Table 1

Summary of case reports regarding pathological fracture clavicle

Author, yearPresentationDiagnostic modalityTime to reach diagnosisManagementOutcome
Malik, 20095Pain after lifting a flowerpotX-ray
CT of thorax, abdomen and pelvis with contrast for primary cancer
Bone scan
Open biopsy
At least 4 monthsReferral to oncologistNot mentioned
To, 20127Shoulder drooping 5 year after radiotherapy for nasopharyngeal carcinomaX-ray
Bone scan
1 yearConservativeRemained asymptomatic
Strauss, 19828Pain after putting on trousers
15 months after submandibular gland excision and radical neck dissection
X-ray
Bone scan
Needle biopsy
At least 7 weeksSurgical claviculectomy and flap coverageMinimal functional limitation
Pellard, 20059Pain 5 months after radiotherapy for laryngeal carcinomaX-ray
Bone scan
Open biopsy
Not mentionedConservativeRemained asymptomatic
Niikura, 201210Atraumatic fracture diagnosed 8 years after radiotherapy for nasopharyngeal carcinomaX-ray
Bone scan
MRI
1 yearInitial conservative failed
Followed by open reduction internal fixation with plate and screws
Asymptomatic and full range of shoulder motion