PMC4745862_01
(a) Radiograph of the left shoulder showing fracture of the lateral metaphyseal clavicle. (b) CT scan of the left shoulder showing the posterior displacement of the proximal end of the fracture; arrows are pointing to the fracture ends. (c) 3D reformat of the CT of the left shoulder (view from above); notice the clavicle is posteriorly displaced in relation to the acromion and scapular spine.
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Radiography and CT revealed an oblique fracture of the distal third of the left clavicle with posterior displacement of the distal end of the proximal (medial) fragment (Figure 1).
Clinical picture of the patient left shoulder showing the obvious deformity resulting from the posterior displacement of the fracture end (arrow).
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Because of the marked deformity of the posteriorly displaced fracture (Figure 2), an operative repair was advised, and the family agreed to proceed to surgery.
Radiographs of the left shoulder showing reduction of the clavicle fracture and fixation by three wires.
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Once good reduction was achieved, three K-wires were inserted percutaneously from the lateral end of the acromion to the clavicle traversing both ends of the fracture (Figure 3).