Due to the significant displacement of the fracture, we used ORIF to treat the fracture. Case presentationĪ 34-year-old female patient was admitted to the hospital for 13 h due to the right shoulder movement restriction after a fall. Our team recently used ORIF to treat a patient with a clavicle fracture, who developed brachial plexus injury symptoms after surgery. If it is not treated in time, the function of the brachial plexus will be challenging to recover, which will eventually lead to upper limb dysfunction and seriously affect the patient’s quality of life. The brachial plexus injury caused by ORIF of a clavicle fracture is very rare. In addition to the risks that occur with any major surgery, certain specific risks of clavicle fracture surgery include difficulty in bone healing, lung injury, and irritation caused by hardware.Open reduction and internal fixation (ORIF) is the preferred choice for treating clavicle fractures. Patients with diabetes, elderly individuals, and people who make use of tobacco products are at a greater risk of developing complications both during and after the surgery. Complications of Clavicle Fracture Surgery A second operation to remove the nail will be performed after 2-3 months. Then the nail is passed on to reach the fracture site. It involves a small 1 cm skin incision near the sternoclavicular joint, and then a hole is drilled in the anterior cortex after which an elastic nail is inserted into the medullary canal of the clavicle. The procedure is performed under fluoroscopic guidance. It is considered as a safe method for fixation of displaced clavicle fractures in adolescents and athletes as it allows rapid healing and faster return to sports. Percutaneous elastic intramedullary nailing of the clavicle is a newer and less invasive procedure with lesser complications. Percutaneous Elastic Intramedullary Nailing of the Clavicle They often cause irritation in the skin at the site of insertion and must be removed once the fracture heals. Placement of pins may also be considered to hold the fracture in position, and the incision required is also smaller. If they cause any irritation, they can be removed after fracture healing is complete. These plates and screws are usually left in the bone. Overlapping of the broken ends of bone (shortened clavicle)ĭuring this surgical procedure, your surgeon will reposition the broken bone ends into normal position and then uses special screws or metal plates to hold the bone fragments in place.Fracture associated with nerve or blood vessel damage and scapula fracture.Surgery for the fixation of clavicle fractures may be considered in the following circumstances: Surgery is performed to align the bone ends and hold them stable during healing. Treatments for Clavicle Fracturesīroken clavicle bone, usually heals without surgery, but if the bone ends have shifted out of place (displaced) surgery will be recommended. Symptoms of Clavicle Fracturesīroken clavicle may cause difficulty in lifting your arm because of pain, swelling, and bruising over the bone. A direct blow over the shoulder that may occur during a fall on an outstretched arm or a motor vehicle accident may cause the clavicle bone to break. Clavicle fracture, also called broken collarbone, is a very common sports injury seen in people who are involved in contact sports such as football and martial arts as well as impact sports, such as motor racing.
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