# Mini Fragment Locking Compression Plate Fixation of a Rare Case of Displaced Medial End Clavicle Fracture

## TL;DR

A rare case of a displaced medial end clavicle fracture in a young man was successfully treated with surgical fixation using a locking compression plate.

## Contribution

This case report presents a successful surgical approach for a rare and challenging clavicle fracture using a mini fragment locking compression plate.

## Key findings

- A 28-year-old male with a displaced medial end clavicle fracture was successfully treated with open reduction and internal fixation.
- The use of a 2.4-mm mini fragment locking compression plate resulted in a good clinical and radiological outcome.
- Preoperative CT angiography and vascular surgeon standby minimized the risk of iatrogenic injury during surgery.

## Abstract

Clavicle fractures at the medial end are very rare. Even in cases where there is severe displacement, such fractures have usually been managed nonoperatively. Yet, there are many patients who remain symptomatic over a year following injury, and the non-union rate is also high. Operative intervention for displaced clavicle fractures of the medial end has been more common in the past decade. The possibility of iatrogenic injury due to the near proximity of critical vascular structures continues to be a concern. This case report describes the management of a rare displaced medial end clavicle fracture in a young male. The patient is a 28-year-old male who came with a week-old displaced medial end left clavicle fracture. On examination, tenting of skin was seen over the medial end clavicle region. CT angiography of the left upper limb was performed to check the vascular structures in relation to the fracture, as there remain concerns about the close proximity of underlying vascular structures and the potential for iatrogenic damage. A vascular surgeon was kept on standby during the surgery. The patient was taken up for surgery after a pre-anesthetic checkup and open reduction and internal fixation was done with a 2.4-mm system mini fragment locking compression plate over the anterior surface of the clavicle. The surgery was uneventful, and the patient had a good clinical and radiological outcome postoperatively.