Case 8 – JOCR Oct – Dec 2011

Bilateral fracture clavicles occurring simultaneously and treated with intramedullary fixation

 

Authors: RS Kulkarni1, RM Kulkarni1, Arora P2, Shyam AK2,3

1 Civil Hospital, Sindhudurg,  Sindhudurgnagari, Maharashtra
2 Sancheti Institute for Orthopaedics and Rehabilitation
3 Indian Orthopaedic Research Group

Address of Correspondence:

Dr RS Kulkarni
District Civil Surgeon, Sindhudurg,
Maharashtra.
Email – cssindhudurg@gmail.com

 

Abstract

Introduction: The standard treatment for clavicle fractures non operative but surgical management is essential in certain specific indications. The purpose of this study is to report a not very commonly seen bilateral fracture of a clavicle in a young female patient treated with intramedullary fixation

Case Presentation: A 23 year old female patient sustained a bilateral clavicle fracture as a result of direct blow to shoulder and was treated with intramedullary K wires on both sides in single sitting. Postoperatively arm was maintained in a sling for 3 weeks. The implant was removed after a month when radiographs showed good bridging callus.  After 8 weeks of fixation, she achieved full range of motion in both shoulders without any pain and was thus subsequently allowed to return to her daily activities.

 

Conclusion: For bilateral fractures clavicle, intramedullary fixation with K wire is a safe and effective modality for good pain relief and rapid recovery of range of motion .We did not encounter any complications.
Keywords: bilateral clavicle fracture, intramedullary fixation.