Distal clavicle fracture treated with a titanium elastic nai
The following case has been reported in the journal Trauma Case Reports. It is generally known to use internal fixation using a hook plate or Kirschner wire as an operative treatment for distal clavicle fracture.

TEN is a surgical technique that is mainly used in clavicle mid-shaft fracture, and there is no reported case for distal clavicle. The authors report a case of distal clavicle fracture treated with TEN.

A 19-year-old man came to the emergency department with right shoulder pain after bicycle accident. The radiographs showed a distal clavicle fracture without apparent disruption of the acromioclavicular joint (AC-joint) and classification with a Neer type IIA fracture pattern.

One day after trauma the patient was treated with closed reduction and internal fixation using a titanium elastic nail (TEN). At 6 months postoperatively, there was no complication and radiograph showed good distal clavicle union. Therefore removal of a TEN was performed.

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