J Korean Fract Soc.  2018 Jan;31(1):18-21. 10.12671/jkfs.2018.31.1.18.

Atypical Bipolar Segmental Fracture of the Clavicle in an Adolescent: A Case Report

Affiliations
  • 1Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea. osarthro@dkuh.co.kr

Abstract

Clavicular fractures commonly occur in adults and children. The usual site of these fractures is the mid clavicle with lateral end and medial end clavicular fractures being less common. Bipolar segmental clavicular injuries involving medial and lateral ends are rare but almost always occur in adults. This paper reports a very rare case of segmental clavicular fracture involving the medial and lateral end in an adolescent caused by direct trauma. The surgical management of a segmental fracture clavicle in an adolescent is reported with a discussion of the relevant literature.

Keyword

Clavicle; Fracture; Bipolar; Segmental

MeSH Terms

Adolescent*
Adult
Child
Clavicle*
Humans

Figure

  • Fig. 1. Preoperative plain radiograph image. A segmental fracture of clavicle (fracture of the clavicle shaft and distal end of clavicle is combined) is observed.

  • Fig. 2. Preoperative 3-dimensional reconstruction of a computed tomography image.

  • Fig. 3. Postoperative plain radiograph image. The clavicle shaft was fixed internally with a plate and screw. The distal end of the clavicle was fixed internally with a tension band wiring technique.


Reference

References

1. Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 11:452–456. 2002.
Article
2. Stanley D, Norris SH. Recovery following fractures of the clavicle treated conservatively. Injury. 19:162–164. 1988.
Article
3. Sethi K, Newman SD, Bhattacharya R. An unusual case of bipolar segmental clavicle fracture. Orthop Rev (Pavia). 4:e26. 2012.
Article
4. Heywood R, Clasper J. An unusual case of segmental clavicle fracture. J R Army Med Corps. 151:93–94. 2005.
Article
5. Throckmorton T, Kuhn JE. Fractures of the medial end of the clavicle. J Shoulder Elbow Surg. 16:49–54. 2007.
Article
6. Daolagupu AK, Gogoi PJ, Mudiganty S. A rare case of segmental clavicle fracture in an adolescent. Case Rep Orthop. 2013:248159. 2013.
Article
7. Eni-Olotu DO, Hobbs NJ. Floating clavicle: simultaneous dislocation of both ends of the clavicle. Injury. 28:319–320. 1997.
8. Scapinelli R. Bipolar dislocation of the clavicle: 3D CT imaging and delayed surgical correction of a case. Arch Orthop Trauma Surg. 124:421–424. 2004.
Article
9. Gouse M, Jacob KM, Poonnoose PM. Traumatic floating clavicle: a case report and literature review. Case Rep Orthop. 2013:386089. 2013.
Article
10. Shields E, Behrend C, Beiswenger T, et al. Scapular dyskinesis following displaced fractures of the middle clavicle. J Shoulder Elbow Surg. 24:e331–e336. 2015.
Article
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