An unusual case of bipolar segmental clavicle fracture: A case report and review of literature

Abstract

Fracture of the clavicle is a common traumatic injury and comprises 4% of all fractures in adults. Although midshaft injuries account for the majority and medial fractures are rare. Whilst segmental fractures have been reported in the literature, combined lateral and medial injuries are very rare. These injuries are, therefore, susceptible to being missed and high index of suspicion mandates for the diagnosis. The nature of segmental fractures can pose a difficult management problem for numerous reasons, and initial operative fixation is usually indicated. Early diagnosis is therefore imperative, and as such, clinical examination is essential even if an obvious mid or lateral shaft fracture is seen on radio graphs. The aim is to present an unusual case of segmental clavicle fracture in an adult who was treated surgically and an excellent result was achieved. Similar cases in the literature are reviewed and their management is discussed.