4,809 results match your criteria Clavicular Injuries


Clinical and radiographic outcomes of a transosseous suture technique for displaced lateral clavicle fractures.

J Shoulder Elbow Surg 2020 Jul;29(7S):S101-S106

W.B. Carrell Memorial Clinic, Dallas, TX, USA.

Background: The purpose of this study was to evaluate the clinical and radiographic outcomes of a transosseous suture fixation technique for the treatment of unstable lateral clavicle fractures. The appropriate treatment for lateral clavicle fractures is controversial. Many authors have argued for nonsurgical treatment of these injuries; however, recent literature has shown a role for the surgical treatment of unstable fractures. Read More

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http://dx.doi.org/10.1016/j.jse.2020.04.041DOI Listing

Operative Fixation of a Displaced Midshaft Clavicle Fracture.

J Orthop Trauma 2020 Aug;34 Suppl 2:S3-S4

Department of Orthopaedic Surgery, University of Arizona College of Medicine, Phoenix, AZ.

Midshaft clavicle fractures are frequently encountered orthopaedic injuries. Significant displacement portends a higher likelihood of nonunion and symptomatic malunion after nonoperative treatment. Surgical fixation has been shown to reduce the rate of these adverse outcomes. Read More

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http://dx.doi.org/10.1097/BOT.0000000000001834DOI Listing

Magnetic Resonance Imaging of Pectoralis Major Injuries in an Active Duty Military Cohort: Mechanism Affects Tear Location.

Orthop J Sports Med 2020 Jun 10;8(6):2325967120925019. Epub 2020 Jun 10.

Department of Orthopaedic Surgery, Medical College of Georgia at Augusta University, Augusta, Georgia, USA.

Background: Pectoralis major (PM) tendon tears are common injuries in athletic patient populations, where operative repair is largely recommended for maximum functional recovery. The repair varies in difficulty and technique based on the location of the tear within the muscle-tendon unit. Magnetic resonance imagining (MRI) has been reported to be sensitive and specific for identifying the tear location, but the effect of injury mechanism on tear pattern has not been previously investigated. Read More

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http://dx.doi.org/10.1177/2325967120925019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7288815PMC

Medium- to long-term results of acromioclavicular joint stabilisation using the Ligament Augmentation Reconstruction System (LARS) ligament.

Shoulder Elbow 2020 Jun 13;12(3):163-169. Epub 2019 Mar 13.

Royal Stoke University Hospital, University Hospitals of North Midlands, Stoke-on-Trent, UK.

Background: Opinion is divided as to optimum management of grade III acromioclavicular joint injuries that have failed conservative management. We objectively investigated the radiological and functional outcome of acromioclavicular joint reconstruction using the Ligament Augmentation Reconstruction System (LARS®).

Methods: Retrospective review of patients with LARS reconstruction of acromioclavicular joint dislocations with minimum six-year follow-up. Read More

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http://dx.doi.org/10.1177/1758573219833697DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7285975PMC

Epidemiology and management of appendicular fractures occurring in neonatal intensive care patients.

Acta Paediatr 2020 Jun 21. Epub 2020 Jun 21.

Division of Orthopaedics, The Children's Hospital of Philadelphia, Philadelphia, PA, USA.

Aim: To describe the epidemiology and management of appendicular fractures occurring in the neonatal ICU in a large series of patients treated a single, quaternary care neonatal intensive care unit.

Methods: Patients <1 years old with appendicular fractures treated from 2012 to 2016 at a quaternary-level NICU were identified. Bivariate testing compared fractures, work-up and management based on designated mechanism (presumed birth-related vs unknown). Read More

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http://dx.doi.org/10.1111/apa.15430DOI Listing

A four-year-old Nigerian boy with battered child syndrome: implications for public health.

Pan Afr Med J 2020 18;35:47. Epub 2020 Feb 18.

Department of Pediatrics, Federal Medical Centre, Katsina, Katsina State, Nigeria.

Battered child syndrome (BCS) is a form of physical abuse that is characterised by multiple injuries and potentially fatal outcome. Despite the high prevalence of physical abuse in developing countries, BCS is rarely reported. Hence, this report highlighted a four-year-old Nigerian boy who suffered multiple injuries (scalp haematoma, bruises, right clavicular fracture, and burns) from the paternal uncle's wife. Read More

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http://dx.doi.org/10.11604/pamj.2020.35.47.19115DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7250214PMC
February 2020

Current practice in the management of acromioclavicular joint dislocations; a national survey in the Netherlands.

