5,032 results match your criteria Clavicular Injuries

Treatment of unstable distal clavicle fractures (Neer type IIb): a modified system using a miniature locking plate with a single button.

J Int Med Res 2021 Jun;49(6):3000605211022505

Shanghai Key Laboratory of Orthopaedic Implant, Department of Orthopaedics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China.

Distal clavicle fractures are common in patients with shoulder injuries. We retrospectively evaluated the clinical outcomes of a novel fixation technique using a miniature locking plate with a single button in patients with distal clavicle fractures associated with coracoclavicular ligament disruption. The study involved seven patients with distal clavicle fractures with a follow-up period of 12 months. Read More

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Injuries in Japanese university handball: a study among 1017 players.

Res Sports Med 2021 Jun 20:1-11. Epub 2021 Jun 20.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Japan.

The aim of this study was to examine the injury profile of Japanese university handball players. In this cross-sectional study, a total of 1017 participants who played in the 2018 Japanese National University Handball Championship were followed. The incidence within the previous year was 0. Read More

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Incidence, pattern and mechanisms of injuries and fractures in children under two years of age.

BMC Musculoskelet Disord 2021 Jun 18;22(1):555. Epub 2021 Jun 18.

Bergen Accident and Emergency Department, Bergen, Norway.

Background: Fractures in children under 2 years of age are rare, and little has been published on their mechanisms. We aimed at examining the incidence, mechanisms, pattern and fracture characteristics in a large, population-based cohort of otherwise healthy children.

Methods: This retrospective, cross-sectional study includes all children aged 0-2 years, attending the Accident and Emergency department in Bergen between 2010 and 2015, due to an injury warranting radiography. Read More

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Thoracoscopic diagnosis of traumatic pericardial rupture with cardiac hernia: A case report.

World J Clin Cases 2021 Jun;9(16):4001-4006

Department of General Surgery, Tongde Hospital of Zhejiang Province, Hangzhou 310000, Zhejiang Province, China.

Background: Pericardial rupture caused by blunt chest trauma is rare in clinical practice. Because of its atypical clinical symptoms, and because surgeons are often unfamiliar with the clinical and radiological manifestations of the injury, preoperative diagnosis is difficult; it is easily misdiagnosed and causes serious consequences.

Case Summary: A 60-year-old man, previously healthy, was transported to the emergency room after falling from a great height. Read More

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Arthroscopy-Assisted All-Suture Coracoclavicular and Acromioclavicular Joint Stabilization in Acute Acromioclavicular Joint Injuries.

Arthrosc Tech 2021 May 18;10(5):e1293-e1306. Epub 2021 Apr 18.

AKB Center for Arthroscopy, Sports Injuries and Regenerative Medicine, B&B Hospital, Gwarko, Lalitpur.

The existing literature agrees on surgical management for Rockwood grade IV and V injuries, but there is no consensus which type of surgery is the most appropriate one. More than 150 surgeries have been described for this condition in the literature. In an injury of less than 3 weeks, most surgeons prefer suture-button devices for coracoclavicular stabilization. Read More

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Clinical outcomes of arthroscopic and navigation-assisted two tunnel technique for coracoclavicular ligament augmentation of acute acromioclavicular joint dislocations.

BMC Musculoskelet Disord 2021 Jun 9;22(1):528. Epub 2021 Jun 9.

Division of Arthroscopy, Joint Surgery and Sport Injuries, Department of Orthopedics, Trauma, and Plastic Surgery, University of Leipzig, Liebigstrasse 20, 04103, Leipzig, Germany.

Background: The purpose of this study was to present a navigated image-free augmentation technique for the acromioclavicular joint (ACJ) and coracoclavicular (CC) ligaments and to report the clinical and radiological outcomes.

Methods: From 2013 to 2018, 35 eligible patients were treated with our navigated image-free ACJ- and CC-augmentation technique. The average follow-up was 3 years. Read More

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What Are the Functional Outcomes and Pain Scores after Medial Clavicle Fracture Treatment?

Clin Orthop Relat Res 2021 06 8. Epub 2021 Jun 8.

D. Zhang, B. Earp, Hand and Upper Extremity Surgery, Brigham and Women's Hospital, Boston, MA, USA.

Background: Medial clavicle fractures are uncommon, occurring in older and multiply injured patients. The management of these fractures and the factors that predispose toward poor outcomes are controversial. Furthermore, the functional outcomes of treatment are not well characterized or correlated with fracture patterns. Read More

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Epidemiology of combined clavicle and rib fractures: a systematic review.

Eur J Trauma Emerg Surg 2021 Jun 1. Epub 2021 Jun 1.

Department of Surgery, University Medical Center Utrecht, 85500, 3508 GA, Utrecht, The Netherlands.

