RESUMO
The aim of this report is to present a very rare case of unstable clavicular and scapular neck fracture of both shoulder girdles. A thirty one years old male sustained a double floating shoulder injury, fracture transverse process third lumbar vertebra and chest wall contusion in a road traffic accident. He was treated by open reduction and internal fixation of both clavicle and scapula on one side and with only clavicular stabilization on the other, with 3.5 reconstruction plates 6 days after injury. Twelve months after injury at the last follow up, the patient was satisfied with result of the treatment. The function of the shoulder at that time was evaluated using the scoring system of Constant and Murely, and it was [95 points] on both sides and a radiographic examination of both shoulders revealed the fractures healed in a satisfactory position. The conservative treatment affords good results in cases with undisplaced fractures. In the case of bilateral unstable fractures treated surgically, and excellent results was achieved