Eur J Trauma Emerg Surg 2020 Jun 13. Epub 2020 Jun 13.

Trauma Research Unit Department of Surgery, Erasmus MC, University Medical Center Rotterdam, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Purpose: The aim of this study was to investigate current practice in the management of acromioclavicular joint dislocations in the Netherlands.

Methods: A 36-item literature-based and expert consensus survey was developed. If available, one orthopaedic and one trauma surgeon for every hospital (n = 82) in the Netherlands was asked to complete the online questionnaire. Read More

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http://dx.doi.org/10.1007/s00068-020-01414-0DOI Listing

Primary cancer location predicts predominant level of brachial plexopathy.

Muscle Nerve 2020 Jun 8. Epub 2020 Jun 8.

Department of Physical Medicine and Rehabilitation, Michigan Medicine, Ann Arbor, Michigan.

Background: Changes in radiation therapy practice and cancer incidence bring into question prior evidence suggesting that radiation therapy predominantly injures the brachial plexus upper trunk, while tumor invasion typically injures the lower trunk.

Methods: We reviewed electrodiagnostic brachial plexopathy reports in cancer survivors for predominant trunk involvement, injury mechanism (tumor invasion vs radiation), and primary cancer location.

Results: Fifty-six cases of cancer-associated brachial plexopathy were identified. Read More

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http://dx.doi.org/10.1002/mus.26994DOI Listing

Urban Cycling Expansion is Associated with an Increased Number of Clavicle Fractures.

Bull Hosp Jt Dis (2013) 2020 Jun;78(2):101-107

Background: The number of individuals turning to cycling for physical activity and commuting has been expanding across the US. However, studies have demonstrated that when compared to motor vehicle accidents, cyclists in major cities have a significantly increased risk of injuries requiring hospitalizations. The purpose of this study was to assess if a correlation exists between the growing cyclist volume in a densely populated metropolitan city and prevalence of clavicle fractures requiring inpatient hospital admissions. Read More

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An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis.

JSES Int 2020 Jun 4;4(2):256-271. Epub 2020 May 4.

Department of Orthopaedic Surgery, University of Arizona College of Medicine-Phoenix, Phoenix, AZ, USA.

Background: The majority of clavicle fractures are midshaft injuries, although fractures of the distal or medial fragment also occur. The aim of this study was to review the current evidence on these injuries to help inform future treatment plans.

Methods: We searched for studies comparing interventions for medial, midshaft, or distal clavicle fractures; however, we did not identify any comparative studies on medial fractures and performed a secondary search on this topic. Read More

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http://dx.doi.org/10.1016/j.jseint.2020.01.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7256900PMC

Clavicular osteotomy in complicated revision of total shoulder arthroplasty: indications, surgical technique, and outcomes.

Int Orthop 2020 Jul 30;44(7):1341-1352. Epub 2020 May 30.

Department of Orthopaedic Surgery and Traumatology, Ghent University Hospital, 10 C. Heymanslaan, Entrance 75, Route 740, 9000, Ghent, East Flanders, Belgium.

Purpose: Adequate exposure in revision of total shoulder arthroplasty (TSA) is important for optimal prosthesis placement and functional results. A clavicular osteotomy in difficult cases of revision TSA is a useful surgical technique that increases the superior exposure area, provides safer dissection, minimizes damage to the anterior deltoid muscle, improves glenoid access, and allows for superior dislocation of the humeral component. There is a paucity of literature analyzing the clavicular osteotomy during challenging cases of revision TSA. Read More

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http://dx.doi.org/10.1007/s00264-020-04573-2DOI Listing

Fractures of the coracoid process - pathoanatomy and classification: based on thirty nine cases with three dimensional computerised tomography reconstructions.

Int Orthop 2020 May 20. Epub 2020 May 20.

Institute of Anatomy, First Faculty of Medicine, Charles University Prague, Prague, Czech Republic.

Purpose: Until now, classifications of coracoid fractures have been based on plain radiographs, without use of 3D CT reconstructions. Therefore, the aim of the present study has been to describe the pathoanatomy of these fractures and their associated injuries to the shoulder girdle, on the basis of 3D CT reconstructions.

