distal clavicle fractures
Recently Published Documents


TOTAL DOCUMENTS

137
(FIVE YEARS 54)

H-INDEX

20
(FIVE YEARS 1)

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Theodorakys Marín Fermín ◽  
Filippo Migliorini ◽  
Emmanuel Papakostas ◽  
Khalid Al-Khelaifi ◽  
David Ricardo Maldonado ◽  
...  

Abstract Background To determine the incidence of concomitant intra-articular glenohumeral injuries in patients undergoing surgical management from distal clavicle fractures (DCF) with shoulder arthroscopy and their impact on outcome. Methods This systematic review was conducted following the PRISMA guidelines. PubMed, EMBASE, and Virtual Health Library databases were accessed in October 2021. All the clinical studies evaluating the surgical management of DCF and using concomitant intra-operatory shoulder arthroscopy were included. Studies that did not specify the concomitant injury type were not eligible. Data from the incidence of intra-articular glenohumeral injuries, injury type, length of the follow-up, and clinical outcomes were retrieved. The quantitative content assessment was performed using the STROBE statement checklist. Evaluation of the publication bias of the included studies was performed using the risk of bias assessment tool for systematic reviews. Results Data from five retrospective and five prospective cohort studies were analyzed. Eight of the included studies were conducted on patient cohorts with Neer type II injuries. Data pooling revealed a mean of 17.70% of concomitant glenohumeral injuries, whereas 84.21% of them required additional surgical management (Table 1). Rotator cuff injuries, labral tears, and biceps pulley lesions were the most common concomitant injuries. Conclusion Preoperative MRI or diagnostic arthroscopy to evaluate glenohumeral associated injuries to DCF should be recommended.


2022 ◽  
pp. 44-50
Author(s):  
Christine C. Piper ◽  
Andrew Neviaser

2021 ◽  
pp. 036354652110533
Author(s):  
Sophie J. Uittenbogaard ◽  
Laurian J.M. van Es ◽  
Chantal den Haan ◽  
Derek F.P. van Deurzen ◽  
Michel P.J. van den Bekerom

Background: As nonoperative treatment of Neer type II distal clavicle fractures is associated with nonunion rates up to 33%, operative treatment is frequently advocated. However, evidence is lacking regarding which operative treatment to perform and whether this is superior to nonoperative treatment in terms of functional outcome and complication rate. Purpose: (1) To evaluate which surgical technique in the treatment of Neer type II distal clavicle fractures is optimal with regard to patient-reported outcomes and union and complication rates. (2) To review nonoperatively treated patients. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature and meta-analysis were performed on January 27, 2021, in PubMed, Embase, CENTRAL, CINAHL/EBSCO, Web of Science/Clarivate Analytics, and SPORTDiscus/EBSCO. The search included all studies regarding nonoperative and operative treatment of Neer type II distal clavicle fractures with a minimum of 20 patients and follow-up of 12 months. The primary and secondary outcomes were patient-reported outcome measures at 12 months and union, complication, and revision rates. Results: A total of 59 articles were included involving 2284 patients. Coracoclavicular fixation, hook plate, transacromial pins, alternative plate, tension band wire/K-wire, a combination of surgical techniques, and a nonoperative group were described. Hook plates showed lower Constant-Murley scores as compared with coracoclavicular fixation (standard mean difference, –0.77; 95% CI, –1.26 to –0.28; P = .002). However, no significant difference was seen when the hook plate was compared with the locking plate and tension band wire/K-wire groups, and no significant difference in union rate was seen among all operative treatment groups. Operatively treated patients had significantly higher union rates than patients treated nonoperatively (standard mean difference: 0.05; 95% CI, 0.01 to 0.37; P = .004). Conclusion: Patients treated with hook plates showed significantly lower Constant-Murley scores and higher complication and revision rates as compared with those treated with coracoclavicular fixation, without differences in union rate. Higher Constant-Murley scores were seen in those patients with supplemental coracoclavicular fixation when using locking. Nonoperatively treated patients showed good functional outcome despite the 31% nonunion rate, although future studies are necessary to substantiate this conclusion. When using a locking plate, additional craniocaudal fixation showed significant better functional outcome.


2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Eiji Shimpuku ◽  
Yoshiyasu Uchiyama ◽  
Takashi Imai ◽  
Naoki Takatori ◽  
Masahiko Watanabe

Injury ◽  
2021 ◽  
Author(s):  
Yin Zhang ◽  
Pei Yu ◽  
Chengyu Zhuang ◽  
Jingfeng Liu ◽  
Gen Li ◽  
...  

Author(s):  
Christoph J. Laux ◽  
Paul Borbas ◽  
Christina Villefort ◽  
Simon Hofstede ◽  
Lukas Ernstbrunner ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Vivek Sharma ◽  
Amit Modi ◽  
Alison Armstrong ◽  
Radhakant Pandey ◽  
Dhiraj Sharma ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Jeremy A Hall ◽  
Christine E Schemitsch ◽  
Milena R Vicente ◽  
Niloofar Dehghan ◽  
Aaron Nauth ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document