Bilateral Non-Displaced Clavicle Fractures: A Very Rare Case Report.

INTRODUCTION

Bilateral clavicle fractures are rare injuries, particularly when both fractures are non-displaced, accounting for less than 0.5% of all clavicle fractures. These injuries are typically associated with high-energy trauma, such as road traffic accidents or falls from height. Diagnosis may be challenging, as plain radiographs can miss subtle or non-displaced fractures, necessitating advanced imaging, such as computed tomography (CT) for accurate detection.

CASE REPORT: We report the case of a 21-year-old male who sustained bilateral non-displaced midshaft clavicle fractures following a high-speed road traffic accident. Initial radiographs were inconclusive despite persistent clinical suspicion. CT imaging subsequently confirmed bilateral fractures involving the middle third of the clavicles. The patient was managed conservatively with bilateral arm slings, analgesia, and activity restriction. At 12-week follow-up, radiographs demonstrated satisfactory fracture union with callus formation. The patient achieved full, pain-free range of motion, including forward flexion (0-180°), abduction (0-180°), and external rotation (0-90°), without complications. This case highlights an important diagnostic pitfall and underscores the role of CT imaging in patients with suspected clavicle fractures and negative radiographs. It also reinforces the effectiveness of conservative management in non-displaced bilateral clavicle fractures, which can result in excellent functional outcomes.

CONCLUSION

Non-displaced bilateral midshaft clavicle fractures are exceptionally rare injuries that may be easily overlooked, particularly in the setting of high-energy trauma, where initial radiographs can be inconclusive. This case highlights a critical diagnostic pitfall, emphasizing that persistent clinical suspicion should prompt advanced imaging, such as CT, to ensure accurate and timely diagnosis.

CATEGORIES: Radiology, Trauma, Orthopedics, hand surgery, fracture, clavicle radiology.