Sternoclavicular Epiphyseal Separation with Adjacent Clavicular Fracture

Treatment of ipsilateral clavicle and sternoclavicular physeal fractures with locked plating

“…In addition to the patient described in their case report, the authors reviewed three other reported cases with similar pathological findings. 1,6,7,11 All four of these patients were treated open. In both of our patients there was tenting of the overlying skin and marked shortening of the clavicle.…”

“…This enabled us take advantage of both bridging and compression principles of internal fixation. 2,14 The fixed angle construct created by the 5 7 Thrown from Horse NO orthoplast spica Kanoksikarian et al 6 19 Rugby Intramedullary pin Lemire and Rosman 7 15 Hockey Figure 8 suture repair Nakazato et al 9 Newborn Birth injury Open reduction, suture O'Neill et al 10 16 Lacrosse NO sling Rockwood 11 16 Not described Medial fragment lost, suture Tanlin 12 19 Bicycle K wire and steel cerclage wire Thomas and Friedman 13 28 MVA 3.5 mm ASIF/AO recon plate NO, non-operative.…”

“…The other reported cases described different methods of internal fixation, ranging from suture repair, intramedullary pins, and reconstructive plates. 1,6,7,9,[11][12][13] The small medial clavicle fragment in our two patients presented a challenge for options of internal fixation due to its anatomical constraints. We elected to use the recently introduced locking plates with combination holes in both of our patients.…”

“…Only 10 cases of double clavicle fractures have been previously reported in the literature. 1,3,[5][6][7][9][10][11][12][13] We report two additional patients with this complex injury, each with the characteristic vertical displacement of the medial clavicle 1 demonstrated by three-dimensional computed tomographic (CT) reconstructive imaging. A novel approach to treat these uncommon injuries and review of the literature is also presented.…”

Asymptomatic fibrous non-union of displaced sternoclavicular epiphyseal fractures: Case report and literature review

“…1,7 Sternoclavicular epiphyseal separation was highlighted later by Lemire and Rosman. 5 Clinical presentation includes pain aggravated by movement of the arm and swelling over the proximal clavicle. The differential diagnosis includes sternoclavicular joint dislocation 2 and first rib fractures.…”