Tong Jian, Zhang Ming, Yu Qing
Department of Orthopaedics, Taizhou School of Clinical Medicine, The Affiliated Taizhou People's Hospital of Nanjing Medical University, Nanjing Medical University, Taizhou, Jiangsu, China.
Front Surg. 2025 May 13;12:1562213. doi: 10.3389/fsurg.2025.1562213. eCollection 2025.
Bilateral medial third clavicle fractures are very rare, with only very few cases reported in the literature. The mechanism underlying this type of fracture is often complex, and so far, its treatment remains controversial. We report a case of bilateral medial third clavicle fractures after a traffic accident. X-ray showed dislocation of bilateral medial third clavicles. The patient was cured by surgery and instrument fixation. Both clavicles were fixed using an inverted anatomic locking plate. The patient had excellent shoulder function after 2 years of surgery. Clavicle stability is necessary for normal shoulder function, and surgical fixation is becoming a trend for displaced medial third clavicle fractures. In this study, we reported a patient with bilateral clavicle fractures of the medial third who was treated by surgery and achieved excellent shoulder movement. An inverted anatomic locking plate is an effective internal fixation material for treating this type of fracture.
双侧锁骨中1/3骨折非常罕见，文献中仅报道过极少数病例。这类骨折的潜在机制通常很复杂，迄今为止，其治疗仍存在争议。我们报告1例交通事故后双侧锁骨中1/3骨折的病例。X线显示双侧锁骨中1/3脱位。患者通过手术及器械固定治愈。双侧锁骨均使用倒置解剖锁定钢板固定。术后2年患者肩部功能良好。锁骨稳定性对于正常肩部功能很有必要，手术固定正成为移位性锁骨中1/3骨折的一种趋势。在本研究中，我们报告了1例接受手术治疗且肩部活动良好的双侧锁骨中1/3骨折患者。倒置解剖锁定钢板是治疗这类骨折的一种有效内固定材料。
