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 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 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.

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.

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

Treatment of Distal Clavicle Fracture Using Hook Plate

2011 ◽  
Vol 24 (1) ◽  
pp. 48 ◽  
Author(s):  
Su-Han Ahn ◽  
Hyeong-Jo Yoon ◽  
Kwang-Yeol Kim ◽  
Hyung-Chun Kim ◽  
In-Yeol Kim
Keyword(s):  
Clavicle Fracture ◽  
Hook Plate ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture

Rare complication of clavicular hook plate: clavicle fracture at the medial end of the plate

2011 ◽  
Vol 20 (7) ◽  
pp. e18-e20 ◽  
Author(s):  
Muliang Ding ◽  
Jiangdong Ni ◽  
Jianzhong Hu ◽  
Deye Song
Keyword(s):  
Rare Complication ◽  
Clavicle Fracture ◽  
Hook Plate ◽  
Clavicular Hook Plate

scholarly journals Does Subacromial Osteolysis Affect Shoulder Function after Clavicle Hook Plating?

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
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.

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
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