Methods: The cohort comprised 39 patients, who each sustained a coracoid fracture investigated with 3D CT reconstructions. Read More

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http://dx.doi.org/10.1007/s00264-020-04634-6DOI Listing

[Surgical Treatment of Clavicle Midshaft Fractures - Prospective Randomized Trial].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):101-107

Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví, Univerzita obrany v Brně, Hradec Králové.

PURPOSE OF THE STUDY Comparison of the outcomes of clavicle midshaft fractures using two different surgical techniques, namely intramedullar osteosynthesis using elastic stable intramedullary nailing (ESIN) with medial cap and extramedullar plate osteosynthesis. MATERIAL AND METHODS The prospective randomized trial was conducted at the Department of Trauma Surgery of the Department of Surgery of the University Hospital Hradec Králové in the Czech Republic at the Level I Trauma Center between 2014 and 2018 and compared two types of osteosynthesis of clavicle midshaft fractures. 60 patients were enrolled in the study and were randomly assigned to one of the two groups. Read More

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A Case of Traumatic Pneumocephalus on the Opposite Side of the Injury Site.

Authors:
Ki Seong Eom

Korean J Neurotrauma 2020 Apr 20;16(1):73-78. Epub 2020 Apr 20.

Department of Neurosurgery, Wonkwang University College of Medicine, Iksan, Korea.

Pneumocephalus is defined as an abnormal presence of intracranial air or gas. Traumatic pneumocephalus (TP) typically occurs on the injured side and is in communication with the external environment. This report presented an extremely rare case of TP that occurred on the opposite side of the injured site, even with the absence of any traumatic injury. Read More

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http://dx.doi.org/10.13004/kjnt.2020.16.e9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192804PMC

High grade acromioclavicular injury: Comparison of arthroscopic assisted acromioclavicular joint fixation and anatomic acromioclavicular joint reconstruction.

J Orthop 2020 Nov-Dec;22:151-157. Epub 2020 Apr 25.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Thailand.

Background: Injuries to the acromioclavicular (AC) joint disrupting the AC and Coracoclavicular (CC) ligaments could lead to loss of clavicular strut function. A High-grade AC joint injury remain challenging because of highly variety of treatment and limited evidence exists comparing clinical outcomes and complications after surgery.

Purpose: The purpose of this study was to compare the clinical and radiological outcome after arthroscopic assisted acromioclavicular Joint fixation and anatomic acromioclavicular joint reconstruction. Read More

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http://dx.doi.org/10.1016/j.jor.2020.04.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200614PMC

Open Surgical Approach for Type II Endoleak in Subclavian Artery Pseudoaneurysm Presented With Neurological Symptoms After Endovascular Repair.

Vasc Endovascular Surg 2020 Jul 7;54(5):467-470. Epub 2020 May 7.

Division of Vascular Surgery, UT Southwestern Medical Center, Dallas, TX, USA.

We present a rare case of a 10-cm right subclavian artery pseudoaneurysm, with slow growth over 4 years after a traumatic fracture of the right clavicle. The patient had multiple prior endovascular attempts of embolization and stenting at other hospitals; despite this the pseudoaneurysm continued to grow and caused mass effect and neurologic symptoms. We present our open approach for the repair and a review of literature. Read More

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http://dx.doi.org/10.1177/1538574420921278DOI Listing

Intramedullary nailing of dislocated midshaft clavicle fractures with the Rockwood Clavicle Pin, a retrospective study.

Acta Orthop Belg 2019 Dec;85(4):412-420

This retrospective study evaluated the outcome after intramedullary nailing with the Rockwood Clavicle Pin (RCP) for acute displaced middle third clavicle fractures in adults. Of 84 included patients treated for this fracture 2003-2009, 66 (79%) were evaluated. Of these, 52 (79%) were re-examined, including fluoroscopy, while 14 patients (21%) were evaluated by mailed questionnaire. Read More

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December 2019

Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis.

Case Rep Orthop 2020 23;2020:4069431. Epub 2020 Apr 23.

Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, Switzerland.

Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Read More

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http://dx.doi.org/10.1155/2020/4069431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196132PMC

Editorial Commentary: Coracoclavicular Ligament Reconstruction. Double Up It Is?

Authors:
Erik Hohmann

Arthroscopy 2020 05;36(5):1271-1272

More than 100 surgical techniques have been described for the reconstruction of the coracoclavicular ligament complex. None of the techniques appears superior, but double-button fixation for acute high-grade acromioclavicular dislocations has become an attractive option. The clinical outcomes are good to excellent, and the return to physical activity and sport is above 90%. Read More

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http://dx.doi.org/10.1016/j.arthro.2020.03.015DOI Listing

Improved Functional Outcomes Following Operative Treatment of Midshaft Clavicle Fractures in an Active Duty Population.

