Published online Sep 26, 2021. doi: 10.12998/wjcc.v9.i27.8242
Peer-review started: May 4, 2021
First decision: June 24, 2021
Revised: July 5, 2021
Accepted: August 3, 2021
Article in press: August 3, 2021
Published online: September 26, 2021
One of the most common complications following surgery for midshaft clavicle fracture is nonunion/delayed union. Extracorporeal shock wave therapy (ESWT) is an alternative to promote new bone formation without surgical complications. To date, no literature has reported low-intensity ESWT (LI-ESWT) in delayed union of midshaft clavicle fracture.
We reported a 66-year-old Chinese amateur cyclist with clavicle delayed union treated with 10 sessions of LI-ESWT (radial, 0.057 mJ/mm2, 3 Hz, 3000 shocks). No anesthetics were applied, and no side effects occurred. At the 4 mo and 7 mo follow-ups, the patient achieved clinical and radiographical recovery, respec
In conclusion, our findings indicated that LI-ESWT could be a good option for treating midshaft clavicular delayed union.
Core Tip: Clavicle fracture is a common injury for cyclists, and surgical intervention could result in nonunion or delayed union. This is the first case report in the literature of low-intensity extracorporeal shock wave therapy treating midshaft clavicular delayed union. Our treatment protocol was unique in low-energy dosage, radial pattern, and multiple sessions. The clinical and radiographical outcomes were good, and the patient was able to return to sports, specifically amateur cycling, after a relatively short treatment period. The findings of this study could be particularly valuable for treating delayed union of clavicle fracture in athletes.