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. 2026 Mar 18;13:1729706. doi: 10.3389/fsurg.2026.1729706

Figure 3.

Panel A shows a patient positioned for surgery with a marked incision site along the clavicle. Panel B depicts an open surgical field with retractors and a green arrow indicating a structure near the clavicle. Panel C shows the operative site during the procedure with surgical instruments and exposed tissues. Panel D displays the site after fixation of the clavicle using a metal plate and screws. Panel E presents a removed segment of bone with a ruler for scale. Panel F provides an X-ray image showing the clavicle with surgical fixation hardware in place. Panel G shows the post-operative patient with a healed incision and visible hardware along the clavicle.

(A) The patient is positioned in the left decubitus position, and a right supraclavicular surgical incision is created. (B) The brachial plexus is carefully dissected and protected (green arrow). (C) The resected first rib is extracted through the infraclavicular space. (D) Anatomical reduction of the clavicle is achieved using an anatomically contoured locking plate. (E) Gross specimen of the resected first rib and the cross-section shows the tumor within the rib and clear surgical margins. (F) A postoperative X-ray confirms stable clavicular fixation. (G) A photo of the surgical wound after surgery.