Fracture bifocale du quart proximal de la clavicule–pseudoluxation sternoclaviculaire. À propos d’un cas

Operative Treatment of an Atypical Segmental Bipolar Fracture of the Clavicle

“…The choice of technique and implants is challenging for medial fractures ( 4 ). Different techniques are described such as K-wires and tension bands ( 11 , 12 ), lag screws, locking plates ( 13 , 14 ) or hook plates ( 15 ). Authors’ choice was angular stable implants by means of two LC-plates.…”

Fracture-décollement de l’épiphyse médiale de la clavicule: à propos de 6 cas et revue de la littérature

“…Plusieurs modalités techniques sont proposées: 2 à 4 points de sutures trans-osseux de part et d’autre du foyer au fil d’acier pour Goldfarb [ 17 ] et Thomas [ 31 ] ou au fil non métallique pour Hofwegen [ 30 ]; 4 à 8 points entre d’une part l’os et d’autre part le tissu fibro-périosté au fil non métallique pour Tennent [ 16 ] et pour Nous. L’ostéosynthèse de la fracture-décollement associée à une fracture de la clavicule est réalisée aussi suivant différents moyens: La réduction-reposition du fragment avec: une ostéosuture transosseuse assurée par des points trans-osseux pour Lemire [ 26 ]; Un haubannage pour Falcone [ 23 ] ; Une ostéosynthèse par plaque vissée pour Segal [ 25 ] et Lampasi [ 24 ]. Les plaques vissées constituent une bonne butée contre la récidive, n’exposent pas au risque de migration dangereuse dans le médiastin, mais présentent l’inconvénient de la ré-intervention pour ablation du matériel.…”

Sternoclavicular physeal fracture associated with adjacent clavicle fracture in a 14-year-old boy: a case report and literature review

“…Among these, cases where the clavicle fracture is adjacent to the physis [1,4,8,10,11,14] are the most challenging, as the double injury produces a short free fragment, which is partially displaced out of the periosteal tube and rotated 90°or more [14]: this leads the sternal end of the fragment to point posteriorly and inferiorly, which exposes to risk of damage of adjacent structures (great vessels, trachea, oesophagus) [6]. In fact, similar findings have been described in our case, as in the other reported cases combining the SC physeal fracture [1,4,10,14] or a true dislocation of the SC joint [8,11] with an adjacent clavicle fracture. Typically, these injuries occur in adolescent patients and during athletic activities, as in our patient.…”

“…Association of a SC physeal fracture or SC joint dislocation with an ipsilateral fracture of the clavicle was reported in about 12 cases in the literature [1,3,4,7,8,[10][11][12][13][14][15][16]. Among these, cases where the clavicle fracture is adjacent to the physis [1,4,8,10,11,14] are the most challenging, as the double injury produces a short free fragment, which is partially displaced out of the periosteal tube and rotated 90°or more [14]: this leads the sternal end of the fragment to point posteriorly and inferiorly, which exposes to risk of damage of adjacent structures (great vessels, trachea, oesophagus) [6]. In fact, similar findings have been described in our case, as in the other reported cases combining the SC physeal fracture [1,4,10,14] or a true dislocation of the SC joint [8,11] with an adjacent clavicle fracture.…”

“…The association of clavicle fractures with ipsilateral sternoclavicular (SC) physeal fractures or dislocations has been very rarely reported [1,3,4,7,8,[10][11][12][13][14][15][16]. Cases where the clavicle fracture is located at the medial fourth of the bone are even rarer, and represent a diagnostic and therapeutic challenge, as a short free floating bone fragment is produced, which may have a dangerous displacement [6].…”