Bilateral clavicle nonunion is extremely rare (4 published cases), and no case of bilateral distal clavicle nonunion has been reported in the literature. We present the case of a 75-year-old patient followed up for chronic obstructive pulmonary disease, presenting a bilateral fracture of the distal clavicle type “Neer 1” following a road traffic accident and orthopedically treated. After 1 year, the patient complained of mild pain at both shoulders occasionally in cold weather and during an unusual effort without neurovascular symptom associated. The shoulder radiographs showed bilateral distal clavicle nonunion. We chose a conservative treatment because of the mild symptomatology, advanced age, and limited functional demands. The functional outcome was satisfactory. The therapeutic decision in the treatment of the bilateral distal clavicle nonunion is difficult, whereas the therapeutic indications are based on symptomatology, functional impairment, age, comorbidities, and functional demands.
Case Rep Orthop Res 2021;4:152–156

中文翻译：

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双侧锁骨远端骨不连：病例报告

双侧锁骨骨不连极为罕见（4 例已发表病例），文献中尚未报道双侧锁骨远端骨不连的病例。我们介绍了一名 75 岁的慢性阻塞性肺疾病患者，在道路交通事故后出现双侧锁骨“Neer 1”型骨折并接受骨科治疗。1年后，患者主诉双肩轻度疼痛，偶尔在寒冷的天气和不寻常的努力期间，没有神经血管症状。肩部X线片显示双侧锁骨远端骨不连。由于症状轻微、年龄大、功能需求有限，我们选择了保守治疗。功能结果令人满意。
案例代表 Orthop Res 2021；4:152–156