scholarly journals An unusual case of bipolar segmental clavicle fracture

2012 ◽  
Vol 4 (3) ◽  
pp. 26 ◽  
Author(s):  
Karishma Sethi ◽  
Simon D.S. Newman ◽  
Rajarshi Bhattacharya
Keyword(s):  
Unusual Case ◽  
Clavicle Fracture ◽  
Operative Management ◽  
Shaft Fracture ◽  
Optimal Method ◽  
Clavicle Fractures ◽  
Non Operative Management

Segmental clavicle fractures are uncommon injuries. When they do present, they tend to comprise a distal and mid-shaft fracture. A clavicular injury with proximal and distal fractures is a rarer presentation still which is sparsely covered in the literature. These injuries, which have been termed bipolar, are easily missed at presentation and due to their infrequency the optimal method of management for these patients is unclear. We describe the successful non-operative management of a bipolar clavicle fracture and review the existing literature.

scholarly journals Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Behnam Sharareh ◽  
Christopher Perkins
Keyword(s):  
Surgical Management ◽  
Clavicle Fracture ◽  
Operative Management ◽  
Orthopedic Trauma ◽  
Chi Square ◽  
Medical Comorbidities ◽  
Clavicle Fractures ◽  
Clinically Significant ◽  
Non Operative Management ◽  
Trauma Surgeons

Abstract Background There exists a wide variety of opinions on the appropriate management of diaphyseal humeral and clavicular fractures amongst orthopedic surgeons. The purpose of this study is to determine if there is a preference amongst orthopedic traumatologists on treatment of diaphyseal humerus and clavicle fractures with respect to various patient populations. Methods A 6-question survey was created using Surveymonkey.com and distributed via the Orthopedic Trauma Association (OTA) website to fellowship trained orthopedic surgery traumatologists to survey the preferred management of a simple oblique middle 1/3rd diaphyseal humerus fracture and a middle 1/3rd displaced diaphyseal clavicle fracture in the following 3 clinical settings: a healthy laborer, an older patient with co-morbidities, and if the surgeon themselves sustained the injury. The ratio of operative to non-operative management was calculated for all 6 questions. A chi-square value was performed to determine if the results are clinically significant based on the clinical scenario. Results There was 56 responses to the survey that were included in the analysis. Overall, there was a statistically significant trend towards surgical management of the surgeon’s own diaphyseal humerus fractures (55%) compared to that of healthy patients (41%) and those with medical comorbidities (21%) (p = 0.02) A similar trend was noted for operative management for diaphyseal clavicle fractures by the surgeon on their own fractures (43%) compared to that of healthy patients (38%) and those with medical comorbidities (18%) (p = 0.02). Conclusion While there are an increasing number of relative indications for treatment of diaphyseal humerus shaft and clavicle fractures, the results of this survey indicate that fellow-ship-trained orthopedic trauma surgeons prefer surgical management of simple humerus and clavicular fractures in young, healthy patients as well as in themselves.

scholarly journals Wandering spleen associated with omphalocele in a neonate: An unusual case with non-operative management

2017 ◽  
Vol 24 ◽  
pp. 8-11 ◽  
Author(s):  
Daisuke Masui ◽  
Suguru Fukahori ◽  
Kimio Asagiri ◽  
Shinji Ishii ◽  
Nobuyuki Saikusa ◽  
...  
Keyword(s):  
Unusual Case ◽  
Operative Management ◽  
Wandering Spleen ◽  
Non Operative Management

scholarly journals Additional fixation using a metal plate with bioresorbable screws and wires for robinson type 2B clavicle fracture

2020 ◽  
Vol 23 (4) ◽  
pp. 198-202
Author(s):  
Woo Jin shin ◽  
Young Woo Chung ◽  
Seon Do Kim ◽  
Ki-Yong An
Keyword(s):  
Conservative Treatment ◽  
Clavicle Fracture ◽  
Shaft Fracture ◽  
Metal Plate ◽  
Bone Screw ◽  
Non Union ◽  
Shaft Fractures ◽  
Clavicle Fractures ◽  
Clavicle Shaft Fracture ◽  
Additional Fixation

Simple clavicle shaft fracture typically achieves satisfactory union after treatment and does not result in complication with conservative treatment. Non-union or malunion can occur in displaced clavicle fractures or comminuted shaft fractures. Treatment of displaced comminuted clavicle shaft fractures is performed by holding together the free fragments with interfragmentary screws or wires and fixing them to the clavicle with a plate. Therefore, we performed interfragmentary fixation using open reduction and internal fixation with bioresorbable screws (Mg-Ca alloy, Resomet Bioresorbable bone screw; U&I Corp.) and bioresorbable wires (Mg-Ca alloy, Resomet Bioresorbable K-wire and pin, U&I Corp.) for displaced comminuted clavicle fractures (Robinson type 2B) and additionally used a metal plate. We expected decreased irritation and infection due to absorption after surgery. We report four cases that were treated in this way.

