Proximal clavicle physeal fracture-separation mimicking an anterior sterno-clavicular dislocation

• Published in: Orthopaedics & traumatology, surgery & research Vol. 97; no. 3; pp. 349 - 352
• Main Authors: El Mekkaoui, M.J, Sekkach, N, Bazeli, A, Faustin, J.M
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.05.2011
• Subjects: Accidents, Traffic; Adolescent; Bone Nails; Clavicle; Clavicle - diagnostic imaging; Clavicle - injuries; Clavicle - surgery; Diagnosis, Differential; Fracture Fixation, Internal - instrumentation; Fracture-separation; Fractures, Bone - diagnostic imaging; Fractures, Bone - surgery; Humans; Imaging, Three-Dimensional; Joint Dislocations - diagnosis; Male; Orthopedics; Physeal; Sternoclavicular Joint; Surgery; Tomography, X-Ray Computed; Fracture-separation; Clavicle; Sternoclavicular joint; Physeal
• ISSN: 1877-0568; 1877-0568
• DOI: 10.1016/j.otsr.2010.08.007

Summary Proximal physeal fracture-separation of the clavicle is a very rare injury occurring in the adolescent and in the young adult which involves a contact loss with fracture between the clavicle and its cartilaginous ossification center similar in appearance to a sternoclavicular dislocation. The authors report an unusual case of a proximal physeal fracture-separation of the clavicle with avulsion of sternoclavicular periosteal and ligamentous structures without vasculonervous injury in a 16-year-old young person. A CT scan examination is essential. Surgical management consisted in costoclavicular ligament and periosteum reattachment associated with reduction of the fracture-separation and pin fixation.This repair demonstrated a successful outcome at 8-month follow-up.