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BMJ Case Rep. 2013 Mar 29;2013. pii: bcr2013008874. doi: 10.1136/bcr-2013-008874.

Partial claviculectomy after non-union of proximal clavicle fracture.

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  • 1Department of Orthopedic Surgery, Cathay General Hospital, Taipei, Taiwan.


Non-union of a proximal clavicle fracture is rare. When it does occur, it poses a difficult problem causing severe pain and shoulder impairment that must be dealt with surgically. We report a 29-year-old woman who suffered a proximal clavicle fracture and received plate and screws fixation. Six months later, after constant pain and a diminished range of shoulder motion, she sought help at our clinic and was diagnosed with symptomatic non-union. Reconstruction with bone graft and interosseous sutures was performed in vain as pain persisted and follow-up radiograph showed no healing. A salvage procedure with partial claviculectomy was then carried out. The patient has been pain free after 3.5 years of follow-up, a full range of motion and is quite satisfied with the cosmetics. This outcome demonstrates that claviculectomy can be used successfully in a clinical situation where restoration of clavicular non-union fails.

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