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JOURNAL ARTICLE
Laura A Carrillo, Hao-Hua Wu, Aman Chopra, Matt Callahan, Toshali Katyal, Ishaan Swarup
BACKGROUND: The national rates of readmission and reoperation after open reduction internal fixation (ORIF) of midshaft clavicle fractures in adolescents is unknown. AIM: To determine rates of and risk factors for readmission and reoperation after ORIF of midshaft clavicle fractures in adolescents. METHODS: This retrospective study utilized data from the Healthcare Cost and Utilization Project State Inpatient Database for California and Florida and included 11728 patients 10-18 years of age that underwent ORIF of midshaft clavicle fracture between 2005 and 2012...
December 18, 2021: World Journal of Orthopedics
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JOURNAL ARTICLE
Adriano Fernando Mendes, Rodrigo Fleury Curado, Jair Moreira Dias, José Da Mota Neto, Oreste Lemos Carrazzone, Alexandre Rosa Pagan, Pedro José Labronici, Gustavo José Labronici, Matheus Pires De Araújo Goes, Guilherme Grisi Mouraria, Daniel Romano Zogbi, Rafael Mulatti Brigatto, Anderson Uehara, Otávio Costa Parro, Fernando Mitsuo Hisano, Bruno De Souza Teixeira, Rafael Waldolato Silva, Rafael Fuchs Lazarini, André Couto Godinho, Pedro Couto Godinho, Flavio De Oliveira França, Glaydson Gomes Godinho, José Marcio Alves Freitas, Carlos Alberto Menezes Mariosa, Bruno Gonçalves Schröder E Souza, Valdeci Manoel De Oliveira, Leandro Furtado De Simoni, Camila Corrêa Pereira, Jurandir Antunes Filho, Fabio Teruo Matsunaga, João Carlos Belloti, Marcel Jun Sugawara Tamaoki
INTRODUCTION: Fractures of the diaphysis of the clavicle are common; however, treatment guidelines for this condition are lacking. Surgery is associated with a lower risk of non-union and better functional outcomes but a higher risk of complications. Open reduction and internal fixation with plates and screws are the most commonly performed techniques, but they are associated with paraesthesia in the areas of incisions, extensive surgical exposure and high rates of implant removal. Minimally invasive techniques for treating these fractures have a lower rate of complications...
October 29, 2021: BMJ Open
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JOURNAL ARTICLE
Markus Wurm, Sebastian Siebenlist, Michael Zyskowski, Patrick Pflüger, Peter Biberthaler, Marc Beirer, Chlodwig Kirchhoff
BACKGROUND: Treatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures. METHODS: Patients who presented with a displaced fracture of the medial clavicle between September 2012 and December 2019 were retrospectively enrolled in this study...
October 27, 2021: BMC Musculoskeletal Disorders
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JOURNAL ARTICLE
Dvir Benshabat, Shai Factor, Eran Maman, Amal Khoury, Raphael Krespi, Itay Ashkenazi, Ofir Chechik, Oleg Dolkart
Bone marrow aspirate concentrate (BMAC) is an autologous cell composition that is obtained through a needle aspiration from the iliac crest. The purpose of this study was to evaluate the outcomes of patients treated with open reduction and internal fixation with BMAC supplementation for clavicle fracture nonunion. This was a retrospective case series of 21 consecutive patients with clavicle fracture nonunion that were treated with ORIF and BMAC supplementation between 2013 and 2020. Patients were evaluated for fracture union, time to union, complications related to surgical and donor site, and functional outcome using the Quick Disability of the Arm Shoulder and Hand (QDASH), subjective shoulder value (SSV), and pain...
October 16, 2021: Journal of Clinical Medicine
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JOURNAL ARTICLE
Markus Wurm, Michael Zyskowski, Sebastian Pesch, Peter Biberthaler, Chlodwig Kirchhoff, Marc Beirer
PURPOSE: Operative therapy for unstable lateral clavicle fractures is necessary to reduce the risk of bony non-union. Irritation and restriction during sportive activities due to the implanted materials are a common reason for impaired function and implant removal. The aim of this study was to gain information on functional outcome and time until return to sport (RTS) after surgical treatment of unstable lateral clavicle fractures, comparing two coracoclavicular button techniques. METHODS: A retrospective chart review of patients who were consecutively treated for unstable lateral clavicle fractures at our level one trauma center from 2014 to 2018 was conducted...
