Midshaft clavicle fractures associated with atlantoaxial rotatory displacement: A report of two cases

Richard E. Bowen, Jung Y. Mah, Norman Y. Otsuka

Research output: Contribution to journalArticle

4 Scopus citations


Two cases of clavicle fractures associated with atlantoaxial rotatory displacement as well as 11 additional cases from the literature are presented. Most cases occur in girls 6 to 10 years old. The head is most often laterally bent toward and rotated away from the fractured clavicle. There is often a delay in making the diagnosis, which is best demonstrated by dynamic CT. Treatment of the clavicle fracture is straightforward, but failure to recognize and treat the C1-2 rotatory displacement promptly can lead to fixed C1-2 defonnity. Displacement recognized within the first 3 weeks of injury can be successfully treated nonoperatively. A delay of 6 weeks or greater in the diagnosis leads to fixed deformity at C1-2 that can be addressed with a limited cervical fusion.

Original languageEnglish (US)
Pages (from-to)444-447
Number of pages4
JournalJournal of Orthopaedic Trauma
Issue number6
Publication statusPublished - Jul 1 2003



  • Atlantoaxial rotatory displacement
  • Clavicle fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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