Purpose: The aim of this systematic review was to provide an overview of the incidence of combined clavicle and rib fractures and the association between these two injuries.

Methods: A systematic literature search was performed in the MEDLINE, EMBASE, and CENTRAL databases on the 14 of August 2020. Outcome measures were incidence, hospital length of stay (HLOS), intensive care unit admission and length of stay (ILOS), duration of mechanical ventilation (DMV), mortality, chest tube duration, Constant-Murley score, union and complications. Read More

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Fracture location impacts opioid demand in upper extremity fracture surgery.

Injury 2021 May 20. Epub 2021 May 20.

Duke University Medical Center, Department of Orthopaedic Surgery, 200 Trent Drive, Durham, NC 27710. Electronic address:

Introduction: Opioid sparing protocols should be formulated with appropriate demand. Specific fracture location has been hypothesized as an important predictor of post-operative pain. The purpose of this study is to evaluate the impact of fracture location on perioperative opioid demand after surgery with the hypothesis that this factor would be significantly associated with perioperative opioid demand in upper extremity fracture surgery. Read More

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Open Reduction and Suture Fixation of Acute Sternoclavicular Fracture-Dislocations in Children.

JBJS Essent Surg Tech 2020 Jul-Sep;10(3). Epub 2020 Sep 18.

Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Background: Acute sternoclavicular fracture-dislocation is associated with high-energy trauma and is being increasingly recognized in children. These injuries are associated with compression of mediastinal structures and can be life-threatening. The management of acute sternoclavicular fracture-dislocation includes closed reduction or open surgical stabilization; however, limited success is reported with closed reduction. Read More

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September 2020

Clinical outcomes of doubled-suture Nice knot augmented plate fixation in the treatment of comminuted midshaft clavicle fracture.

BMC Surg 2021 May 28;21(1):270. Epub 2021 May 28.

Department of orthopedics, First affiliated hospital, Fujian Medical University, Fujian, 350005, Fuzhou, China.

Background: Free bone fragments were difficult to be fixed in many comminuted midshaft clavicle fractures, and the absence of cortical alignment in comminuted fractures had direct influence on the stability of fixation. This survey was performed to assess the efficacy of doubled-suture Nice knot augmented plate fixation in the treatment of comminuted midshaft clavicle fractures.

Methods: Between 2013 and 2018, all patients with comminuted midshaft clavicle fractures treated with doubled-suture Nice knot augmented plate fixation were retrospectively reviewed and included in this research. Read More

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Case report-Vascular injury in association with posteriorly displaced medial clavicle fracture.

Trauma Case Rep 2021 Jun 21;33:100483. Epub 2021 Apr 21.

Starship Hospital Orthopaedic Department, 2 Park Road, Grafton, Auckland 1023, New Zealand.

The primary stabiliser of the diarthrodial sterno-clavicular (SC) joint is the costo-clavicular ligament, this holds the clavicle to the first costal cartilage and the end of the first rib. The costo-clavicular and surrounding ligaments help maintain the stability and strength of the SC joint. As a result, SC joint dislocations are far less common than fractures to the clavicle due to the relatively larger forces required to disrupt these ligaments. Read More

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Intraoperative Nice knots assistance for reduction in displaced comminuted clavicle fractures.

BMC Musculoskelet Disord 2021 May 22;22(1):467. Epub 2021 May 22.

Department of Orthopaedics, Shandong Provincial Hospital affiliated to Shandong First Medical University, No. 324, Road Jing Wu Wei Qi, Jinan, 250021, Shandong, China.

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. Read More

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Outcomes of Arthroscopic Fixation of Unstable Distal Clavicle Fractures: A Systematic Review.

Orthop J Sports Med 2021 May 3;9(5):23259671211001773. Epub 2021 May 3.

Florida International University, Miami, Florida, USA.

Background: Surgical management of unstable distal clavicle fractures (DCFs) remains controversial. Traditional open techniques result in acceptable union rates but are fraught with complications. In response to these limitations, arthroscopic techniques have been developed; however, clinical outcome data are limited. Read More

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Changes in Pediatric Sports Injury Presentation During the COVID-19 Pandemic: A Multicenter Analysis.

Orthop J Sports Med 2021 Apr 28;9(4):23259671211010826. Epub 2021 Apr 28.

The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Background: The current coronavirus 2019 (COVID-19) pandemic has prompted a multitude of public health response measures including social distancing, school cancellations, and cessation of organized sports.

Purpose: To examine the impact of COVID-19 and corresponding public health measures on the characteristics of common pediatric musculoskeletal injuries associated with sports.

Study Design: Cohort study; Level of evidence, 3. Read More

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Functional Outcome of Open Reduction and Internal Fixation of Displaced Extra-Articular Scapula Fractures.

