title: Bilateral clavicle fracture external fixation.
abstract: Fractures of the middle third of the clavicle are frequent and their conservative treatment ends in bone union in nearly 95% of cases. Surgical treatment is unanimously indicated with open fractures or in cases of cutaneous damage, neurovascular complications, and impaction of the shoulder stump syndromes. We report herein a case of bilateral fractures of the clavicle that required double stabilization with an external fixator following major cutaneous damage appearing after the initial conservative management. The intraoperative discovery of Propionibacterium acnes infection and bone union obtained within the classical time frame, with a satisfactory functional result, all retrospectively proved the soundness of this indication.
authors.affiliation: Orthopaedics and Traumatology Department, Toulouse-Purpan Teaching Hospital Center, place-du-Dr-Baylac, 31059 Toulouse, France. nicolasbonnevialle@yahoo.fr
authors.forename: N
authors.initials: N
authors.lastname: Bonnevialle
authors.forename: Y
authors.initials: Y
authors.lastname: Delannis
authors.forename: P
authors.initials: P
authors.lastname: Mansat
authors.forename: O
authors.initials: O
authors.lastname: Peter
authors.forename: B
authors.initials: B
authors.lastname: Chemama
authors.forename: P
authors.initials: P
authors.lastname: Bonnevialle
mesh_terms: D002968:Clavicle / Q000293:injuries*; D016267:External Fixators; D005260:Female; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged