Treatment of fractures of lateral end of clavicle with open reduction using clavicle hook plate

Bony mallet is a common sport injury, but bony mallet thumb is rarely encountered. We performed open reduction and fixation of bony mallet thumb using a hook plate procedure on a 27-year-old man under general anesthesia. The patient began working one day after surgery. Six months postoperatively, the patient had excellent dexterity according to Crawford’s evaluation criteria and no difficulties at work or playing softball. Tension band fixation, compression pins, and the extension block technique are commonly used to manage bony mallet. Despite the anatomical reduction, rigid fixation, and early resumption of motion skills offered by the hook plate technique, to our knowledge, no previous reports of its application to bony mallet thumb were found. In this case, the hook plate technique was chosen and made an early return to work possible and brought about a successful result.

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Does Subacromial Osteolysis Affect Shoulder Function after Clavicle Hook Plating?

BioMed Research International ◽

10.1155/2016/4085305 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 4

Author(s):

Siwei Sun ◽

Minfeng Gan ◽

Han Sun ◽

Guizhong Wu ◽

Huilin Yang ◽

...

Keyword(s):

Clavicle Fracture ◽

Shoulder Function ◽

Hook Plate ◽

Acromioclavicular Joint Dislocation ◽

Lateral Clavicle Fracture ◽

Significant Difference ◽

Group A ◽

Group B ◽

Clavicle Hook Plate

Purpose.To evaluate whether subacromial osteolysis, one of the major complications of the clavicle hook plate procedure, affects shoulder function.Methods.We had performed a retrospective study of 72 patients diagnosed with a Neer II lateral clavicle fracture or Degree-III acromioclavicular joint dislocation in our hospital from July 2012 to December 2013. All these patients had undergone surgery with clavicle hook plate and were divided into two groups based on the occurrence of subacromial osteolysis. By using the Constant-Murley at the first follow-up visit after plates removal, we evaluated patients’ shoulder function to judge if it has been affected by subacromial osteolysis.Results.We have analyzed clinical data for these 72 patients, which shows that there is no significant difference between group A (39 patients) and group B (33 patients) in age, gender, injury types or side, and shoulder function (the Constant-Murley scores are93.38±3.56versus94.24±3.60,P>0.05).Conclusion.The occurrence of subacromial osteolysis is not rare, and also it does not significantly affect shoulder function.

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Clavicle hook plate technique and its functional results in the treatment of acromioclavicular joint dislocation

Kafkas Journal of Medical Sciences ◽

10.5505/kjms.2015.02418 ◽

2015 ◽

Vol 5 (1) ◽

pp. 13-17 ◽

Cited By ~ 1

Author(s):

Mehmet Ali Baran ◽

Yaşar Mahsut Dinçel ◽

Ozan Beytemür ◽

Sever Çağlar ◽

Oktay Adanır ◽

...

Keyword(s):

Acromioclavicular Joint ◽

Functional Results ◽

Hook Plate ◽

Acromioclavicular Joint Dislocation ◽

Joint Dislocation ◽

Plate Technique ◽

Clavicle Hook Plate

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Outcome of fixation of acromioclavicular joint dislocation type-iii with clavicular hook plate

Nepal Journal of Medical Sciences ◽

10.3126/njms.v5i1.36950 ◽

2020 ◽

Vol 5 (1) ◽

pp. 45-52

Author(s):

Pabin Thapa ◽

Krishna Sapkota ◽

Niraj Ranjeet ◽

Pratyenta Raj Onta ◽

Krishna Wahegaonkar ◽

...

