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This case report describe the clinical course and management of a 37-year-old right hand dominant male sustained a comminuted, displaced midshaft fracture of his left clavicle as the result of a motorcycle accident He did not incur any other injuries After discussing the treatment options, a decision was taken to proceed with open reduction and plate fixation of his left clavicular fracture The procedure was performed under general anaesthesia in the beach chair position A direct incision was made over the left clavicle and the fracture was exposed and reduced The fracture was stabilised using a pre-contoured titanium plate with a combination of nonlocking and locking screws No concerns were reported in the peri-operative period by the anaesthetic team A routine check x-ray of the left clavicle was obtained the following day which demonstrated an excessively long medial screw Pneumothorax in relation to clavicular fractures is a well-described preoperative complication existing in the literature In this case, the patient had a preoperative chest x-ray which did not demonstrate pulmonary trauma and given the excessive difference in length between the most medial screw and the adjacent screw we conclude that the patient incurred an iatrogenic pneumothorax due to surgical error
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First case of COVID-19 in Ireland
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