Bilateral Clavicular Fracture with Unilateral Scapular Fracture

Area of Science:

• Orthopedic Surgery
• Trauma Surgery
• Radiology

Background:

• Simultaneous bilateral clavicle fractures with a unilateral scapular fracture are exceptionally rare.
• High-velocity trauma is a significant mechanism for severe upper extremity injuries.
• Understanding the biomechanics of such complex fractures is crucial for effective treatment.

Observation:

• A 35-year-old male sustained high-energy trauma resulting in a right comminuted midshaft clavicle fracture with an ipsilateral scapular body fracture.
• The patient also presented with a left midshaft clavicular fracture.
• No comorbidities were reported, indicating the trauma was the sole causative factor.

Findings:

• The patient underwent successful open reduction and internal fixation for all fractures.
• Post-operative follow-up at three months showed satisfactory range of motion in both acromioclavicular joints.
• Surgical intervention yielded a positive clinical outcome.

Implications:

• This case highlights the importance of thorough evaluation in high-velocity trauma to identify potentially overlooked associated injuries.
• Open reduction and internal fixation can be an effective treatment strategy for complex, combined clavicle and scapular fractures.
• Further research into the incidence and optimal management of such rare fracture patterns is warranted.