title: Proximal clavicle physeal fracture-separation mimicking an anterior sterno-clavicular dislocation.
abstract: Proximal physeal fracture-separation of the clavicle is a very rare injury occurring in the adolescent and in the young adult which involves a contact loss with fracture between the clavicle and its cartilaginous ossification center similar in appearance to a sternoclavicular dislocation. The authors report an unusual case of a proximal physeal fracture-separation of the clavicle with avulsion of sternoclavicular periosteal and ligamentous structures without vasculonervous injury in a 16-year-old young person. A CT scan examination is essential. Surgical management consisted in costoclavicular ligament and periosteum reattachment associated with reduction of the fracture-separation and pin fixation.This repair demonstrated a successful outcome at 8-month follow-up.
authors: Department of Orthopaedic and Trauma Surgery, Delafontaine Hospital, 93205 Saint-Denis cedex, France. jalal_mekkaoui@hotmail.com
authors: M J
authors: MJ
authors: El Mekkaoui
authors: N
authors: N
authors: Sekkach
authors: A
authors: A
authors: Bazeli
authors: J M
authors: JM
authors: Faustin
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D001858:Bone Nails; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D003937:Diagnosis, Differential; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D004204:Joint Dislocations / Q000175:diagnosis*; D008297:Male; D013247:Sternoclavicular Joint; D014057:Tomography, X-Ray Computed