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Case Reports in Orthopedics
Volume 2013, Article ID 386089, 4 pages
Case Report

Traumatic Floating Clavicle: A Case Report and Literature Review

Department of Orthopaedics, Christian Medical College, Vellore 632004, India

Received 23 September 2013; Accepted 25 October 2013

Academic Editors: M. Gotoh, C. C. Liao, G. Mouzopoulos, A. Murray, T. Ohno, A. Sakamoto, and T. Tsurumoto

Copyright © 2013 Mohamad Gouse et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Bipolar fracture dislocations of the clavicle are rare injuries, usually the result of high-energy direct trauma. Since the original description by Porral in 1831, only a handful of individual case reports and case series by Beckman and Sanders have been reported in the literature. Management of these injuries has remained controversial ranging from nonoperative to aggressive surgery. We report on the case of a young army cadet who had a fracture of the lateral end of the clavicle, with an anterior dislocation of the sternoclavicular joint. Despite being planned for surgery, at the patients request, it was decided to manage the lesion conservatively with graded physiotherapy. At one-year follow-up, he had full pain-free, functional range of movement of the shoulder. This young high demand patient had a good outcome with conservative management, despite going against the current trend towards surgical treatment. We present this case with a review of the literature, highlighting the various management options for this rare lesion.