We report an 11-year-old child with fracture of the distal clavicle who was denied conservative treatment because the medial end of the clavicle was anchored into the trapezius muscle fiber by an extreme posterior displacement. Surgical reduction was indicated.

Background: The treatment of distal clavicle fracture is always a challenge, as it is mostly unstable and has higherrate of delayed union, malunion, non-union and associated acromioclavicular arthritis. So the management of thesefractures remains controversial. The purpose of this study is to evaluate the functional results of Type 2 distal endclavicle fractures treated with superior anterior l...

Distal clavicle fractures in adolescent patients may benefit from surgical intervention depending on fracture pattern, age of the patient, and other variables. Less-invasive techniques allowing earlier mobilization, decreased pain, and no requirement for hardware removal are attractive. A technique of double-button suture fixation is useful for the treatment of distal clavicle fractures in the ...

A case of congenital pseudarthrosis of the clavicle is presented. Congenital pseudarthrosis of the clavicle is a rare entity that has poorly been documented in the pediatric literature. The etiology and pathogenesis still remain obscure. The clinical and radiological appearances are characteristic. Differential diagnosis lies between postpartum fracture, posttraumatic pseudarthrosis, cleidocran...

Injury to the long thoracic nerve with resulting serratus anterior palsy is a typical cause of medial scapular winging. We report a case of a 70-year-old female with scapular winging in the setting of a mildly comminuted midshaft clavicle fracture. The winging persisted for three months after the fracture, which became a nonunion. The winging spontaneously resolved prior to open reduction and i...

During revision surgical fixation of clavicle fractures and fracture nonunions, compression of the prominent neurovascular structures of the thoracic outlet can be an important potential complication. In this report, we describe the case of a manual laborer who had iatrogenic compression of the thoracic outlet of his dominant arm by fracture callus during revision surgery after multiple subacut...

Segmental clavicle fractures are uncommon injuries. When they do present, they tend to comprise a distal and mid-shaft fracture. A clavicular injury with proximal and distal fractures is a rarer presentation still which is sparsely covered in the literature. These injuries, which have been termed bipolar, are easily missed at presentation and due to their infrequency the optimal method of manag...

This article reports on a technique to treat unstable type II distal clavicle fractures using fracture-specific plates and coracoclavicular augmentation with a suture button. Six patients with clinically unstable type II distal clavicle fractures underwent treatment using the above technique. All fractures demonstrated radiographic union at 9.6 (8.4-11.6) weeks with a mean follow-up of 15.6 (12...

Higher rates of poor outcomes in displaced midshaft clavicle fractures treated nonoperatively have recently been reported. Along with expanding indications for operative fixation and increasing application of locked plate constructs, it is unknown whether complications related to bicortical penetration of the clavicle can be avoided using unicortical fixation. The purpose of this study is to co...