VOLUME 3 , ISSUE 1 ( April, 2008 ) > List of Articles
Tibor Antonius Johannes Poelmann, Heleen Muriel Staal, Willem Jacob Willems
Keywords : Clavicle, Stress fracture, CT, Occupational history, Usura
Citation Information : Poelmann TA, Staal HM, Willems WJ. A pseudo-iatrogenic case of medial clavicular fracture. 2008; 3 (1):23-25.
DOI: 10.1007/s11751-007-0027-3
License: CC BY-NC-SA 4.0
Published Online: 01-08-2019
Copyright Statement: Copyright © 2008; The Author(s).
Medial fractures are the least common type of clavicular fracture (2–10%). The patient is a 29-year-old gynaecology resident with hyper-laxity and sternoclavicular instability. The latter had been surgically stabilized with Dacron® tape, which eroded the bone causing an usura. Acute right shoulder pain occurred 10 years later. CT revealed medial clavicular stress fracture. After 4 weeks of conservative management, internal fixation followed. Five months postoperatively the patient performed all activities without pain. In this patient the weakened medial clavicle due to usura clearly played a role in both the site and nature of the fracture. Furthermore, CT is essential in arriving at the correct diagnosis.
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