Elastic Intramedullary Nailing of a Medial Clavicle Fracture in a Pediatric Patient.

Publication/Presentation Date

1-1-2017

Abstract

INTRODUCTION: Injuries to the medial clavicle in pediatric patients typically involve the physis and/or sternoclavicular joint. Clavicle fractures are one of the most common injuries in children, but ones at its medial end are rare. Most medial clavicle fractures are treated nonoperatively, but surgery is indicated in some cases. This original case report is unique in describing the use of an elastic intramedullary nail for fixation of a completely displaced medial clavicle fracture in a pediatric patient.

CASE PRESENTATION: A pediatric patient sustained a completely displaced fracture of the medial clavicle. The fracture was lateral to the medial physis of the clavicle and did not involve the sternoclavicular joint. Internal fixation was achieved in an anatomic position with an elastic intramedullary nail. The postoperative course was unremarkable and resulted in complete healing of the fracture in an anatomic position. The patient returned to full activities without any pain or dysfunction.

CONCLUSION: The use of elastic intramedullary nails is a viable option for internal fixation of displaced medial clavicle fractures. Knowledge of the surgical anatomy, potential implant complications, and rehabilitation principles is essential to a successful outcome.

Volume

2017

First Page

6354284

Last Page

6354284

ISSN

2090-6749

Disciplines

Medicine and Health Sciences

PubMedID

28593062

Department(s)

Department of Surgery

Document Type

Article

Link to Full Text

Share

COinS