Treatment of  medial clavicle fractures . A case report and review of the literature.

Aygün, Hayati; Çakar, Albert; Atilla, Halis Atıl

doi:10.5455/medscience.2013.02.8066

Cited by 2 publications

(1 citation statement)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is for this reason that various fixation devices have been used for medial clavicle fracture reconstruction. For example, pins, wires, lag screws, small fragment reconstruction plates, dynamic compression plates, and other metal plates adapted or modified for this anatomical site have been described and usually with success [ 12 , 13 , 16 , 18 , 22 ]. Figure-of-eight sutures have also been used to stabilize a medial clavicle fracture in a 14-year-old boy [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute) Complicated by an Intraoperative Pneumothorax

Skedros

Knight

Mears

et al. 2014

Case Reports in Orthopedics

View full text Add to dashboard Cite

Double (segmental) clavicle fractures, involving both the medial and lateral aspects of the clavicle, are very uncommon. Even less common is an asynchronous double fracture with one of the fractures being a nonunion. We report the case of a 30-year-old healthy male patient who had an unusual double clavicle fracture (medial nonunion, lateral acute) that occurred in separate traumatic events during motocross (motorcycle) racing. His fractures were treated surgically in two stages. In the first stage a long reconstruction plate was used that spanned onto the sternum and two transcortical screws were placed into the manubrium to enhance purchase for the deficient bone of the medial clavicle. In accordance with the preoperative plan, the medial one-third of the plate and the medial four screws (of the total 13 used) were removed. Although our patient had an excellent final result, he did have an intraoperative pneumothorax that was treated uneventfully with a chest tube. Medial clavicle fractures are difficult to treat, especially if they are nonunions and surgical complication rates can be high. Our case is one of the few that has been described where temporary sternoclavicular plating was successful in achieving an excellent long-term outcome.

show abstract

Section: Discussionmentioning

confidence: 99%

Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute) Complicated by an Intraoperative Pneumothorax

Skedros

Knight

Mears

et al. 2014

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

Treatment of Recalcitrant Medial Clavicle Non-union with Novel Dual Plating Technique

Bastian¹,

Itamura²

2018

Ann Case Rep

View full text Add to dashboard Cite

Medial clavicle fracture are rare injuries associated with significant morbidity. Treated conservatively historically, operative management has been recommended to improve function and union rates. Optimal surgical fixation has not been described, particularly in revision cases following failed fixation. Previously described options include sternoclavicular fusion or partial claviculectomy. We describe a case of a 33-year-old female surgeon who had two failed surgeries treated with iliac crest tricortical grafting with dual plating using an anterior plate and an inverted distal clavicle plate. Postoperatively, she was instructed to use a bone stimulator and receive teriparatide treatment. At the 9 months follow up, patients pain and function improved, and she is back to working full time. Dual plating technique supplemented with bone stimulator use and teriparatide administration appears to be a good treatment option in the short-term.

show abstract

Treatment of medial clavicle fractures . A case report and review of the literature.

Cited by 2 publications

References 26 publications

Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute) Complicated by an Intraoperative Pneumothorax

Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute) Complicated by an Intraoperative Pneumothorax

Treatment of Recalcitrant Medial Clavicle Non-union with Novel Dual Plating Technique

Contact Info

Product

Resources

About