Bilateral clavicle fractures : a case report and review of the literature

Abstract

Bilateral clavicle fractures are rare and are seldom reported on. Based on the literature review the incidence of bilateral clavicle fractures is 0.43% of clavicle fractures with an overall incidence of between 0.011 and 0.017%. The common mechanism of injury is one of a compressive force across both shoulder girdles and is different from that causing unilateral clavicle fractures. Bilateral clavicle fractures are usually associated with high-energy impact injuries and are commonly associated with other severe injuries. These injuries are not always evident and should be actively sought for and excluded. Bilateral clavicle fractures are not commonly mentioned as an indication for operative intervention. It is suggested that bilateral clavicle fractures should be surgically managed to limit the duration of functional disability. Furthermore the use of low profile locking plates provides the ideal fixation method allowing for an earlier functional outcome.