INTRODUCTION:

Bilateral clavicle fracture is a rare occurrence and

associated with high energy trauma.1 We would

like to present a case report of a patient sustained

bilateral clavicle fracture after a low energy

trauma

Mohamad Ridhwan, Mohd Muhaimin

Ong, Lik Han

Phang, Z. H

Unimas Institutional Repository

Trivial isolated bilateral clavicle fracture: a case report  1Mohd Muhaimin, Mohamad Ridhwan, LH Ong 2ZH Phang 1Orthopaedic department, Faculty of Medicine and Health Sciences, Universiti Malaysia Sarawak 2Orthopedic department, Hospital Umum Sarawak   INTRODUCTION:Bilateral clavicle fracture is a rare occurrence and associated with high energy trauma.1 We would like to present a case report of a patient sustained bilateral clavicle fracture after a low energy trauma.   REPORT: Our case report presents a 36 year old female with no comorbidities, had a self-accident while riding motorcycle alone. Post trauma patient still able to get up by herself, only complained of bilateral shoulder pain.   Patient went to seek treatment to a nearby clinic a day later, however patient was given 2 weeks follow up for her injuries. Later, patient was referred to our center after 2 weeks follow up due to persistent pain. Throughout the period, patient denied any breathing difficulties or other bony injuries.   Patient was counselled for operation upon review in our center and went for bilateral clavicle plating under elective setting. On our preoperative assessment, the skin condition is good, no evidence of ecchymosis or skin tentin. Neurovascular status is intact for bilateral upper limbs. Internal fixation using anatomical 3.5mm locking plates were used and procedure was uneventful.   Post operative follow up showed excellent results with good range of motion over bilateral shoulder joints. Xray radiograph showed good union over bilateral clavicle.   We decided to go for surgical fixation as both fractures are displaced and causing persistent pain to the patient even after conservative measures of immobilization and pain control. As surgical intervention reduced risk of non-union, this factor must be considered to achieve faster functional recovery.2 Current evidence is still debatable of when to do the surgery and is decided based on the functional demand and symptoms presented by the patient.   CONCLUSION: Isolated bilateral clavicle fracture is uncommon, and surgery is an option in cases of displaced fracture and persistent pain.     Figure 1: Patient preoperative xray    Figure 1: Preoperative skin condition    Figure 2: Post operative xray     REFERENCES:  1. Mishra, A, Acharya, K, Timilsina, A, et al. Isolated bilateral clavicular fracture: A case report. Clin Case Rep. 2022  2. Bajuri MY, Boon HW. Bilateral Clavicle Fractures: A Case Report. Malays Orthop J. 2018 Mar;12(1):60-62. Malaysian Orthopaedic Journal 2023 Vol 16, Supplement A

Trivial isolated bilateral clavicle fracture : a case report

http://ir.unimas.my/id/eprint/43387/2/OT07.pdf

Trivial isolated bilateral clavicle fracture : a case report

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