PMC6855021_01
Clavicle radiograph five months after the initial injury showing a right medial clavicle fracture nonunion (red arrows). Vascular clips are from a rib resection at a young age.
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Radiographic and CT imaging demonstrated a highly comminuted medial-end nonunion of the right clavicle (Figures 1 and 2).
CT images five months after the initial injury showing a right medial clavicle fracture nonunion (a) with sclerotic changes of the medial clavicle fragment (b).
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Radiographic and CT imaging demonstrated a highly comminuted medial-end nonunion of the right clavicle (Figures 1 and 2).
Postoperative chest radiograph following the open reduction and osteosynthesis procedure. The fracture was fixed using an inverted anatomic locking plate.
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Four locking screws were used on the medial side of the fracture, and three locking screws were used on the lateral side (Figure 3).
Five months post-ORIF. Scout view of a CT scan illustrating hardware migration and displaced comminuted bone fragments.
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A CT scan of the shoulder and the affected SC joint confirmed hardware migration, displacement of the comminuted bone segments, and posterior displacement of the medial fragment of the clavicle with the SC joint still intact (Figures 4 and 5). Three loose medial screws were removed, but two medial screws (Figure 4) remained unreachable.
Five months post-ORIF. CT images showing hardware migration and posterior displacement of the remaining medial end of the right clavicle (blue arrow) (a-c).
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A CT scan of the shoulder and the affected SC joint confirmed hardware migration, displacement of the comminuted bone segments, and posterior displacement of the medial fragment of the clavicle with the SC joint still intact (Figures 4 and 5).
Clavicle radiograph three years postreconstruction surgery. Two remaining screws are superficial to the sternum.
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Control radiographs showed no sign of reconstruction failure (Figure 6).