity view (40 degrees of cephalic tilt) allows better visualization of the joint. However, CT angiography is the test of choice because it will both diagnose the dislocation and the associated injuries. If SC joint dislocation is being considered and chest x-ray is nondiagnotic, proceed to CT angiography.