Cureus 2020 Mar 31;12(3):e7488. Epub 2020 Mar 31.

Orthopaedics, Naval Medical Center San Diego, San Diego, USA.

Clavicle fractures are common orthopedic injuries that occur in a young active population and are even more common in the military. Military fitness test data presents the unique opportunity to analyze functional ability with regard to military-specific activities. The primary goal of this study was to compare functional outcomes using military fitness test data between operative and non-operative treatment of midshaft clavicle fractures. Read More

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http://dx.doi.org/10.7759/cureus.7488DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192558PMC

Radiographic alterations in clavicular bone tunnel width following anatomic coracoclavicular ligament reconstruction (ACCR) for chronic acromioclavicular joint injuries.

Knee Surg Sports Traumatol Arthrosc 2020 Apr 25. Epub 2020 Apr 25.

Department of Orthopaedic Surgery, University of Connecticut, Farmington, CT, USA.

Purpose: To evaluate tunnel widening and its relationship in loss of reduction and clinical outcomes in patients undergoing anatomic coracoclavicular ligament reconstruction (ACCR) using free tendon grafts for chronic acromioclavicular (AC) joint injuries.

Methods: A retrospective chart review was performed on patients undergoing ACCR for type III-VI AC joint injuries between January 2003 and December 2017. For radiographic analysis, pre- and post-operative coracoclavicular distance (CCD) and tunnel width of the medial and lateral clavicular bone tunnel were measured at the earliest (EPO) and latest postoperative follow-up (LPO). Read More

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http://dx.doi.org/10.1007/s00167-020-05980-zDOI Listing

[Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].

Radiologe 2020 Jun;60(6):541-548

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland.

Background: The shoulder girdle is a chain of bones and joints which connect the upper extremity to the axial skeleton. The shoulder as a biomechanical unit has a remarkable range of motion and is therefore frequently prone to injuries of the three major joints (sternoclavicular joint, acromioclavicular joint, glenohumeral joint) and the bony elements (clavicle, scapula, humerus). Projection radiography is still the first imaging modality for injuries of the shoulder and usually sufficient for initial diagnosis and injury classification. Read More

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http://dx.doi.org/10.1007/s00117-020-00682-6DOI Listing

Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction.

Ann R Coll Surg Engl 2020 Jul 24;102(6):e136-e140. Epub 2020 Apr 24.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0051DOI Listing

Shoulder Conditions: Clavicle and Acromioclavicular Joint Conditions.

FP Essent 2020 Apr;491:27-32

WellSpan York Hospital Sports Medicine Fellowship, 1001 S George St, York, PA 17403.

The clavicle is the most commonly fractured bone, and the most frequently fractured part of the clavicle is the middle third (ie, midshaft). X-ray usually is the first-line imaging modality for clavicle injuries. Conservative management is preferred for patients with uncomplicated and nondisplaced clavicular fractures. Read More

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Obesity status is a risk factor for secondary surgery after neurolysis, direct nerve repair or nerve grafting in traumatic brachial plexus injury: a retrospective cohort study.

BMC Surg 2020 Apr 15;20(1):73. Epub 2020 Apr 15.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.

Background: The objective of the study was to investigate the association between obesity and the presence of secondary surgery following neurolysis, direct nerve repair, or nerve grafting in patients with traumatic brachial plexus injury.

Methods: In this retrospective chart review spanning two Level I medical centers in a single metropolitan area, 57 patients who underwent neurolysis, direct nerve repair, or nerve grafting for brachial plexus injuries between 2002 and 2015 were identified. Risk regression analysis was used to evaluate the association between obesity status and secondary surgery. Read More

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http://dx.doi.org/10.1186/s12893-020-00737-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160993PMC

Ten-season epidemiological study of match injuries in men's international rugby sevens.

J Sports Sci 2020 Apr 14:1-10. Epub 2020 Apr 14.

World Rugby , Dublin, Ireland.

The aim of this study was to describe the incidence, nature and causes of match injuries in men's international rugby sevens and to compare these to values for international rugby fifteens. The study comprised a 10-season, whole population, prospective study of the Sevens World Series. Over the ten seasons, the overall incidence of injury was 122. Read More

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http://dx.doi.org/10.1080/02640414.2020.1752059DOI Listing

[Acromioclavicular dislocation management with use of Tight Rope luxation acromioclavicular con Tight Rope].