Indian J Orthop 2021 Jun 31;55(3):708-713. Epub 2020 Oct 31.

Atlas Hospitals, First cross, V.N. Nagar, Trichy, 620002 Tamil Nadu India.

Background: Scapular fractures are uncommon injuries of upper extremity resulting mostly from high-energy trauma. Extra-articular fractures form the majority of them. Un-displaced fractures can be managed conservatively with good results. Read More

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Accidents and injuries in elite MotoGP motorcycle riders.

J Clin Orthop Trauma 2021 Jul 14;18:25-29. Epub 2021 Apr 14.

ICATME, Hospital Universitari Quiron-Dexeus, Barcelona, Spain.

Objective: Evaluating incidence, characteristics and risk factors of accidents and injuries in each elite motorcycle racing class (MotoGP, Moto2 and Moto3), 2013-2017.

Design: Descriptive epidemiological study.

Setting: MotoGP Medical Team, Dorna Sports SL. Read More

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Idiopathic myelitis presenting as Brown-Séquard syndrome: two case reports and a review of the literature.

Xi Peng Liang Wang

J Med Case Rep 2021 May 12;15(1):233. Epub 2021 May 12.

Department of Neurology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.

Background: Brown-Séquard syndrome often occurs in spinal cord injury, and few myelitis patients present with Brown-Séquard syndrome.

Case Presentation: A 33-year-old Han man was admitted with neck pain plus numbness in the right limbs for 2 days and weakness in the left limbs for 1 day. Examination was significant for left limbs with grade 4 muscle power, positive left Babinski sign, diminished vibration sensation in the left limbs and decreased pain below the right clavicle dermatome. Read More

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Comparison of supraclavicular nerve injuries after clavicle mid-shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fixation.

Arch Orthop Trauma Surg 2021 May 9. Epub 2021 May 9.

Department of Orthopaedic Surgery, Shoulder and Elbow Clinic, College of Medicine, Kyung Hee University Hospital At Gangdong, Seoul, Republic of Korea.

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. Twenty-nine patients had undergone ORIF and 30 had undergone MIPO. Read More

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Adolescent mid-shaft clavicular fracture displacement does not predict nonunion or inferior functional outcome at long-term follow-up.

Bone Joint J 2021 May;103-B(5):951-957

Department of Orthopaedic Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.

Aims: The aim of this study was to define the complications and long-term outcome following adolescent mid-shaft clavicular fracture.

Methods: We retrospectively reviewed a consecutive series of 677 adolescent fractures in 671 patients presenting to our region (age 13 to 17 years) over a ten-year period (2009 to 2019). Long-term patient-reported outcomes (abbreviated version of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) score and EuroQol five-dimension three-level (EQ-5D-3L) quality of life score) were undertaken at a mean of 6. Read More

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Clavicle Fractures.

Adv Emerg Nurs J 2021 Apr-Jun 01;43(2):123-127

School of Nursing and Health Sciences, Robert Morris University, Moon Township, Pennsylvania (Dr Ramponi); Emergency Department, Heritage Valley Esmark, Sewickley, Pennsylvania (Dr Ramponi); and Department of Emergency Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania (Dr Cerepani).

Clavicle fractures are commonly seen in children and young adults. A case of a 30-year-old woman sustaining a clavicle fracture while riding a bike is highlighted. The most common cause is strong fall with the injured arm at one's side, often in contact sports injuries. Read More

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Successful Nonsurgical Management of a Posteriorly Displaced Medial Clavicular Physeal Fracture in an Adolescent Athlete: A Case Report.

Clin J Sport Med 2020 Sep 22. Epub 2020 Sep 22.

Departments of *Orthopaedic Surgery; †Radiology; and ‡Community and Family Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; and §Wits Institute for Sport & Health (WISH), Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Traumatic and sport-related sternoclavicular (SCJ) injuries in adolescent athletes are more commonly physeal fractures rather than true SCJ dislocations. Although rare, posterior displacement of the medial clavicular metaphysis after a physeal fracture necessitates prompt evaluation and treatment. Despite the inherent healing ability of physeal separations, delayed or failed diagnosis has the capacity to cause serious complications or fatality secondary to injury of retrosternal structures. Read More

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September 2020

Regional differential stretching of the pectoralis major muscle: An ultrasound elastography study.

J Biomech 2021 May 20;121:110416. Epub 2021 Apr 20.

Human Health Sciences, Graduate School of Medicine, Kyoto University, Kyoto, Japan.

Pectoralis major (PMa) muscle injuries are becoming more prevalent, and their incidence differs among the PMa regions, i.e., the clavicular, sternal, and abdominal regions. Read More

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An unusual case of clavicular prosthesis migration causing traumatic injury to the ascending aorta.

Perfusion 2021 Apr 23:2676591211012574. Epub 2021 Apr 23.

