title: Unusual Medial-End Clavicle Fracture Combined with Double Disruption of the Superior Shoulder Suspensory Complex (SSSC) : A Case Report in Triathlon Athlete.
abstract: BACKGROUND
  Most published floating clavicle report a dislocation or fracture of one or both ends of the clavicle.
  
  
  METHODS
  We reported a new framework of this injury in a young triathlon athlete; medial-end displaced fracture with co-existent double disruption of the superior shoulder suspensory complex (SSSC) with the anterior shoulder arch wholly disconnected from the nearby structure.
  
  
  CONCLUSIONS
  The management of these complex fractures remains an open debate. The infrequent publications and the rarity of this type of injuries don't support the surgeon about the choice of the best possible treatment. However, if they are involved Patients with high functional demands, the Authors suggest the surgical management of medial-end clavicle fractures followed by restoration of SSSC complex if damaged on more than two locations.
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Poggetti
authors.initials: P
authors.lastname: A
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Novi
authors.initials: N
authors.lastname: M
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Rosati
authors.initials: R
authors.lastname: M
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Battistini
authors.initials: B
authors.lastname: P
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Parchi
authors.initials: P
authors.lastname: P
authors.affiliation: Department of Orthopaedics, University Hospital of Pisa, Pisa, Italy.
authors.forename: Lisanti
authors.initials: L
authors.lastname: M
keywords: double SSSC disruption; floating clavicle; medial-end clavicle fracture