Findings
This patient presents with a sternomanubrial dislocation as demonstrated: There is posterior dislocation of the body of the sternum in relation to the manubrium of the sternum.
Discussion
Sternomanubrial dislocation is a rare injury, typically caused by high velocity trauma, e.g. MVA. There is a significant association with injury to the great vessels.
http://eradiology.bidmc.harvard.edu/Classics/item.aspx?section=Emergency+Radiology&labelpk=33f0adab-853f-4010-a0e2-0756b3f1eac5&pk=bc8b5dcf-8be2-4c84-a9ae-7cebe4673d01
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