Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2022; 10(29): 10529-10534
Published online Oct 16, 2022. doi: 10.12998/wjcc.v10.i29.10529
Surgical treatment of bipolar segmental clavicle fracture: A case report
Lin Liang, Xin-Lei Chen, Ye Chen, Nian-Nian Zhang
Lin Liang, Nian-Nian Zhang, Department of Orthopedics, Shangyu People’s Hospital of Shaoxing City, Shaoxing 312000, Zhejiang Province, China
Xin-Lei Chen, Ye Chen, Department of Orthopedics, Haimen People’s Hospital, Nantong 226000, Jiangsu Province, China
Author contributions: Liang L, Chen XL, and Chen Y contributed to conceptualization; Liang L and Zhang NN contributed to data curation and investigation; Liang L conducted the project administration; Liang L and Chen XL wrote the original draft, and reviewed and edited the manuscript; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: All authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Xin-Lei Chen, Doctor, Doctor, Department of Orthopedics, Haimen People’s Hospital, No. 1201 Beijing Middle Road, Haimen District, Nantong 226000, Jiangsu Province, China.
Received: May 27, 2022
Peer-review started: May 27, 2022
First decision: July 13, 2022
Revised: July 21, 2022
Accepted: August 24, 2022
Article in press: August 24, 2022
Published online: October 16, 2022

Shoulder injuries caused by trauma are common, including clavicle fractures. Even so, bipolar segmental fracture of the clavicle is extremely rare and seldom reported. Therefore, there is still a controversial issue about how to treat these bipolar segmental clavicle fractures.


A 56-year-old security guard arrived at our emergency room after falling on his electric bicycle. There was no loss of consciousness or other pain. He had no numbness in his fingers. X-rays and 3D computed tomography revealed that the patient's right shoulder had a bipolar segmental clavicle fracture. The surgical procedure included both open reduction and internal fixation. At the 1-year follow-up, he had a full range of motion and minimal discomfort in the injured shoulder.


We provide a rare case of bipolar clavicle facture in the right clavicle. We hold the opinion that such patients would get better clinical and radiological outcomes by early and correct operation.

Keywords: Bipolar segmental clavicle fracture, Arm sling, Open reduction and internal fixation, Acromioclavicular hook plate, Case report

Core Tip: A rare case of bipolar clavicle fracture due to trauma is reported. Early operation provides a possibility for such patients to recover well later.