October 13, 2021: Journal of Clinical Medicine
#26
JOURNAL ARTICLE
Zhenyu Cao, Yufei Hou, Xiaochen Su, Menghao Teng, Wenchen Ji, Meng Li
BACKGROUND: Open reduction and internal fixation (ORIF) is the preferred choice for treating clavicle fractures. The brachial plexus injury caused by ORIF of a clavicle fracture is very rare. If it is not treated in time, the function of the brachial plexus will be challenging to recover, which will eventually lead to upper limb dysfunction and seriously affect the patient's quality of life. Our team recently used ORIF to treat a patient with a clavicle fracture, who developed brachial plexus injury symptoms after surgery...
September 6, 2021: BMC Surgery
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JOURNAL ARTICLE
S A Arojuraye, M N Salihu, I U Mustapha, I A Alabi, N Okoh, F B Ayeni
BACKGROUND: Clavicle fractures are common injuries accounting for up to 5% of all fractures in adults. Most clavicle fractures heal well with nonoperative treatment, some however, require surgical intervention especially when they are displaced. While plating remains the most popular and most successful method of clavicle fixation; the optimal position of the plate is yet to be agreed upon. PURPOSES: The purpose of this study was to compare the functional outcomes of displaced clavicle fractures fixed with superior and anteroinferior plating techniques...
August 21, 2021: Surgeon: Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
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JOURNAL ARTICLE
Philippe Reuter, Kenneth Chen, Thomas Klestil, Christoph Stotter
A combination of an anterior sternoclavicular (SC) joint dislocation with a midshaft clavicle fracture is an extremely rare injury. If left untreated, it can lead to severely impaired function of the shoulder with a high risk for complications. A 45-year-old male patient presented with pain and impaired range of motion (ROM) in the left shoulder after a mountain bike crash. Radiographs and a computed tomography scan showed an anterior dislocation of the left SC joint and an ipsilateral midshaft fracture of the clavicle...
2021: Joint diseases and related surgery
#29
JOURNAL ARTICLE
Ho-Youn Park, Seok-Jung Kim, Yoo-Joon Sur, Jae-Woong Jung, Chae-Gwan Kong
BACKGROUND: A midshaft clavicle fracture is a common fracture that typically responds well to open reduction and internal fixation (ORIF). However, refracture can occur after implant removal (IR). This study aimed to analyze the rate of refracture and related factors after removal of the locking compression plate (LCP) for displaced midshaft clavicle fractures. METHODS: We retrospectively reviewed the medical records of 201 patients who had undergone ORIF with LCP for midshaft clavicle fractures after IR after bony union from January 2011 to May 2018 at our institute...
June 2021: Clinics in shoulder and elbow
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JOURNAL ARTICLE
Fangning Hu, Xi Liu, Fanxiao Liu, Honglei Jia, Xiaolong Lv, Fengrui Wang, Shihong Xu, Juanjuan Yang, Lingfei Hu, Bomin Wang, Yongliang Yang
PURPOSE: The Nice knots have been widely used in orthopedic surgeries to fix torn soft tissue and fracture in recent years. The study aims to investigate the clinical efficacy and prognosis of intraoperative and postoperative Nice Knots-assisted reduction in the treatment of displaced comminuted clavicle fracture. METHODS: From Jan 2014 to Dec 2019, 75 patients diagnosed with unilateral closed displaced comminuted clavicle fracture were treated with open reduction and internal fixation (ORIF) in this study...
May 22, 2021: BMC Musculoskeletal Disorders
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JOURNAL ARTICLE
Sang-Hun Ko, Myung-Seo Kim
INTRODUCTION: Only a few previous studies have evaluated the factors related to supraclavicular nerve (SCN) injury after clavicle mid-shaft fracture surgery. We analyzed the frequency and risk factors for SCN injury after clavicle mid-shaft fracture surgery via open reduction and internal fixation (ORIF) versus minimally invasive plate osteosynthesis (MIPO) MATERIALS AND METHODS: We retrospectively reviewed the cases from 59 patients who had undergone surgery for clavicle mid-shaft fractures between January 2018 and April 2019...
August 2022: Archives of Orthopaedic and Trauma Surgery
#32
JOURNAL ARTICLE
Daniel Z You, Halli Krzyzaniak, Joseph K Kendal, C Ryan Martin, Prism S Schneider
INTRODUCTION: Open reduction and internal fixation (ORIF) of displaced midshaft clavicle fractures is associated with higher union rates and earlier functional recovery. However, ORIF with plate fixation is associated with complications including implant irritation and implant failure. Dual plate fixation provides fixation in orthogonal planes, and uses a lower profile fixation technique in comparison to pre-contoured and surgeon-contoured small-fragment locking plates, which may be more prominent...
