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Use of anatomic locking plate and coracoclavicular cerclage for the management of unstable distal clavicle fracture. Case report
Uso de placa de bloqueo anatómica y cerclaje coracoclavicular en el manejo de fractura de clavícula distal inestable. Reporte de caso
DOI:
https://doi.org/10.15446/revfacmed.v72n2.112279Palabras clave:
Clavicle, Bone Fractures, Surgery, Treatment Outcome (en)Clavícula, Fracturas óseas, Cirugía, Resultado del tratamiento (es)
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Introduction: Unstable distal third clavicle fractures are rare, most frequently found in men, and usually caused by high-energy trauma.
Case report: A 38-year-old woman fell from her own height onto her left shoulder and attended the emergency department of a tertiary care hospital in Trujillo, Peru, due to severe pain, moderate edema, and joint restriction. An X-ray confirmed a displaced left distal clavicle fracture with joint involvement (3B2 fracture according to the Robinson classification), which was surgically treated with anatomic locking plate fixation and coracoclavicular cerclage. Satisfactory functional and radiological outcomes were achieved during follow-up (last follow-up performed 18 months after surgery).
Conclusions: The use of anatomic locking plate fixation and coracoclavicular cerclage in this case proved to be a safe and effective option for the treatment of unstable distal clavicle fractures with joint involvement.
Introducción. Las fracturas del tercio distal clavicular inestables son inusuales, se presentan con mayor frecuencia en hombres y en su mayoría son causadas por un trauma de alta energía.
Presentación del caso. Mujer de 38 años quien, tras caída desde su propia altura sobre el hombro izquierdo, asistió al servicio de urgencias de un hospital de tercer nivel de Trujillo, Perú, por dolor severo, edema moderado y restricción del movimiento de la articulación. Mediante radiografía se confirmó fractura de clavícula distal izquierda desplazada con compromiso articular (fractura 3B2 según la clasificación de Robinson), la cual fue tratada quirúrgicamente con fijación con placa de bloqueo anatómica y cerclaje coracoclavicular, obteniéndose resultados funcionales y radiológicos satisfactorios durante el seguimiento (último control a los 18 meses posoperatorios).
Conclusiones. En el presente caso el uso de fijación con placa de bloqueo anatómica y cerclaje coracoclavicular demostró ser una opción segura y eficaz para el tratamiento de fracturas de clavícula distal inestables con compromiso articular.
Referencias
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