Acta Ortop Mex 2019 Sep-Oct;33(5):314-318

Unidad Médica de Alta Especialidad (UMAE), Hospital de Traumatología y Ortopedia de Puebla del Instituto Mexicano del Seguro Social (IMSS). Puebla, México.

Introduction: The acromioclavicular joint, important part of the shoulder complex is formed by clavicular lateral end and acromial medial border, with high index of injury in different grades, associated to physical activity and work accidents, most commonly in active young adults.

Objective: To analyze functional outcomes in patients with acromioclavicular dislocation with use of tight rope in one year. Material and methods: Descriptive, prospective, longitudinal, unicentric study, from March 2015 and July 2016 in post-operated patients with diagnosis of acromioclavicular dislocation grade III in Hospital de Traumatología y Ortopedia de Puebla. Read More

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[Anatomical reconstruction of the acromioclavicular joint using autologous semitendinosus graft: modified surgical technique].

Acta Ortop Mex 2019 Jul-Aug;33(4):247-251

Hospital de Ortopedia. Unidad Médica de Alta Especialidad (UMAE) «Dr. Victorio de la Fuente Narváez», Instituto Mexicano del Seguro Social (IMSS). Colector 15 s/n (Av. Fortuna), Esq. Av. Politécnico Nacional, Col. Magdalena de las Salinas, Alcaldía. Gustavo A. Madero, CP 07760, Ciudad de México. México.

Introduction: Dislocation of the acromioclavicular joint is a common injury, which is observed mainly in young adults; indications for surgical management and the most appropriate technique remain controversial.

Material And Methods: We present a surgical technique, whose objective is the anatomical reconstruction of the coracoclavicular ligaments with autologous semitendinous graft, without tunnels in the collarbone and without fixing devices.

Results: This technique is reliable for stabilizing the joint in the short term and we consider that it could neutralize the anteroposterior translation of the distal collarbone. Read More

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Use of social media while driving from an orthopedic resident's perspective.

Chin J Traumatol 2019 Dec 27. Epub 2019 Dec 27.

Department of Orthopaedics, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

Purpose: To investigate the orthopedic injuries sustained while driving and using social media on cellular phones from an orthopedic resident's perspective.

Methods: A total of 118 patients who presented with a history of road traffic accident secondary to social media usage and suffered from fractures were included in this cross-sectional study. These patients were reported from October 2018 to April 2019. Read More

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http://dx.doi.org/10.1016/j.cjtee.2019.09.004DOI Listing
December 2019

Single-center experience in the treatment of extremely medial clavicle fractures with vertical fixation of double-plate: A retrospective study.

Medicine (Baltimore) 2020 Apr;99(14):e19605

Department of Orthopedics, The Second Hospital of Jilin University, Changchun.

Patients suffering from extremely medial clavicle fractures combined with distinct displacement generally need surgical intervention. Double-plate fixation is a widely applied technique in the treatment of distal radius fracture, which has been reported to fix lateral clavicle fracture as well. This study reveals the effect of double-plate fixation as an innovative procedure in the treatment of extremely medial clavicle fractures for the first time. Read More

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http://dx.doi.org/10.1097/MD.0000000000019605DOI Listing

Symptomatic malunion after midshaft clavicle fracture in an adolescent patient: a case report of surgical deformity correction using a 3D printed model.

Ann R Coll Surg Engl 2020 Jul 1;102(6):e126-e129. Epub 2020 Apr 1.

St George's University Hospital NHS Foundation Trust, London, UK.

A 14-year-old boy underwent surgery for symptomatic malunion of the clavicle. This complication, which is uncommon in adults and adolescents, occurred after a displaced midshaft clavicle fracture that had been treated conservatively. Surgery may be considered if functional impairment, pain, weakness, fatigability and neurological symptoms persist in the presence of significant clavicular deformity. Read More

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http://dx.doi.org/10.1308/rcsann.2020.0046DOI Listing

Coracoclavicular Stabilization With Two Loops of Equal Tension Using a Double O Loops Technique in the Distal Clavicle Fracture.

Arthrosc Tech 2020 Mar 7;9(3):e345-e349. Epub 2020 Feb 7.