Department of Cardiothoracic Surgery, Kings College Hospital, London, UK.

Traumatic aortic injuries can be a lethal event. Almost 88% of patients with traumatic aortic injuries die within the first hour and only 2% survive long enough to develop a chronic aneurysm. Injury to the ascending aorta, whether acute or chronic, are typically managed with surgery, and those in the descending aorta, are managed conservatively or in some cases with stents. Read More

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Anatomical versus non-anatomical configuration of double coraco-clavicular tunnel technique in acromioclavicular joint reconstruction.

Arch Orthop Trauma Surg 2021 Apr 21. Epub 2021 Apr 21.

Department of Orthopedic, Trauma and Plastic Surgery, University of Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Purpose: Horizontal instability is a common problem after acromioclavicular joint injuries. The aim of this study was to evaluate if there is a difference regarding horizontal stability between an anatomical and a non-anatomical configuration of the double tunnel coraco-clavicular ligament reconstruction of the acromioclavicular joint.

Methods: Thirteen acromioclavicular joints of human cadaveric shoulders in ethanol-glycerin fixation were included in the study and underwent cyclic anterior and posterior translational testing at a load of 70 N using an electromechanical uniaxial testing machine. Read More

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Above the Clavicle: A Simplified Screening Method for Asymptomatic Blunt Cerebral Vascular Injury.

Am Surg 2021 Apr 20:31348211011141. Epub 2021 Apr 20.

Department of Surgery, 12279Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Introduction: Blunt cerebrovascular injury (BCVI) is an increasingly detected pattern in trauma with significant morbidity, putting patients at risk for subsequent stoke. Complex screening protocols exist to determine who should undergo CT angiography of the neck (CTAN) to evaluate for BCVI. Once identified, stroke incidence may be reduced with appropriate treatment across grades. Read More

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Biplanar Osteosynthesis for Severely Displaced Proximal-Third Clavicle Fracture: A Case Report.

JBJS Case Connect 2021 04 15;11(2). Epub 2021 Apr 15.

Orthopaedics and Traumatology Unit, Hospital Universitario de la Samaritana, Bogotá, Colombia.

Case: We present the case of a 41-year-old man with a displaced extra-articular proximal-third clavicle fracture managed with open reduction and double-plate internal fixation. Twelve months after the procedure, the patient had recovered full range of motion and returned to work.

Conclusions: Proximal-third clavicle fractures are infrequent injuries and are usually treated conservatively. Read More

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Evaluation of the Circles Measurement and the ABC Classification of Acromioclavicular Joint Injuries.

Am J Sports Med 2021 05 15;49(6):1619-1625. Epub 2021 Apr 15.

Shoulder, Elbow and Orthopaedic Sports Medicine, Sonnenhof Orthopaedics, Bern, Switzerland.

Background: Acromioclavicular joint (ACJ) injuries are common. Despite this, it remains unclear how best to assess, classify, and manage these cases. A simple, reliable, valid, and accurate radiographic parameter to measure ACJ displacement would allow improved consistency of diagnosis and subsequent treatment pathways. Read More

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Review of Weaver and Dunn on treatment of acromioclavicular injuries, especially complete acromioclavicular separation.

J ISAKOS 2021 03 24;6(2):116-119. Epub 2020 Sep 24.

Department of Orthopedic Surgery and Traumatology, OLVG, Amsterdam, Noord-Holland, The Netherlands.

This classic discusses the original publication "Treatment of acromioclavicular injuries, especially complete acromioclavicular separation" by Weaver and Dunn, which collaborated to develop a technique for acromioclavicular joint reconstruction in 1972. Their surgical technique described resection of 2 cm of the distal clavicle and transfer of the acromial end of the coracoacromial ligament into the medullary canal of the distal clavicle. (modified) Weaver-Dunn procedures have been regarded as one of the most effective techniques to treat complete acromioclavicular joint dislocation for a long time. Read More

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The Cervico-Parasternal Thoracotomy (CPT): A New Surgical Approach for the Resection of Cervicothoracic Neuroblastomas.

Children (Basel) 2021 Mar 17;8(3). Epub 2021 Mar 17.

Dipartimento di Neuroscienze, Riabilitazione, Oftalmologia, Genetica e Scienze Materno-Infantili (DiNOGMI), University of Genoa, 16147 Genoa, Italy.

Cervicothoracic neuroblastomas (NBs) pose unique surgical challenges due to the complexity of the neurovascular structures located in the thoracic inlet. To date, two main techniques have been reported to completely remove these tumours in children: the trans-manubrial and the trap-door approaches. Herein, the authors propose a third new surgical approach that allows a complete exposure of the posterior costovertebral space starting from the retro-clavicular space: Cervico-Parasternal Thoracotomy (CPT). Read More

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