Summary of case reports regarding pathological fracture clavicle
Author, year | Presentation | Diagnostic modality | Time to reach diagnosis | Management | Outcome |
Malik, 20095 | Pain after lifting a flowerpot | X-ray CT of thorax, abdomen and pelvis with contrast for primary cancer Bone scan Open biopsy | At least 4 months | Referral to oncologist | Not mentioned |
To, 20127 | Shoulder drooping 5 year after radiotherapy for nasopharyngeal carcinoma | X-ray Bone scan | 1 year | Conservative | Remained asymptomatic |
Strauss, 19828 | Pain after putting on trousers 15 months after submandibular gland excision and radical neck dissection | X-ray Bone scan Needle biopsy | At least 7 weeks | Surgical claviculectomy and flap coverage | Minimal functional limitation |
Pellard, 20059 | Pain 5 months after radiotherapy for laryngeal carcinoma | X-ray Bone scan Open biopsy | Not mentioned | Conservative | Remained asymptomatic |
Niikura, 201210 | Atraumatic fracture diagnosed 8 years after radiotherapy for nasopharyngeal carcinoma | X-ray Bone scan MRI | 1 year | Initial conservative failed Followed by open reduction internal fixation with plate and screws | Asymptomatic and full range of shoulder motion |