Department of Orthopaedic, Faculty of Medicine, Thammasat University, Prathumthani, Thailand.

The distal clavicle fracture is one of the most common injuries around the shoulder joint. There is no consensus regarding a gold standard treatment. Each technique has advantages and disadvantages. Read More

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http://dx.doi.org/10.1016/j.eats.2019.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093728PMC

Reliability of Various Predictors for Preoperative Diagnosis of Infraclavicular Brachial Plexus Lesions with Shoulder and/or Elbow Paresis.

J Reconstr Microsurg 2020 Jul 23;36(6):445-449. Epub 2020 Mar 23.

Department of Plastic Surgery, Chang Gung Memorial Hospital and Chang Gung University, Taoyuan, Taiwan.

Background:  The distinction between supraclavicular and infraclavicular acute brachial plexus injuries (BPIs) could be challenging in cases of combined shoulder and elbow paresis. The reliability of several preoperative predictors was investigated to avoid unnecessary dissection, prolonged operation time, increased postoperative morbidity, and long scars.

Methods:  Between 2004 and 2013, 75 patients, who sustained acute BPI and presented with motor paresis of shoulder and elbow with preservation of hand function, were included and studied retrospectively. Read More

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http://dx.doi.org/10.1055/s-0040-1702177DOI Listing

The incidence of birth injuries decreased in Finland between 1997 and 2017: A nationwide register study.

Acta Paediatr 2020 Mar 22. Epub 2020 Mar 22.

Department of Emergency, Anesthesia and Pain Medicine, Tampere University Hospital, Tampere, Finland.

Aim: Birth injuries are rare complications that can have a significant impact on neonates and their families. This population-based study describes the rates and trends of all birth injuries in Finland over a 21-year period.

Methods: The study is based on a national Medical Birth Register that includes all live-born neonates of more than 22 gestational weeks or 500 g who were born in Finland between 1997 and 2017. Read More

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http://dx.doi.org/10.1111/apa.15267DOI Listing

Surgical techniques for management of acromioclavicular joint separations: review and update for radiologists.

Skeletal Radiol 2020 Aug 19;49(8):1195-1206. Epub 2020 Mar 19.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA, 98105, USA.

Imaging plays a central role in the postoperative management of acromioclavicular (AC) joint separations. There are more than 150 described techniques for the surgical management of AC joint injuries. These procedures can be categorized as varying combinations of the following basic techniques: a) soft-tissue repair, b) trans-articular AC joint fixation, c) coracoclavicular (CC) fixation, d) non-anatomic reconstruction of the CC ligaments, e) anatomic reconstruction of the CC ligaments, f) distal clavicle resection, and g) dynamic muscle transfer. Read More

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http://dx.doi.org/10.1007/s00256-020-03417-9DOI Listing

Long-term Functional Outcomes of Nonoperatively Treated Highly Displaced Scapular Body and Neck Fractures.

Orthopedics 2020 May 20;43(3):e177-e181. Epub 2020 Mar 20.

Historically, extra-articular scapular body fractures were treated nonsurgically, but displaced fractures of the glenoid neck can lead to dysfunction. Controversy exists regarding which extra-articular scapular fractures should be treated surgically; however, nonsurgical management of severely displaced scapular body fractures can result in satisfactory outcomes. Inclusion criteria for this study were medial or lateral displacement greater than 2 cm, angular deformity between fracture fragments greater than 45°, or glenopolar angle less than 22°. Read More

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http://dx.doi.org/10.3928/01477447-20200314-05DOI Listing

[Open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex with coracoid process fracture].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 Mar;34(3):347-351

Department of Orthopedics, Sichuan Academy of Medical Science · Sichuan Provincial People's Hospital, Chengdu Sichuan, 610072, P.R.China.

Objective: To investigate the effectiveness of open reduction and internal fixation for multiple injuries of superior shoulder suspensory complex (SSSC) with coracoid process fracture.

Methods: Between January 2014 and October 2018, 22 patients with multiple injuries of SSSC with coracoid process fracture were treated by open reduction and internal fixation. There were 16 males and 6 females, aged from 24 to 72 years with an average age of 36. Read More

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http://dx.doi.org/10.7507/1002-1892.201908098DOI Listing

Pectoralis major tendon and enthesis: anatomic, magnetic resonance imaging, ultrasonographic, and histologic investigation.

J Shoulder Elbow Surg 2020 Mar 10. Epub 2020 Mar 10.