Keyword(s):

Open Reduction ◽

Implant Removal ◽

Hook Plate ◽

Ac Joint ◽

Rockwood Classification ◽

Joint Dislocation ◽

Type Iii ◽

Ac Joint Dislocation ◽

Clavicular Hook Plate ◽

Rockwood Type Iii

Introduction: Acromioclavicular (AC) joint dislocation is one of the most common shoulder injuries accounting for approximately 9-12% of all shoulder girdle injuries. Rockwood classification of AC joint dislocation is the most widely accepted classification system which classifies the injury into six types. Surgical management with open reduction and fixation with clavicular hook plate without the repair of coracoclavicular ligament has proved to be one of the best treatment options for Type III AC joint dislocations. Methods: Twenty-three patients with Rockwood Type III AC joint dislocation were included in the study. Open reduction was done and the fixation was done with the clavicular hook plate. The functional outcomes were assessed before and two months after the implant was removed using the Constant- Murley Score. Results: A total of 23 patients were included in the study with the mean age of 30.74 years. The plates were removed on an average of 6.43 months and mean follow up was 8.83 months. The functional outcome was assessed using the Constant- Murley Shoulder score. The pain scores were significantly better after the implant removal was done (p= 0.007). The final mean constant score was 74.6 ± 4.11 before removal and 93.91 ± 2.71 after implant removal and all the 23 patient had excellent result (>90 points). Conclusions: The pre-contoured clavicular hook plate has proved to be a good implant option in the fixation of Rockwood Type III AC joint dislocation without the need of any ligamentous repair

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Evaluation of three-dimensional in vivo scapular kinematics and scapulohumeral rhythm between shoulders with a clavicle hook plate and contralateral healthy shoulders

International Orthopaedics ◽

10.1007/s00264-018-4003-y ◽

2018 ◽

Vol 43 (2) ◽

pp. 379-386 ◽

Cited By ~ 1

Author(s):

HoeJeong Chung ◽

DooSup Kim ◽

Scott A. Banks ◽

JongSang Son ◽

YoungHo Kim ◽

...

Keyword(s):

Three Dimensional ◽

Hook Plate ◽

Scapular Kinematics ◽

Clavicle Hook Plate

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Clavicle hook plate versus distal clavicle locking plate for Neer type II distal clavicle fractures

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-019-1518-x ◽

2019 ◽

Vol 14 (1) ◽

Author(s):

Liang Li ◽

Tian-yan Li ◽

Peichao Jiang ◽

Guizhen Lin ◽

Hongxiao Wu ◽

...

Keyword(s):

Shoulder Joint ◽

Locking Plate ◽

Meta Analysis ◽

Hook Plate ◽

Type Ii ◽

Distal Clavicle ◽

Plate Group ◽

Clavicle Fractures ◽

Distal Clavicle Fractures ◽

Clavicle Hook Plate

Abstract Background The purpose of this meta-analysis was to compare clavicle hook plates versus distal clavicle locking plates for the treatment of Neer type II distal clavicle fractures. Methods PubMed (1996 to January 2019), Embase (1980 to January 2019), Web of Science (1990 to January 2019), the Cochrane Library (January 2019), and the China National Knowledge Infrastructure (January 2019) were systematically searched without language restrictions for literature retrieval. The Constant-Murley shoulder joint function score at 3 and 6 months after the operation and the postoperative complications after the operation (shoulder joint pain, abduction restriction, fracture delay healing, subacromial impingement) were the outcomes. Stata 12.0 was used for the meta-analysis. Results A total of 9 clinical trials involving 446 patients were finally included in this meta-analysis. The results showed that the improvement in the Constant-Murley shoulder joint function score in the distal locking plate group was better than that in the clavicle hook plate group at 3 and 6 months after the operation (P < 0.05). There were fewer cases of shoulder joint pain and restricted shoulder abduction range of motion in the distal locking plate group, and the difference was statistically significant (P < 0.05). There were no statistically significant differences in fracture delay healing and subacromial impingement between the two groups (P > 0.05). Conclusion Compared with the clavicular hook plate, the distal clavicle locking plate for the treatment of Neer type II distal clavicle fractures is associated with better shoulder function recovery and fewer complications related to pain and abduction restriction.

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