title: Proximal end clavicle fracture from a parachute jumping injury.
abstract: Fractures of the medial end of the clavicle are the least common type of clavicle fracture. We report a 29-year-old military parachutist who presented with medial end clavicle fracture after a bad landing. He was first treated non-operatively in a tertiary center and was then referred to our center by his general practitioner. Surgery was indicated since the fracture was displaced and the patient needed anatomical reconstruction to promote rapid bone healing and a prompt return to work. The medial fragment being comminuted, K-wires were used for internal fixation instead of a plate. The two K-wires were bent 180° to avoid risk of migration and were removed 3 months after surgery when the patient had begun to perform all activities without pain. Aggressive treatment is recommended for medial end clavicle fracture in case of displacement and facilitates rapid functional recovery, notably in patients with considerable clavicular demand.
authors.affiliation: Orthopedic Surgery Department, Pellegrin Hospital, place Amélie-Rabat-Léon, 33000 Bordeaux, France. anouar.bourghli@gmail.com
authors.forename: A
authors.initials: A
authors.lastname: Bourghli
authors.forename: A
authors.initials: A
authors.lastname: Fabre
mesh_terms: D000328:Adult; D001134:Arm Injuries / Q000601:surgery; D001359:Aviation; D001860:Bone Plates; D001864:Bone Wires; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000175:diagnosis / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008889:Military Personnel; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D013898:Thoracic Injuries / Q000601:surgery; D015599:Trauma Severity Indices