J Korean Orthop Assoc.  2019 Jun;54(3):287-291. 10.4055/jkoa.2019.54.3.287.

Stress Fracture of the Proximal Clavicle after Parallel Bars Exercise in a Young Male

• Kwon J
• Lee YH
• Cho JH

• KMID: 2450150
• DOI: http://doi.org/10.4055/jkoa.2019.54.3.287

Abstract

Although acute traumatic fractures of the clavicle are relatively common, stress fractures of the proximal clavicle are extremely rare. Stress fractures of the clavicle have often been reported after a radical neck dissection or radiation but rarely occur during excessive repetitive exercise in professional athletes. The authors report a case of a stress fracture of the proximal clavicle during exercise in a young man with no specific preceding factors, which has not been reported in the Korean literature.

Keyword

proximal clavicle fracture; stress fracture

MeSH Terms

Athletes
Clavicle*
Fractures, Stress*
Humans
Male*
Neck Dissection

Figure

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  Figure 1. Initial left clavicle anteroposterior (A), caudal tilt (B), and axial lateral (C) radiographs showing no specific findings.

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  Figure 2. Follow-up radiograph showing oblique fracture lines with displacement at proximal portion of the left clavicle.

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  Figure 3. Coronal T1 weighted magnetic resonance imaging showing no other pathology, such as tumor or infection, other than the fracture associated with displacement in the left proximal clavicle.

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  Figure 4. Plain radiograph taken 15 months after surgery showing well-union of the fracture.

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  Figure 5. Left clavicle anteroposterior radiograph taken 5 weeks after hardware removal showing bone union at the previous fracture site.

Reference

References

1. Shahane SM, Samant A, Pathak AC, Reddy R, Oswal C. Idiopathic non-traumatic or stress fracture of clavicle. J Case Rep Pract. 2014. 2:37–9.

2. Abbot AE, Hannafin JA. Stress fracture of the clavicle in a female lightweight rower: a case report and review of the literature. Am J Sports Med. 2001. 29:370–2.

3. Cummings CW, First R. Stress fracture of the clavicle after a radical neck dissection: case report. Plast Reconstr Surg. 1975. 55:366–7.

4. Choi EC, Kim DY, Koh YW, Kim HJ. Fracture of the clavicle after radical neck dissection, pectoralis major myocutaneous flapand postoperative radiotherapy. Korean J Otolaryngol. 1999. 42:1060–5.

5. Yamada K, Sugiura H, Suzuki Y. Stress fracture of the medial clavicle secondary to nervous tic. Skeletal Radiol. 2004. 33:534–6.

6. Wu CD, Chen YC. Stress fracture of the clavicle in a professional baseball player. J Shoulder Elbow Surg. 1998. 7:164–7.

7. Fallon KE, Fricker PA. Stress fracture of the clavicle in a young female gymnast. Br J Sports Med. 2001. 35:448–9.

8. Akasbi N, Elidrissi M, Tahiri L, Elmrini A, Harzy T. An unusual cause of shoulder pain in an elderly woman: a case report. J Med Case Rep. 2013. 7:271.

9. Peebles CR, Sulkin T, Sampson MA. ‘Cable-maker’s clavicle’: stress fracture of the medial clavicle. Skeletal Radiol. 2000. 29:421–3.

10. Moran DS, Evans RK, Hadad E. Imaging of lower extremity stress fracture injuries. Sports Med. 2008. 38:345–56.