The medial clavicle fracture is a rare injury and almost all the times conservatively treated. Therefore, the number of operations reported in the literature are limited. Posterior dislocation can result in serious complications and such injuries require rapid diagnosis followed by effective treatment to avoid future complications. The present case reports a case of a 33-year-old healthy man that was involved in a high-fall, being diagnosed with a rare displaced medial clavicular fracture associated with an unstable posterior lateral fragment dislocation surgically treated. Imagiological images and intraoperative photographs are presented. The authors collected this case in order to report this rare and complex injury. The treatment chosen to manage seems to give a good functional and radiographic recovery.
Olecranon fractures are common upper extremity fractures usually subject to surgical fixation. Several options exist for olecranon fracture treatment, tension band, plating, intramedullary nail and fragment excision with triceps advancement are the most used but no technique is suitable for the management of all olecranon fractures and each one is associated with more or less prevalence of the most common complications, namely loss of motion, nonunion, malunion, infection, wound dehiscence, instability, symptomatic hardware, ulnar neuritis, posttraumatic arthritis, and heterotopic ossification. Overall final outcomes of olecranon fractures treatment are good, fracture union is the expected outcome regardless the osteosynthesis method and functional outcome is good to excellent in the great majority of patients.This article reviews the treatment of olecranon fractures and its complications. For a better understanding and treatment of this fracture the elbow relevant anatomy and olecranon fracture morphology are also reviewed.
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