Surgical Management of an Isolated Posterior Manubrium Fracture in a Division One Collegiate Ice Hockey Athlete: A
Andin E Fosam1, Jacob Friedman2, Connor Mitrovich2
1Department of Orthopedic Surgery, Yale University, New Haven, USA.
Abstract:
A 21-year-old, Division One men's ice hockey athlete, sustained a traumatic, left shoulder injury that resulted in a displaced posterior left-sided manubrium fracture. Due to persistent pain that limited return to sport and fracture non-union, he underwent fracture fragment resection via an open transpectoralis major approach. The patient's pain fully resolved, and he returned to sport-specific activities two months after surgery with the anticipation of full participation in contact activity upon return to campus. Isolated fractures to the manubrium, while uncommon, are generally associated with severe concomitant injuries. Contact sport athletes are at risk for manubrium fractures despite the few documented reports. Surgical management should be considered for cases of manubrium fractures in patients with persistent pain.
More Related Videos
Related Concept Videos
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...