An unusual case of bipolar segmental clavicle fracture

Sethi, Karishma; Newman, Simon P.; Bhattacharya, Rajarshi

doi:10.4081/or.2012.e26

Cited by 18 publications

(50 citation statements)

References 12 publications

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“…Recently reported cases were summarized (Table 1). 4,[6][7][8][9][10] According to previous reports, operative treatment overweighted than conservative treatment. Operative technique was plate and screw on proximal lesion in all cases and Kwire fixation on or hook plate on distal lesion.…”

Section: Discussionmentioning

confidence: 99%

The Different Treatment Methods for Segmental Fractures of the Clavicle: Cases Report

Hong

Sim

et al. 2017

J Korean Fract Soc

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Segmental fractures of the clavicle are very rare. Therefore, to date, there has not been a clear, standardized method of management of segmental clavicle fractures. Herein, two patients with a segmental fracture are described: One patient was treated conservatively, while another patient was treated operatively. Both patients showed excellent results. We discuss the various management options with a literature review. Case Reports Case 1A 40-year-old man presented to the outpatient clinic CASE REPORT J Korean Fract Soc 2017;30(3):151-155 ISSN 1225-1682 (Print)ㆍISSN 2287

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Section: Discussionmentioning

confidence: 99%

The Different Treatment Methods for Segmental Fractures of the Clavicle: Cases Report

Hong

Sim

et al. 2017

J Korean Fract Soc

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“…Non-union of the clavicle fracture would result in considerable functional deficit. With meagre literature regarding segmental clavicle injuries, no consensus exists about the management of these fractures with some case reports advocating a non-operative [9, 10] while others an operative approach [7, 8]. …”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Segmental Clavicle Fracture in an Adolescent

Daolagupu

Gogoi

Mudiganty

2013

Case Reports in Orthopedics

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Clavicular fractures commonly occur in adults and children. The usual mechanism of injury is a fall on the outstretched hand or direct trauma. The usual site of these fractures is the mid clavicle with lateral end and medial end clavicular fractures being less common, respectively. Segmental clavicular fractures have been reported in the literature; they usually occur at the medial and lateral ends and tend to occur in adults. Bipolar clavicular injuries involving medial and lateral ends have also been reported rarely but all in adults. We report a very rare case of segmental clavicular fracture involving the mid clavicle and lateral end in an adolescent caused by direct trauma. The management of segmental clavicle fractures has not been clearly outlined although operative intervention is indicated. We report the successful management of segmental fracture clavicle in an adolescent and discuss the relevant literature.

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“…Of these fractures, 21-28% are lateral clavicle fractures and 2-3% are medial clavicle fractures [1,2]. Bipolar clavicle fractures are defined as a lateral and medial clavicle fracture; on the other hand, the term 'floating clavicle' refers to a sternoclavicular and an acromioclavicular luxation, also known as a panclavicular dislocation [3][4][5][6][7][8][9][10][11][12][13]. This study describes a patient with a bipolar clavicle fracture and presents an overview of the current literature.…”

Section: Introductionmentioning

confidence: 99%

Bipolar clavicular fractures and treatment options

Ruiter

Gardenbroek

Bos

et al. 2019

Eur J Trauma Emerg Surg

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Introduction Fractures of the clavicle are common injuries, accounting 2.6-4% of all fractures in adults. Of these fractures, 21-28% are lateral clavicle fractures and 2-3% are medial clavicle fractures. Bipolar clavicle fractures are defined as a lateral and medial fracture and are uncommon. There is no consensus on the treatment of these fractures. The aim of this study is to provide a treatment on bipolar clavicle fractures based on the current literature. Methods The electronic databases PubMed, the Cochrane library and EMBASE were searched up on September 25th, 2017. Two reviewers (KR and TG) independently screened titles and abstracts for their relevance. Studies designed to evaluate the outcomes of conservative and/or operative treatment of segmental bipolar clavicle fractures in adults (> 16 years) were included. Editorials and commentaries were excluded, as well as synthetic, cadaveric and animal studies. Primary outcomes considered were pain reduction and shoulder function. Secondary outcomes considered are complications. Results Ten studies reporting results from ten patients were included for the review. In most patients, if treated operatively, surgical treatment with the use of double plating was performed. Only in elderly patients conservative treatment was adopted. All included patients were pain free and had a full range of motion after 3-6 months. Only two case reports provided a DASH score, while in eight studies no functional outcome score was measured. Conclusion A missed bipolar fracture can complicate the clinical progress. Surgical management of these fractures may be necessary; however, the treatment of choice depends on the age of the patient, daily activities and comorbidity.

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An unusual case of bipolar segmental clavicle fracture

Cited by 18 publications

References 12 publications

The Different Treatment Methods for Segmental Fractures of the Clavicle: Cases Report

The Different Treatment Methods for Segmental Fractures of the Clavicle: Cases Report

A Rare Case of Segmental Clavicle Fracture in an Adolescent

Bipolar clavicular fractures and treatment options

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