Breaking the Mold: Bilateral Lateral End Clavicle Fractures Treated with Dog Bone Button Fixation - A Rare Case
Nitesh Kumar Rathi1, D Raja Sujith Kumar1, J Benjamin Vinodh1
1Department of Orthopaedics, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
Introduction:
Clavicle fractures, particularly at the lateral end, are uncommon and pose diagnostic and management challenges. Bilateral lateral end clavicle fractures are rare, and surgical management is often necessary to restore shoulder function scenarios.
Case Report:
A 52-year-old male presented with bilateral shoulder pain and restricted movements following a motorcycle fall. Clinical and radiological evaluation revealed a right undisplaced lateral clavicle fracture, a comminuted left lateral clavicle fracture, and associated right-sided rib fractures. Surgical fixation using the dog bone button technique was performed bilaterally. Post-operative rehabilitation involved early mobilization, and at 6 weeks, the patient demonstrated significant functional improvement, confirmed by disabilities of the arm, shoulder and hand and Oxford shoulder scores. Radiographs showed good fracture healing with bridging callus formation.
Conclusion:
Dog bone button fixation is an effective technique for managing bilateral lateral clavicle fractures, offering good functional and radiological outcomes.
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