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A 25-year-old woman with (A) midshaft clavicular fracture with clavicle shortening. (B) A postoperative radiograph shows good reduction. (C) Surgical incisions: the black arrow indicates the incision near the sternoclavicular joint where the titanium elastic nail (TEN) was inserted. The tail of the nail was buried and the incision closed. The white arrow indicates the incision for fracture reduction. (D) A radiograph after TEN removal.
