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    A variant of a type V lateral clavicle fracture involving a posteriorly displaced medial segment. A case report

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    Authors
    Goss, Thomas P.
    Li, Xinning
    UMass Chan Affiliations
    Department of Orthopedics and Physical Rehabilitation
    Document Type
    Journal Article
    Publication Date
    2012-12-12
    Keywords
    Clavicle
    Fractures, Bone
    Orthopedics
    
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    Abstract
    The clavicle connects the shoulder girdle to the axial skeleton, providing support and mobility for optimal upper extremity function. Fractures of the clavicle account for up to 4% of all fractures and comprise up to 44% of all injuries to the shoulder girdle. We present a 63-year-old female patient who suffered what appeared to be a minimally displaced Type V lateral clavicle fracture after a fall as evidenced by an anteroposterior shoulder radiograph. However, an axillary projection demonstrated the proximal segment to be posteriorly displaced and buttonholed through the trapezius musculature with tenting of the skin. The patient underwent an open reduction and Kirschner wire fixation of the fracture with complete healing, subsequent removal of the hardware and return to her previous level of function six months following surgery. After an extensive literature search, we believe this is the first case report documenting a variant of a Type V lateral clavicle fracture, specifically with significant posterior displacement of the proximal segment, mimicking a Type IV AC separation. This fracture pattern is unstable and represents a double disruption of the superior shoulder suspensory complex. Surgical management was successful in returning our patient back to her previous activity of daily living.
    Source

    Sports Med Arthrosc Rehabil Ther Technol. 2012 Dec 12;4(1):47. Link to article on publisher's site

    DOI
    10.1186/1758-2555-4-47
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/42923
    PubMed ID
    23231782
    Related Resources
    Link to Article in PubMed
    Rights

    Copyright 2012 Goss and Li; licensee BioMed Central Ltd.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

    ae974a485f413a2113503eed53cd6c53
    10.1186/1758-2555-4-47
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    UMass Chan Faculty and Researcher Publications
    Orthopedics and Physical Rehabilitation Publications

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