1. Traumatic medial clavicle fracture induced by chin bar of a full-face helmet following a downhill mountainbike accident.
- Author
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Schmitt T, Pfalzer F, Huth J, and Mauch F
- Subjects
- Accidents, Adult, Austria, Chin, Humans, Bicycling injuries, Clavicle injuries, Fracture Fixation, Internal, Fractures, Bone etiology, Fractures, Bone surgery, Head Protective Devices adverse effects
- Abstract
Downhill mountain biking is a rapidly growing sport. In our case we want to present an isolated medial clavicular fracture following a mountain bike accident with a critical review on the used protection device. A 35 year old healthy patient presented to our hospital after bike accident during downhill mountain biking in Austria with pain over his right medial clavicle. The imaging showed a multifragmentary medial clavicle fracture with an intact SC-joint. Surgical intervention was recommended. Postoperative x-rays showed an anatomic reposition and correct plate positioning. The implant was removed after 18 months without any complications. A full-face helmet with a chin bar is used to achieve better protection of the maxilla, mandible and the teeth. In a hyperflexion situation of the cervical spine, a direct contact of the chin bar with the sternum, sc-joint and the medial clavicle can occur. This impact sets the mentioned structures on a high risk of dislocation and fracture as seen in our case. This risk can be significantly reduced by the combined use of a full face helmet and a neck brace. If the injury is properly identified, positive results can be achieved by surgery., Competing Interests: The authors declare that they have no conflict of interest., (© Georg Thieme Verlag KG Stuttgart · New York.)
- Published
- 2020
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