Document Detail


Traumatic floating clavicle: a case report and literature review.
MedLine Citation:
PMID:  24381774     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Bipolar fracture dislocations of the clavicle are rare injuries, usually the result of high-energy direct trauma. Since the original description by Porral in 1831, only a handful of individual case reports and case series by Beckman and Sanders have been reported in the literature. Management of these injuries has remained controversial ranging from nonoperative to aggressive surgery. We report on the case of a young army cadet who had a fracture of the lateral end of the clavicle, with an anterior dislocation of the sternoclavicular joint. Despite being planned for surgery, at the patients request, it was decided to manage the lesion conservatively with graded physiotherapy. At one-year follow-up, he had full pain-free, functional range of movement of the shoulder. This young high demand patient had a good outcome with conservative management, despite going against the current trend towards surgical treatment. We present this case with a review of the literature, highlighting the various management options for this rare lesion.
Authors:
Mohamad Gouse; Korula Mani Jacob; Pradeep Mathew Poonnoose
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Publication Detail:
Type:  Journal Article     Date:  2013-12-04
Journal Detail:
Title:  Case reports in orthopedics     Volume:  2013     ISSN:  2090-6749     ISO Abbreviation:  Case Rep Orthop     Publication Date:  2013  
Date Detail:
Created Date:  2014-01-01     Completed Date:  2014-01-01     Revised Date:  2014-01-03    
Medline Journal Info:
Nlm Unique ID:  101591806     Medline TA:  Case Rep Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  386089     Citation Subset:  -    
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