scholarly journals Efficacy analysis of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668448 ◽  
Author(s):  
Chuanyi Zhang ◽  
Lie Lin ◽  
Junbo Liang ◽  
Bin Wang ◽  
Guofu Chen ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Intraoperative Complications ◽  
Clavicle Fracture ◽  
Sternoclavicular Joint ◽  
Posterior Dislocation ◽  
Hook Plate ◽  
Fracture Dislocation ◽  
Joint Dislocation ◽  
Efficacy Analysis ◽  
Medial Clavicle

Purpose: Sternoclavicular joint is an amphiarthrodial joint formed by the clavicle and sternal manubrium. This joint becomes chronically unstable in case of a medial clavicle dislocation or fracture, and improper treatment could cause malformation and pain. We aimed to determine the efficacy of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. Methods: Between June 2011 and December 2013, the sternoclavicular hook plate was used to surgically treat 32 adult patients with unstable sternoclavicular joint dislocation or fracture. Of these, 12 and 5 patients suffered from anterior and posterior dislocation of the sternoclavicular joint, respectively, 10 had medial clavicle fracture, and 5 had fracture dislocation. For anterior fracture dislocation, the standard sternoclavicular hook plate was used, while for the posterior dislocation, screws were added at the distal end of the hook plate, anterior to the sternal manubrium, to prevent postoperative redislocation. Results: No intraoperative complications were observed during the procedure. Postoperative X-ray and computed tomography revealed normal anatomical positions of sternoclavicular joints and excellent positions of internal fixation. About 3–6 months after surgery, all patients achieved primary healing without redislocation of the sternoclavicular joint along with satisfactory restoration of anatomical structures of the medial clavicle; nine patients had swelling but no pain around the sternoclavicular joints. Internal fixation was removed in 29 patients 6–12 months postoperatively and no sequelae were observed. Conclusion: This novel sternoclavicular hook plate demonstrated excellent efficacy and could provide a reliable therapeutic approach for this kind of trauma.

scholarly journals Elastic Intramedullary Nailing of a Medial Clavicle Fracture in a Pediatric Patient

2017 ◽  
Vol 2017 ◽  
pp. 1-4
Author(s):  
Michael J. Stark ◽  
Michael J. DeFranco
Keyword(s):  
Internal Fixation ◽  
Pediatric Patient ◽  
Intramedullary Nail ◽  
Clavicle Fracture ◽  
Complete Healing ◽  
Sternoclavicular Joint ◽  
Successful Outcome ◽  
Implant Complications ◽  
Clavicle Fractures ◽  
Medial Clavicle

Introduction. Injuries to the medial clavicle in pediatric patients typically involve the physis and/or sternoclavicular joint. Clavicle fractures are one of the most common injuries in children, but ones at its medial end are rare. Most medial clavicle fractures are treated nonoperatively, but surgery is indicated in some cases. This original case report is unique in describing the use of an elastic intramedullary nail for fixation of a completely displaced medial clavicle fracture in a pediatric patient. Case Presentation. A pediatric patient sustained a completely displaced fracture of the medial clavicle. The fracture was lateral to the medial physis of the clavicle and did not involve the sternoclavicular joint. Internal fixation was achieved in an anatomic position with an elastic intramedullary nail. The postoperative course was unremarkable and resulted in complete healing of the fracture in an anatomic position. The patient returned to full activities without any pain or dysfunction. Conclusion. The use of elastic intramedullary nails is a viable option for internal fixation of displaced medial clavicle fractures. Knowledge of the surgical anatomy, potential implant complications, and rehabilitation principles is essential to a successful outcome.

scholarly journals Clinical and Radiological Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocations and Distal Clavicle Fractures

2018 ◽  
Vol 21 (2) ◽  
pp. 95-100
Author(s):  
Joo Han Oh ◽  
Seunggi Min ◽  
Jae Wook Jung ◽  
Hee June Kim ◽  
Jae Yoon Kim ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Clavicle Fracture ◽  
Hook Plate ◽  
Distal Clavicle ◽  
Ac Joint ◽  
Joint Dislocation ◽  
Group I ◽  
Joint Dislocations ◽  
Ac Joint Dislocation ◽  
Group Ii

