title: Excision of a bony spike without fixation of the fractured clavicle in a jockey.
abstract: Various modalities are available for treatment of a clavicle fracture. Conservative treatment is successful in most cases. Open reduction, when indicated, usually is accompanied by fixation of the fracture. In the case of a jockey with a fractured clavicle, the fracture was complicated by tenting of the skin. The fracture was opened and a bony spike was excised extraperiosteally without doing internal fixation of the fracture to avoid skin necrosis and allow early return to work. The patient returned to his profession 2 weeks after surgery. Radiologic and clinical examinations revealed a satisfactory outcome at the 6-month followup.
authors.affiliation: Trauma & Orthopaedics, Princess Margaret Hospital, Wiltshire, UK. vmandalia@yahoo.com
authors.forename: Vipul
authors.initials: V
authors.lastname: Mandalia
authors.forename: V
authors.initials: V
authors.lastname: Shivshanker
authors.forename: M A
authors.initials: MA
authors.lastname: Foy
mesh_terms: D000328:Adult; D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D005593:Fracture Fixation, Internal; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D017063:Outcome Assessment, Health Care; D011859:Radiography; D020127:Recovery of Function / Q000502:physiology; D013997:Time Factors