Use of anatomic locking plate and coracoclavicular cerclage for the management of unstable distal clavicle fracture. Case report

Vargas-Morales R.E. · Revista Facultad de Medicina (2024) · DOI: 10.15446/revfacmed.v72n2.112279

Resumen

Introduction: Unstable distal third clavicle fractures are rare, most frequently found in men, and usually caused by high-energy trauma. Case report: A 38-year-old woman fell from her own height onto her left shoulder and attended the emergency department of a tertiary care hospital in Trujillo, Peru, due to severe pain, moderate edema, and joint restriction. An X-ray confirmed a displaced left distal clavicle fracture with joint involvement (3B2 fracture according to the Robinson classification), which was surgically treated with anatomic locking plate fixation and coracoclavicular cerclage. Satisfactory functional and radiological outcomes were achieved during follow-up (last follow-up performed 18 months after surgery). Conclusions: The use of anatomic locking plate fixation and coracoclavicular cerclage in this case proved to be a safe and effective option for the treatment of unstable distal clavicle fractures with joint involvement.

Instituciones: Universidad Privada Antenor Orrego