title: Partial claviculectomy after non-union of proximal clavicle fracture.
abstract: Non-union of a proximal clavicle fracture is rare. When it does occur, it poses a difficult problem causing severe pain and shoulder impairment that must be dealt with surgically. We report a 29-year-old woman who suffered a proximal clavicle fracture and received plate and screws fixation. Six months later, after constant pain and a diminished range of shoulder motion, she sought help at our clinic and was diagnosed with symptomatic non-union. Reconstruction with bone graft and interosseous sutures was performed in vain as pain persisted and follow-up radiograph showed no healing. A salvage procedure with partial claviculectomy was then carried out. The patient has been pain free after 3.5 years of follow-up, a full range of motion and is quite satisfied with the cosmetics. This outcome demonstrates that claviculectomy can be used successfully in a clinical situation where restoration of clavicular non-union fails.
authors.affiliation: Department of Orthopedic Surgery, Cathay General Hospital, Taipei, Taiwan.
authors.forename: Hsiu-Gwo
authors.initials: HG
authors.lastname: Teng
authors.forename: Andy Li-Jen
authors.initials: AL
authors.lastname: Liu
mesh_terms: D000328:Adult; D002968:Clavicle / Q000293:injuries* / Q000601:surgery*; D005260:Female; D050723:Fractures, Bone / Q000601:surgery*; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D019637:Orthopedic Procedures / Q000379:methods
references.citation: J Bone Joint Surg Am. 2004 Jul;86(7):1359-65
references.pmid: 15252081
references.citation: Injury. 2002 Mar;33(2):135-43
references.pmid: 11890915
references.citation: Arch Orthop Trauma Surg. 2011 Dec;131(12):1673-6
references.pmid: 21811810
references.citation: J Orthop Trauma. 2010 Apr;24(4):e31-5
references.pmid: 20335748
references.citation: J Bone Joint Surg Br. 1995 Sep;77(5):778-80
references.pmid: 7559710
references.citation: J South Orthop Assoc. 2000 Spring;9(1):43-54
references.pmid: 12132810
references.citation: J Shoulder Elbow Surg. 2012 Mar;21(3):423-9
references.pmid: 22063756
references.citation: Orthop Nurs. 2009 Sep-Oct;28(5):217-24; quiz 225-6
references.pmid: 19820620
references.citation: J Shoulder Elbow Surg. 2007 Jan-Feb;16(1):49-54
references.pmid: 17169583
references.citation: J Am Acad Orthop Surg. 1996 Jan;4(1):1-8
references.pmid: 10790675
references.citation: J Shoulder Elbow Surg. 2008 Sep-Oct;17(5):751-4
references.pmid: 18499484
references.citation: J Bone Joint Surg Am. 2007 Jun;89(6):1215-9
references.pmid: 17545423
references.citation: J Shoulder Elbow Surg. 2009 Jul-Aug;18(4):553-5
references.pmid: 19269862
references.citation: J Shoulder Elbow Surg. 1995 May-Jun;4(3):182-7
references.pmid: 7552675