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Case Reports
. 2023 Aug 17;13(3).
doi: 10.2106/JBJS.CC.23.00266. eCollection 2023 Jul 1.

Treatment of Symptomatic Medial Clavicle Nonunion with Intramedullary Tendon Allograft: A Case Report

Luis Rojas Ixtacuy  1 , Xavi Rius  2 , Andrés Molina-Creixell  3 , José Luis Agulló  2 , Abdul-Ilah Hachem  2
Affiliations
Case Reports

Treatment of Symptomatic Medial Clavicle Nonunion with Intramedullary Tendon Allograft: A Case Report

Luis Rojas Ixtacuy et al. JBJS Case Connect. .

Abstract

Case: A 67-year-old patient sustained a medial clavicle fracture (MCF) treated with open reduction and fixation with cerclage sutures. A year later, he presented with symptomatic nonunion and skin prominence, which was revised with an intramedullary tendon allograft fixation including the sternoclavicular joint. At 31 months after the procedure, the patient showed no pain or clinical instability.

Conclusion: MCF is an uncommon injury. Symptomatic nonunion after the failure of fixation is rarely described. Although the best way to treat this complication is debatable, revision fixation using an intramedullary tendon allograft can be a viable option in elderly patients.

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Conflict of interest statement

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C159).

References

    1. Postacchini F, Gumina S, de Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11(5):452-6.
    1. Song HS, Kim H. Current concepts in the treatment of midshaft clavicle fractures in adults. Clin Shoulder Elb. 2021;24(3):189-98.
    1. Nowak J, Mallmin H, Larsson S. The aetiology and epidemiology of clavicular fractures. A prospective study during a two-year period in Uppsala, Sweden. Injury. 2000;31(5):353-8.
    1. Bakir MS, Merschin D, Unterkofler J, Guembel D, Langenbach A, Ekkernkamp A, Schulz-Drost S. Injuries of the medial clavicle: a cohort analysis in a level-I-trauma-center. Concomitant injuries. Management. Classification. Chirurgia (Bucur). 2017;112(5):594.
    1. Throckmorton T, Kuhn JE. Fractures of the medial end of the clavicle. J Shoulder Elbow Surg. 2007;16(1):49-54.

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