Radiology Service, VA San Diego Healthcare System, San Diego, CA, USA; Department of Radiology, University of California, San Diego Medical Center, San Diego, CA, USA.

Background: This study evaluates the pectoralis major (PM) tendon humeral insertion, using imaging and histologic assessment in cadaveric specimens. Current descriptions of the pectoralis major tendon depict a bilaminar enthesis, and clarification of the anatomy is important for diagnostic and surgical considerations.

Materials And Methods: Fourteen fresh-frozen whole upper extremity specimens were used in this study. Read More

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http://dx.doi.org/10.1016/j.jse.2019.12.020DOI Listing
March 2020
2.289 Impact Factor

Fact-finding survey regarding judo-related injuries of judokas in developing country.

J Phys Ther Sci 2020 Feb 14;32(2):161-165. Epub 2020 Feb 14.

Department of Physical Therapy, Mongolian National University of Medical Sciences, Mongolia.

[Purpose] The purpose of this study was to investigate sports-related injuries among judokas in Mongolia which is classified in the lower-middle income country. This study may help prevent future sports-related injuries. [Participants and Methods] We studied 75 judokas affiliated to the judo club in Ulaanbaatar, Mongolia. Read More

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http://dx.doi.org/10.1589/jpts.32.161DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7032985PMC
February 2020

Improved identification of unstable acromioclavicular joint injuries in a clinical population using the acromial center line to dorsal clavicle radiographic measurement.

J Shoulder Elbow Surg 2020 Mar 5. Epub 2020 Mar 5.

Shoulder, Elbow and Orthopaedic Sports Medicine, Orthopaedics Sonnenhof, Bern, Switzerland; Stiftung Lindenhof I Campus SLB, Swiss Institute for Translational and Entrepreneurial Medicine, Bern, Switzerland. Electronic address:

Background: Accurate classification and subsequent management of acromioclavicular (AC) joint injuries remains a contentious topic. The updated Rockwood classification acknowledges "stable IIIA" and "unstable IIIB" injuries, a watershed accepted by ISAKOS and important in guiding clinical management. Traditionally, the coracoclavicular distance is used to classify these injuries, despite well-documented limitations. Read More

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http://dx.doi.org/10.1016/j.jse.2019.12.014DOI Listing

A cracking complication: Displacement of existing clavicle fracture complicating subcutaneous implantable cardioverter defibrillator implantation.

Indian Pacing Electrophysiol J 2020 May - Jun;20(3):129-131. Epub 2020 Mar 4.

Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E3P5, Canada. Electronic address:

An 18 year old male with an incompletely healed clavicle fracture presented with unexplained syncope. Subsequent investigations were consistent with a diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). A subcutaneous implantable cardioverter-defibrillator (S-ICD) was successfully implanted and defibrillation threshold (DFT) testing performed as per standard protocol. Read More

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http://dx.doi.org/10.1016/j.ipej.2020.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244852PMC

A delayed and recurrent pneumothorax complicating a fractured clavicle - A novel presentation.

Trauma Case Rep 2020 Apr 25;26:100294. Epub 2020 Feb 25.

Community Mental Health, Trelawny Health Services, Western Regional Health Authority, 1S, Montego Bay, St. James, Jamaica.

There are very few reports in the literature about clavicular fractures being associated with a pneumothorax. With this combination of injuries, there are also minimal reports of a delayed presentation of a pneumothorax. This is the first report of a delayed pneumothorax followed by a recurrence of a pneumothorax due to the fractured ends of the clavicle. Read More

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http://dx.doi.org/10.1016/j.tcr.2020.100294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044753PMC

Prevalence and Burden of Health Problems in Male Elite Ice Hockey Players: A Prospective Study in the Norwegian Professional League.

Orthop J Sports Med 2020 Feb 19;8(2):2325967120902407. Epub 2020 Feb 19.

Department of Sports Medicine, Oslo Sports Trauma Research Center, Norwegian School of Sport Sciences, Oslo, Norway.

Background: As previous epidemiological studies in elite ice hockey have focused on acute time-loss injuries, little is known about the burden of overuse injuries and illnesses in ice hockey.

Purpose: To report the prevalence and burden of all health problems in male professional ice hockey players in Norway during a single competitive season.

Study Design: Descriptive epidemiological study. Read More

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http://dx.doi.org/10.1177/2325967120902407DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031791PMC
February 2020

Isolated tears of the sternocostal head of the pectoralis major muscle: surgical technique, clinical outcomes, and a modification of the Tietjen and Bak classification.