BACKGROUND: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures.METHODS: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications.RESULTS: At the removal, the pain VAS was 2.69 ± 1.30 and 4.10 ± 2.14 in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was 9.59 ± 1.60 and 7.81 ± 2.67 in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant.CONCLUSIONS: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

A Method for Open Reduction and Internal Fixation of the Unstable Posterior Sternoclavicular Joint Dislocation

1997 ◽  
Vol 11 (5) ◽  
pp. 378-381 ◽  
Author(s):  
Mark R. Brinker ◽  
Reed L. Bartz ◽  
Patrick R. Reardon ◽  
Michael J. Reardon
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Sternoclavicular Joint ◽  
Joint Dislocation

scholarly journals Bilateral Posterior Fracture Dislocation of Shoulder

2013 ◽  
Vol 3 (1) ◽  
pp. 31-34
Author(s):  
Himanshu Shah ◽  
Rajiv Daveshwar
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Adult Male ◽  
Open Reduction ◽  
Convulsive Seizure ◽  
Posterior Dislocation ◽  
Fracture Dislocation

Posterior dislocation of shoulder is relatively uncommon entity. Posterior fracture dislocation of shoulder is even rare and bilateral posterior fracture dislocation of shoulder is even rarest entity. We present a case of 45 years of adult male having bilateral posterior fracture dislocation of shoulder following convulsive seizure and treated with open reduction and internal fixation with satisfactory functional outcome. DOI: http://dx.doi.org/10.3126/noaj.v3i1.9324   Nepal Orthopedic Association Journal 2013 Vol.3(1): 31-34

scholarly journals Hook plate for medial clavicle fracture

2010 ◽  
Vol 44 (2) ◽  
pp. 221 ◽  
Author(s):  
J Gille ◽  
AP Schulz ◽  
S Wallstabe ◽  
A Unger ◽  
C Voigt ◽  
...  
Keyword(s):  
Clavicle Fracture ◽  
Hook Plate ◽  
Medial Clavicle

scholarly journals Sternoclavicular Joint Reconstruction for Medial Clavicle Fracture Nonunion

2021 ◽  
Vol 35 (2) ◽  
pp. S9-S10
Author(s):  
Nicole M. Stevens ◽  
Emily Pflug ◽  
Dylan T. Lowe ◽  
Philipp Leucht
Keyword(s):  
Clavicle Fracture ◽  
Sternoclavicular Joint ◽  
Joint Reconstruction ◽  
Fracture Nonunion ◽  
Medial Clavicle

scholarly journals Treatment Outcomes of Anterior Sternoclavicular Joint Dislocation using An Acromioclavicular Joint Hook Plate Versus a Locking Plate: A Retrospective Study.

2021 ◽  
Author(s):  
Yanzhen Qu ◽  
Xudong Xie ◽  
Wu Zhou ◽  
Tian Xia ◽  
Faqi Cao ◽  
...  
Keyword(s):  
Blood Loss ◽  
Acromioclavicular Joint ◽  
Locking Plate ◽  
Sternoclavicular Joint ◽  
Hook Plate ◽  
Plate Versus ◽  
Joint Dislocation ◽  
Female Patients ◽  
The Mean ◽  
Better Than

Abstract Background: We aimed to compare the efficacy and functional outcomes of using an acromioclavicular joint hook plate (AJHP) versus a locking plate (LP) in the treatment of anterior sternoclavicular joint dislocation.Methods: Seventeen patients with anterior sternoclavicular joint dislocation were retrospectively analyzed from May 2014 to September 2019. Six patients were surgically treated with an AJHP, and 11 were surgically treated with an LP. Five male and one female patients comprised the AJHP group, and nine male and two female patients comprised the LP group. The mean age of all patients was 49.5 years.Results: Reduction and fixation were performed with AJHP or LP in all 17 patients. All patients were followed up for a mean duration of 14.4 months. There were no reported complications, wound infections, or instances of plate or screw breakage. The mean operative blood loss, operative time, and length of incision in the AJHP group were significantly better than those in the LP group. Shoulder girdle movement of the AJHP group was significantly better than that of the LP group.Conclusions: This study revealed that AJHP facilitated glenohumeral joint motion, reduced the risk of rupture of mediastinal structures, required a shorter incision, and had less blood loss and a shorter duration of operation compared with LP. However, some deficiencies require further improvement.Trial registration:

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