Abstract
Case: – An 80-year-old man with osteoporosis sustained a complex, comminuted medial clavicle (MC) fracture that failed nonoperatively. A novel reconstruction involved MC resection, midclavicle distraction osteoplasty (DO) with iliac crest bone graft, and sternoclavicular (SC) joint reconstruction using a semitendinosus tendon allograft. By 1 year, the patient achieved successful healing and functional recovery.Conclusion: – Patients with excessive MC bone loss may require a clavicular lengthening to approximate the MC to the manubrium. Restoring clavicular length through a DO in conjunction with a SC joint reconstruction using a tendon allograft is a salvage maneuver which can yield a successful outcome.
| Original language | English (US) |
|---|---|
| Article number | e25.00684 |
| Pages (from-to) | 1-6 |
| Number of pages | 6 |
| Journal | JBJS case connector |
| Volume | 16 |
| Issue number | 2 |
| DOIs | |
| State | Published - Jan 2026 |
Bibliographical note
Publisher Copyright:Copyright © 2026 by The Journal of Bone and Joint Surgery, Incorporated
Keywords
- clavicular distraction
- Medial clavicle fracture
- osteogenesis
- osteoplasty
- Reconstruction
- Semitendinosus tendon allograft
- Sternoclavicular joint
PubMed: MeSH publication types
- Journal Article
- Case Reports
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