Abstract
Lateral clavicle separations are extremely rare injuries, and recognition of the extent of the injury is the first step in having a good outcome. The mechanism of the injury in this case was a direct blow to the anterior surface of the clavicle causing failure of the lateral physis and then displacing in an arc posteriorly pivoting on the medial sternoclavicular joint to end up imbedded in the supraspinatus muscle above the scapular spine. The patient was seen by two other orthopedic surgeons who failed to recognize the severity of the injury. The patient was operated on successfully illustrating the mechanism and extent of the injury. This case illustrates the importance of recognition, mechanism, pathogenesis, and basic principles of reduction and repair.
This is a preview of subscription content, log in via an institution to check access.
References and Suggested Readings
Bae DS (2016) Successful strategies for managing Monteggia injuries. J Pediatr Orthop 36(Suppl 1):S67–S70. https://doi.org/10.1097/BPO.0000000000000765
Nenopoulos SP, Gigis IP, Chytas AA, Beslikas TA, Nenopoulos AS, Christoforidis JE (2011) Outcome of distal clavicular fracture separations and dislocations in immature skeleton. Injury 42(4):376–380. https://doi.org/10.1016/j.injury.2010.09.036
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this entry
Cite this entry
Reynolds, R. (2019). Lateral Clavicular Physeal Separation. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_3-1
Download citation
DOI: https://doi.org/10.1007/978-3-319-28226-8_3-1
Received:
Accepted:
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-28226-8
Online ISBN: 978-3-319-28226-8
eBook Packages: Springer Reference MedicineReference Module Medicine