Clavicle fracture - non union

Case contributed by A.Prof Frank Gaillard

Presentation

Motor vehicle accident.

Patient Data

Age: 35 years
Gender: Male
X-ray

Clavicle x-rays

A minimally displaced oblique fracture through the middle third of the clavicle is demonstrated. The acromioclavicular joint, coracoclavicular distance and glenohumeral joint appear unremarkable. 

X-ray

Clavicle x-rays 3 years later

An old fracture through the midshaft of the right clavicle is demonstrated with non-union. The fracture ends are hypertrophied and the proximal components is subluxed superior to the distal.

X-ray

Post op

The non-union / pseudoarthrosis of the clavicle has been resected, and a plate and multiple screws applied with the near anatomical alignment.

Case Discussion

 Typical appearances of a clavicular fracture with unusual non-union of the fracture requiring plate-and-screw internal fixation. 

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Case information

rID: 18056
Case created: 4th Jun 2012
Last edited: 5th Nov 2015
Inclusion in quiz mode: Included

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