scholarly journals Comparing functional outcome in lateral end clavicle fracture after conservative and plating

2017 ◽  
Vol 3 (4) ◽  
pp. 833
Author(s):  
Sachin Y. Kale ◽  
Prasad Chaudhari ◽  
Shikhar D. Singh ◽  
Sanjay B. Dhar ◽  
Prakash D. Samant ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Functional Outcomes ◽  
Standard Treatment ◽  
Clavicle Fracture ◽  
Operative Management ◽  
Skin Infections ◽  
Non Union ◽  
Medical College ◽  
Clavicle Fractures ◽  
Early Healing

<p class="abstract"><strong>Background:</strong> Fractures of the clavicle have been traditionally treated non- operatively but has been associated with various postoperative complications. In this study, we analyzed the outcomes of the operative management and compare its results with conservative treatment considering it as standard treatment option.</p><p class="abstract"><strong>Methods:</strong> The present study was carried out at the Department of Orthopedics, DY Patil Medical College and Hospital, Navi Mumbai. Open fractures, fractures associated with complication like head injury with associated other bone injuries were included in this study. We excluded patients less than 18 years of age, patients with middle third fracture of clavicle and patients with medial end clavicle fracture. The fractures were classified according to Robinson’s classification. Patients were followed up every week for 4 weeks then at 8 weeks, 12 weeks, 6 months and 1 year. The functional outcomes were assessed by Constant and Murley score.<strong></strong></p><p class="abstract"><strong>Results:</strong> We included 48 patients in the study, 34 of which were males, average age of the patients was 37.53±7.64 years. 23 injuries were on the left. There was statistically significant better union times with operative management (p=0.034). Various complications were observed like infection, implant failure, man union, non-union, deformity and skin infections, statistically seen more in patients who underwent conservative management. Overall, patients experienced excellent and good results with operative management in 6 and 12 patients respectively.</p><strong>Conclusions:</strong>Operative treatment gave statistically significant functional outcome and early healing compared to conservatively treated in displaced, communited lateral end clavicle fractures. <p> </p>

Comparison of plate osteosynthesis versus non-operative management for mid-shaft clavicle fractures—A prospective study

Injury ◽  
2018 ◽  
Vol 49 (6) ◽  
pp. 1104-1107 ◽  
Author(s):  
Akshay Bhardwaj ◽  
Gaurav Sharma ◽  
Ashok Patil ◽  
Vaijnath Rahate
Keyword(s):  
Prospective Study ◽  
Plate Osteosynthesis ◽  
Operative Management ◽  
Clavicle Fractures ◽  
A Prospective Study ◽  
Non Operative Management

Displaced midshaft clavicle fractures in adults – is non-operative management enough?

Injury ◽  
2020 ◽  
Author(s):  
Koushik Narayan Subramanyam ◽  
Abhishek Vasant Mundargi ◽  
K.U. Gopakumar ◽  
Thatipamula Bharath ◽  
Milind Vittal Prabhu ◽  
...  
Keyword(s):  
Operative Management ◽  
Clavicle Fractures ◽  
Non Operative Management

scholarly journals Surgical fixation of displaced clavicle fracture in adolescents: a review of literature

2013 ◽  
Vol 5 (3) ◽  
pp. 29 ◽  
Author(s):  
Harish S. Hosalkar ◽  
Gaurav Parikh ◽  
Bernd Bittersohl
Keyword(s):  
Relevant Literature ◽  
Clavicle Fracture ◽  
Operative Management ◽  
Traditional Treatment ◽  
Operative Methods ◽  
Recent Approach ◽  
Surgical Fixation ◽  
Clavicle Fractures ◽  
Open Surgical Treatment ◽  
Displaced Clavicle Fracture

The literature available on patient-orientated outcomes of operative management for clavicle fractures in adolescents is fairly limited. Open surgical treatment of displaced midshaft fractures of the clavicle continues to be a topic of controversy. Traditional treatment of clavicle fractures has been via non-operative methods in both children and adults. Management in adolescent patients remains controversial, and rightly so, as the traditional experience from non-operative methods has been regarded as satisfactory, while the literature on the more recent approach towards fixing some of these fractures is evolving. We present a review of relevant literature.

scholarly journals Comparative evaluation of operative versus non-operative management of midshaft displaced clavicle fractures: A case series

2017 ◽  
Vol 3 (2f) ◽  
pp. 594-599 ◽  
Author(s):  
Manish M Patel ◽  
Jignesh J Patel ◽  
Anshul K Gupta ◽  
Shaishav S Shah ◽  
Sunny Shethna
Keyword(s):  
Comparative Evaluation ◽  
Case Series ◽  
Operative Management ◽  
Clavicle Fractures ◽  
Non Operative Management
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