Clavicule flottante, à propos d’un cas

ConclusionLa clavicule flottante est une lésion traumatique rare mais potentiellement invalidante. Son diagnostic a bénéficié de l’apport de la TDM avec reconstruction 3D permettant un bilan lésionnel précis. Le choix du traitement est difficile. Chez les patients jeunes et actifs, une réduction anatomique à ciel ouvert et une stabilisation adéquate sont recommandées.SummaryIntroductionFloating clavicle or bipolar clavicular dislocation is a rare and little-known affection of the shoulder girdle. Through a case report and a review of the literature, the authors discuss the pathogenesis, the diagnostic approach and the treatment of this pathology.Synthesis of factsAn athlete, a 35-year-old cyclist, presented a high-energy trauma to the right shoulder following a fall at a high speed. Computed tomography (CT) with three-dimensional (3D) reconstructions showed Rockwood type V acromioclavicular dislocation and antero-inferior sternoclavicular dislocation. Surgical treatment was performed with open reduction and pinning of the sternoclavicular and acromioclavicular joint. Evolution was towards secondary displacement and anterior sternoclavicular subluxation at six weeks, contrasting with a favorable clinical outcome at the last follow-up.ConclusionFloating clavicle is a rare but potentially disabling traumatic lesion. Its diagnosis has benefited from the contribution of CT with 3D reconstruction for a precise assessment of the lesions. In young and active patients, ana...
Source: Science and Sports - Category: Sports Medicine Source Type: research