We present a case of asymptomatic non-union of distal clavicle fracture in an older adult who experienced late-onset skin dehiscence and a secondarily open fracture. We adopted a simplified surgical approach involving resection of the protruding medial clavicular fragment instead of fixation of the non-union. This approach led to the rapid healing of soft tissues while maintaining an ulcer-free status and adequate shoulder function at the one-year follow-up. Skin necrosis, a frequent complication of acute distal clavicle fractures, may also occur in non-union. In a low-demand elderly patient, a conservative surgical approach involving local non-union spur resection yielded favorable outcomes.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602408 | PMC |
http://dx.doi.org/10.7759/cureus.72557 | DOI Listing |
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