J Shoulder Elbow Surg 2020 Jul 20;29(7):1359-1367. Epub 2020 Feb 20.

Sports Medicine and Shoulder Service, Hospital for Special Surgery, New York, NY, USA. Electronic address:

Hypothesis: We aimed to describe a modified surgical technique to treat isolated sternocostal head tears using cortical button fixation while preserving the intact clavicular head tendon, to outline a new classification of pectoralis major injuries, and to present the clinical outcomes and return-to-sport data of a cohort of 21 athletes who underwent surgical repair.

Methods: We reviewed prospectively collected data of patients who underwent surgical repair with the described technique for isolated sternocostal head tears from 2008 to 2014. Two-year postoperative clinical outcomes including the Single Assessment Numeric Evaluation score, isokinetic strength, patient satisfaction, and return to sport, as well as preinjury and postoperative bench-press weight, were collected, and descriptive statistics were used for analysis. Read More

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http://dx.doi.org/10.1016/j.jse.2019.11.024DOI Listing

Morphometric analyses of clavicle's nutrient foramen.

Surg Radiol Anat 2020 Feb 12. Epub 2020 Feb 12.

Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Purpose: Fractures of the clavicle, which has an important location and function in the upper extremity and shoulder joint, compose 10% of all fracture cases. During the osteosynthesis of clavicle fractures and in the post-operative period of patients, considering the detailed morphometric and topographic properties of the nutrient foramen of clavicle is important to avoid the disruption of arterial nutrition of the clavicle and prevent unexpected injuries. The aim of this study was to investigate the morphometric properties of the nutrient foramen of clavicle in more detail using computedtomography images. Read More

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http://dx.doi.org/10.1007/s00276-020-02433-7DOI Listing
February 2020

Acromioclavicular and Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Instability.

JBJS Essent Surg Tech 2019 Oct-Dec;9(4). Epub 2019 Oct 9.

The Steadman Clinic and The Steadman Philippon Research Institute, Vail, Colorado.

Numerous operative techniques have been described for acromioclavicular and coracoclavicular ligament reconstruction for the treatment of acromioclavicular joint instability. Injuries of this nature are commonly sustained by contact-sport athletes in high-impact collisions or falls. Traumatic injury to the acromioclavicular joint and ligamentous structures can range in severity, as can the degree of subsequent joint instability. Read More

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http://dx.doi.org/10.2106/JBJS.ST.18.00088DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6974305PMC
October 2019

Difficult birth is the main contributor to birth-related fracture and accidents to other neonatal fractures.

Acta Paediatr 2020 Feb 7. Epub 2020 Feb 7.

Department of Clinical Medicine K1, University of Bergen, Bergen, Norway.

Aim: Specific birth-related fractures have been studied; underestimates might be a problem. We aimed to assess all fractures diagnosed as birth-related as well as other neonatal fractures.

Methods: A population-based study on all infants born in Sweden 1997-2014; data were retrieved from the Swedish Health Registers (10th version of International Classification of Diseases. Read More

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http://dx.doi.org/10.1111/apa.15217DOI Listing
February 2020

Clavicle Trauma: From Acromioclavicular Joint Injuries to Distal Clavicle Fractures and Midshaft Fractures in Contact Athletes.

Instr Course Lect 2019 ;68:41-52

Injuries to the clavicle and its articulations (the acromioclavicular and sternoclavicular joints) are becoming increasingly common. Conventional treatment has been dominated by nonsurgical techniques; however, the active patient was often left with substantial residual disability that was underreported. It is now recognized that surgical intervention may be advantageous in specific patients, especially athletes. Read More

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February 2020

Fracture Ultrasound of the Extremities.

Ultraschall Med 2020 Feb 5;41(1):12-28. Epub 2020 Feb 5.

Pediatric surgery, Marienhospital Gelsenkirchen, Germany.

Fracture ultrasound has increasingly come into the focus of international research. A growing number of original articles and a meta-analysis show that wrist fractures can be diagnosed without X-ray in children up to 12 years. Further original publications state that elbow fractures can be ruled out by exclusion of intraarticular effusion and in proximal humerus fractures the number of X-rays is reduced by about 50 %, while the quality of diagnosis is improved. Read More

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http://dx.doi.org/10.1055/a-1023-1782DOI Listing
February 2020