June 2021: Journal of Clinical Orthopaedics and Trauma
#33
JOURNAL ARTICLE
Matthew R Cohn, William M Cregar, Justin Drager, Yining Lu, Grant E Garrigues
CASE: A 46-year-old man underwent open reduction and internal fixation (ORIF) of left scapular, humerus, and clavicle fractures after a snowmobile accident. He subsequently developed severe left infraspinatus weakness with electromyogram evidence of suprascapular entrapment at the spinoglenoid notch. Intraoperatively, suprascapular nerve compression from an ossified spinoglenoid ligament was observed. Scapular hardware was removed, the ossified ligament was resected, and neurolysis was performed...
October 2020: JBJS Case Connector
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JOURNAL ARTICLE
M Wurm, M Zyskowski, F Greve, A Gersing, P Biberthaler, C Kirchhoff
PURPOSE: Absence of cortical alignment in wedge-shaped and multifragmentary fractures (Fx) results in decreased fixation stability. The aim of this study was to compare the outcome using 2.0- vs. 3.5-mm screws for open reduction and internal fixation (ORIF) in dislocated, wedge-shaped or fragmentary midshaft clavicle fractures. MATERIALS AND METHODS: Patients suffering from AO/OTA 15 2.A-C midshaft clavicle fractures were operatively treated between 2008 and 2018...
February 2, 2021: European Journal of Medical Research
#35
Du-Han Kim, Beom-Soo Kim, Chul-Hyun Cho
BACKGROUND: Acromial and scapular spine fractures after reverse total shoulder arthroplasty (RTSA) are a well-known complication that may negatively impact the effects of long-term outcomes. However, to the best of our knowledge, there has been no report of simultaneous bilateral fractures of the acromion or scapular spine that occurred following staged RTSA. CASE SUMMARY: A 79-year-old right-handed male visited our outpatient clinic with a chief complaint of pain and limited motion of both shoulder joints for a one-year duration...
January 6, 2021: World Journal of Clinical Cases
#36
Husnul Verdian, Ismail Hadisoebroto Dilogo
INTRODUCTION: Fracture in polytrauma patients have higher risk of morbidity and mortality compared to those found in monotrauma patients. The ideal approach of orthopaedic injuries is to perform definitive fixation of all fractures in one single procedure, an approach known as Early Total Care (ETC). PRESENTATION OF CASE: A patient presented with history of being struck by heavy material forklift. He complained of pain in the shoulder and difficulty in breathing...
February 2021: International Journal of Surgery Case Reports
#37
JOURNAL ARTICLE
Daniel Baunach, Karim Eid, Matthew Ricks, Paul Borbas
OBJECTIVES: To assess both clinical and radiological long-term outcomes after hook plate osteosynthesis for Neer type II lateral clavicle fractures. DESIGN: Retrospective case series. SETTING: Level-1 trauma center. PATIENTS/PARTICIPANTS: Patients who underwent open reduction internal fixation with a hook plate for displaced fractures of the lateral third of the clavicle (Neer type II) at a single trauma hospital were identified...
July 1, 2021: Journal of Orthopaedic Trauma
#38
JOURNAL ARTICLE
Dawei Huang, Yi Deng, Jizhou Cheng, Yi Ren Bong, Matthew Schwass, Igor Policinski
INTRODUCTION: Supraclavicular nerve injury is one of the common complications after clavicle open reduction internal fixation (ORIF) affecting up to 55% of patients. There is debate about whether sparing supraclavicular nerves improves functional outcomes and patient satisfaction. The purpose of this study was to compare numbness, patient-reported outcomes and surgical time in patients undergoing clavicle ORIF using supraclavicular nerve sparing and supraclavicular nerve sacrificing techniques...
October 27, 2020: Injury
#39
JOURNAL ARTICLE
Connor S Johnson, Joshua B Acebo, Kessiena Aya, Jeremy S Somerson
CASE: A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder. CONCLUSION: Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication...
April 2020: JBJS Case Connector
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JOURNAL ARTICLE
Chihua Lee, David A Feaker, Amy A Ostrofe, Christopher S Smith
BACKGROUND: Clavicle fractures are common, especially in military personnel. A persistent problem of open reduction and internal fixation (ORIF) of the clavicle is the high percentage of symptomatic implants needing removal. Prominent implants can lead to discomfort in military service members performing activities such as carrying rucksacks and firing high-caliber weapons, potentially resulting in a high removal of implant rate. Alternative approaches to plate fixation may mitigate this, but to our knowledge, only limited evidence is available comparing various plate-fixation approaches...
April 2020: Clinical Orthopaedics and related Research
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