Double trouble!!! An unusual presentation of cervical cord herniation and medial end clavicle non-union in a single patient

Abstract

Non-union of medial end clavicle is rare. Though traditionally they have been treated with conservative methods, surgery at initial presentation should be considered in these patients since conservative treatment can lead to non-union. Herniation of spinal cord, though rare, is seen in the thoracic region but can also occur in the cervical region post-traumatically as seen in our patient.

Anterior Dislocation of the Sternoclavicular Joint – A Case Report

“…The shoulder comprises four joints: the glenohumeral joint, the scapulothoracic joint, the SCJ, and the acromioclavicular joint [ 6 ]. The SCJ has an extremely limited range of motion (ROM) of 35° forward/backward and 45° forward.…”

Bilateral Clavicle Fractures Treated With Screw Intramedullary Flexible Nail

“…Traditionally, majority of the clavicle fractures have been treated conservatively due to the fear of high complication rates associated with surgical interventions but recent studies state that conservative management leads to an increased risk for non-union and shoulder dysfunction. 4,5 Along with non-union and shoulder dysfunction, conservative treatment of bilateral clavicle fractures can also completely debilitate a patient and render him dependent on others. Conservative treatment leads to increased pain causing more stiffness in the future.…”

“…Traditionally, majority of the clavicle fractures have been treated conservatively due to the fear of high complication rates associated with surgical interventions but recent studies state that conservative management leads to an increased risk for non-union and shoulder dysfunction. 4,5 If surgical intervention is opted for, there is an argument for the best type of implant. Various implants like intramedullary k wire, anatomical locking plate, and 3.5 mm reconstructive plates have been used.…”