Medial Clavicle Fracture Fixation Including the Sternum: A Case Report.
Matthew J Schultz1, Eric A Barcak2
1Texas College of Osteopathic Medicine, University of North Texas Health Science Center, Fort Worth, Texas.
A novel surgical technique successfully repaired a displaced medial clavicle fracture using a contralateral distal clavicle plate. This method achieved excellent outcomes, restoring full strength and motion without complications.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- Medial clavicle fractures are uncommon and challenging to treat, especially those with small medial fragments.
- Traditional fixation methods may be inadequate for certain medial clavicle fracture patterns.
Observation:
- A 29-year-old male patient presented with a displaced medial clavicle fracture.
- Surgical intervention involved a precontoured plate, typically used for distal clavicle fractures, adapted for medial fixation at the sternum.
Findings:
- The surgical repair was technically successful, with no intraoperative or postoperative complications.
- At 8-month follow-up, the patient exhibited full shoulder strength and range of motion, indicating successful union and functional recovery.
Implications:
- This technique offers a viable treatment option for complex medial clavicle fractures.
- Adapting contralateral distal clavicle plates for sternal fixation presents a promising approach for managing these unique injuries.
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