Bipolar clavicular fracture on ipsilateral reverse shoulder prosthesis: Case report

Joseph Maalouly; Dany Aouad; Jamal Saade; Ghadi Abboud; Georges El Rassi

doi:10.1016/j.ijscr.2019.10.082

Bipolar clavicular fracture on ipsilateral reverse shoulder prosthesis: Case report

Int J Surg Case Rep. 2019:65:176-179. doi: 10.1016/j.ijscr.2019.10.082. Epub 2019 Nov 3.

Authors

Joseph Maalouly¹, Dany Aouad², Jamal Saade³, Ghadi Abboud⁴, Georges El Rassi⁵

Affiliations

¹ Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, St Georges Street, Beirut, 1100 2807, Lebanon. Electronic address: [email protected].
² Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, St Georges Street, Beirut, 1100 2807, Lebanon. Electronic address: [email protected].
³ Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, St Georges Street, Beirut, 1100 2807, Lebanon. Electronic address: [email protected].
⁴ Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, St Georges Street, Beirut, 1100 2807, Lebanon. Electronic address: [email protected].
⁵ Department of Orthopedic Surgery and Traumatology, Saint Georges University Medical Center, Balamand University, P.O. Box 166378 Achrafieh, St Georges Street, Beirut, 1100 2807, Lebanon. Electronic address: [email protected].

Abstract

Background: Bipolar clavicular fractures are extremely rare with no consensus on management. No previous cases of bipolar clavicular fracture on an ipsilateral reverse shoulder prosthesis have been reported.

Case presentation: We report a case of a 78y.o female patient with left bipolar clavicular fracture on ipsilateral reverse shoulder prosthesis, associated with multiple ribs fracture, that was treated with open reduction and internal fixation using k-wires and endobutton for the lateral part, while as the medial part was fixed with plate and screws.

Conclusions: Any patient with a clavicle fracture, with a history of sequential forces to the clavicle, a bipolar injury should always be suspected. Attention should be given if any implants are present on the ipsilateral side of the injury, which could affect surgical planning and outcome.

Keywords: Bipolar; Clavicle; Fracture; Reverse shoulder prosthesis; Trauma.