Medial Clavicle Fracture Fixation Including the Sternum

2021 ◽  
Vol 11 (2) ◽  
Author(s):  
Matthew J Schultz ◽  
Eric A Barcak
Keyword(s):  
Fracture Fixation ◽  
Clavicle Fracture ◽  
Medial Clavicle

scholarly journals Single-center Experience in the Treatment of Extremely Medial Clavicle Fractures with Vertical Fixation of Double-plate

2019 ◽  
Author(s):  
He Liu ◽  
Ziyan Zhang ◽  
Baoming Yuan ◽  
Guangkai Ren ◽  
Junlong Yu ◽  
...  
Keyword(s):  
Fracture Healing ◽  
Plate Fixation ◽  
Clavicle Fracture ◽  
Shoulder Function ◽  
Single Center Experience ◽  
Clavicle Fractures ◽  
Postoperative Fracture ◽  
Medial Clavicle ◽  
First Time ◽  
Contralateral Shoulder

Abstract Background: Patients suffering from medial clavicle fractures combined with displacement need surgical intervention. This research reports the effect of double-plate fixation as an innovative procedure in the treatment of extremely medial clavicle fractures.Methods: Nine patients complaint of extremely medial clavicle fracture were enrolled in this research from Mar 2017 to March 2018. Patients were treated with an open reduction and internal fixation using the double-plate technique. Postoperative X-ray was taken regularly to observe the fracture healing at each visit, and the related complications were also recorded. The rating score systems of Constant Murley score of treated shoulder and contralateral shoulder, Rowe score as well as American Shoulder and Elbow Surgeons (ASES) were questionnaire to evaluate postoperative shoulder joint function.Results: All patients achieved postoperative fracture healing with no complications. Only one patient complained of slight restriction, two patients complained of pain during overhead work, and another patient occurred plate breakage. Meanwhile, the Constant Murley scores of treated and contralateral shoulder were 94.1 and 98.5 points, respectively, indicating the similar shoulder function. Furthermore, the Rowe and ASES scores of the involved shoulder were 96.7 and 96.3 points at average, respectively.Conclusions: It is the first time to introduce the surgical technique of vertical double-plate fixation for stable fixation of extremely medial clavicle fractures, which could provide the surgeons an alternative method for this type of fracture.

Traumatic medial clavicle fracture induced by chin bar of a full-face helmet following a downhill mountainbike accident

2020 ◽  
Vol 34 (01) ◽  
pp. 48-50
Author(s):  
Thilo Schmitt ◽  
Florian Pfalzer ◽  
Jochen Huth ◽  
Frieder Mauch
Keyword(s):  
Surgical Intervention ◽  
Clavicle Fracture ◽  
Mountain Biking ◽  
X Rays ◽  
Protection Device ◽  
Mountain Bike ◽  
Combined Use ◽  
Full Face ◽  
Medial Clavicle ◽  
Positive Results

AbstractDownhill mountain biking is a rapidly growing sport. In our case we want to present an isolated medial clavicular fracture following a mountain bike accident with a critical review on the used protection device. A 35 year old healthy patient presented to our hospital after bike accident during downhill mountain biking in Austria with pain over his right medial clavicle. The imaging showed a multifragmentary medial clavicle fracture with an intact SC-joint. Surgical intervention was recommended. Postoperative x-rays showed an anatomic reposition and correct plate positioning. The implant was removed after 18 months without any complications. A full-face helmet with a chin bar is used to achieve better protection of the maxilla, mandible and the teeth. In a hyperflexion situation of the cervical spine, a direct contact of the chin bar with the sternum, sc-joint and the medial clavicle can occur. This impact sets the mentioned structures on a high risk of dislocation and fracture as seen in our case. This risk can be significantly reduced by the combined use of a full face helmet and a neck brace. If the injury is properly identified, positive results can be achieved by surgery.

Plating of a Periarticular Medial Clavicle Fracture

Orthopedics ◽  
2009 ◽  
Vol 32 (5) ◽  
pp. 366-368 ◽  
Author(s):  
Mark McKenna ◽  
James Widmaier
Keyword(s):  
Clavicle Fracture ◽  
Medial Clavicle

Distal-third clavicle fracture fixation: a biomechanical evaluation of fixation

2013 ◽  
Vol 22 (6) ◽  
pp. 848-855 ◽  
Author(s):  
G. Ryan Rieser ◽  
Kenny Edwards ◽  
Gregory C. Gould ◽  
Ronald J. Markert ◽  
Tarun Goswami ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Clavicle Fracture ◽  
Biomechanical Evaluation

scholarly journals Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute) Complicated by an Intraoperative Pneumothorax

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
John G. Skedros ◽  
Alex N. Knight ◽  
Chad S. Mears ◽  
Tanner D. Langston
Keyword(s):  
Surgical Complication ◽  
Clavicle Fracture ◽  
Complication Rates ◽  
Term Outcome ◽  
Long Term Outcome ◽  
Clavicle Fractures ◽  
Preoperative Plan ◽  
Medial Clavicle ◽  
Two Stages

Double (segmental) clavicle fractures, involving both the medial and lateral aspects of the clavicle, are very uncommon. Even less common is an asynchronous double fracture with one of the fractures being a nonunion. We report the case of a 30-year-old healthy male patient who had an unusual double clavicle fracture (medial nonunion, lateral acute) that occurred in separate traumatic events during motocross (motorcycle) racing. His fractures were treated surgically in two stages. In the first stage a long reconstruction plate was used that spanned onto the sternum and two transcortical screws were placed into the manubrium to enhance purchase for the deficient bone of the medial clavicle. In accordance with the preoperative plan, the medial one-third of the plate and the medial four screws (of the total 13 used) were removed. Although our patient had an excellent final result, he did have an intraoperative pneumothorax that was treated uneventfully with a chest tube. Medial clavicle fractures are difficult to treat, especially if they are nonunions and surgical complication rates can be high. Our case is one of the few that has been described where temporary sternoclavicular plating was successful in achieving an excellent long-term outcome.

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 Unusual Migration of Kirschner's Wire into Intervertebral Foramen after Lateral Clavicle Fracture Fixation: A Case Report

2014 ◽  
Vol 17 (2) ◽  
pp. 77-79 ◽  
Author(s):  
Jin Ho Lee ◽  
Jae Yoon Chung ◽  
Myung Sun Kim
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Subclavian Artery ◽  
Fracture Fixation ◽  
Clavicle Fracture ◽  
Intervertebral Foramen ◽  
Lateral Clavicle Fracture ◽  
Left Clavicle ◽  
Significant Complication ◽  
Lateral Clavicle

The migration of metallic devices such as Kirschner's wire (K-wire) from the shoulder is a well-recognized and significant complication of operation, the wire ending up in the lungs, the heart, the esophagus, the aorta or the subclavian artery. However, spinal migration is very rare. We report the case of a 72-year-old female patient with K-wire migration into the C7-T1 intervertebral foramen, 2 months after surgery for a lateral end fracture of left clavicle.

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