4,520 results match your criteria Clavicular Injuries


Horizontal Instability of the Acromioclavicular Joint: A Systematic Review.

Am J Sports Med 2019 Apr 23:363546519831013. Epub 2019 Apr 23.

Department of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, Louisiana, USA.

Background: Injuries to the acromioclavicular (AC) joint are common and should be suspected in patients who have shoulder pain in the region of the acromion and clavicle. Injuries to the AC ligament can cause horizontal instability and are often neglected or underdiagnosed, which can lead to poor patient outcomes.

Purpose: To perform a systematic review of the literature on the diagnosis and treatment of horizontal instability of the AC joint. Read More

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http://dx.doi.org/10.1177/0363546519831013DOI Listing
April 2019
6 Reads

Fractures Around the Shoulder: Radiologic Update on Surgical Fixation Techniques.

Semin Musculoskelet Radiol 2019 Apr 29;23(2):99-108. Epub 2019 Mar 29.

Department of Radiology, University of Michigan Health System, Ann Arbor, Michigan.

Although radiologists are likely familiar with basic fracture patterns around the shoulder, certain fracture types in this area have particularly relevant and controversial clinical management issues. These include proximal humeral fractures, in which conservative management is favored but some patients receive surgical treatment; glenoid fractures and Hill-Sachs lesions, in which surgery may be performed depending on the amount of bone loss; and distal clavicular fractures, in which certain displaced fractures have high rates of nonunion, but there is no clearly favored surgical technique. Knowledge of the different clinical issues and surgical options can aid the radiologist in identifying key imaging findings and creating a useful report. Read More

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http://dx.doi.org/10.1055/s-0038-1677465DOI Listing
April 2019
3 Reads

Clavicle Fractures: Review and Update for Radiologists.

Curr Probl Diagn Radiol 2019 Feb 27. Epub 2019 Feb 27.

Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD. Electronic address:

Clavicle fractures are relatively common injuries that are typically diagnosed and followed with plain radiography. The goals of this article are to review the imaging evaluation, common classification systems, and relative surgical indications for clavicle fractures. Read More

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http://dx.doi.org/10.1067/j.cpradiol.2019.02.010DOI Listing
February 2019
1 Read

Vacuum phenomenon in the shoulder of a child.

BMJ Case Rep 2019 Mar 22;12(3). Epub 2019 Mar 22.

Orthopaedics, Queen Elizabeth Hospital, Gateshead, Tyne & Wear, UK.

A 10-year-old boy struck a car bonnet following which his left shoulder got pinned under the wheel. No life-threatening injuries were identified. However, the patient sustained extensive abrasions to the back and the left shoulder, a closed deformity of the left clavicle and a swollen, but stable right knee. Read More

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http://dx.doi.org/10.1136/bcr-2018-226724DOI Listing
March 2019
2 Reads

An Arthroscopic Modification of Coracoclavicular Ligament Reconstruction and Distal Clavicle Fracture Fixation in the Lateral Position.

Arthrosc Tech 2019 Jan 10;8(1):e17-e21. Epub 2018 Dec 10.

Department of Orthopaedics, Stony Brook University School of Medicine, Stony Brook, New York, U.S.A.

Distal clavicle fractures and acromioclavicular injuries are common shoulder injuries. Despite the frequency of these injuries, there is no gold standard for treatment. Recent suspensory fixation techniques have minimized the amount of hardware required for surgical treatment of both acromioclavicular separations and distal clavicle fractures. Read More

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http://dx.doi.org/10.1016/j.eats.2018.08.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408589PMC
January 2019
1 Read

The Diagnosis and Treatment of Acute Dislocation of the Acromioclavicular Joint.

Dtsch Arztebl Int 2019 Feb;116(6):89-95

German Center of Shoulder Surgery, ATOS Clinic Munich, Department of Sports Orthopedics, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany; Department of Orthopedics and Orthopedic Surgery, University Medicine Greifswald, Greifswald, Germany; Upper Extremity Department, Schulthess Clinic Zurich; Center for Musculoskeletal Surgery (CMSC), Charité-University Medicine Berlin, Berlin, Germany; Department of Orthopedic Surgery, Alfried Krupp Hospital Essen, Essen, Germany; Department of Sports Orthopedics, Marienkrankenhaus Kaiserswerth, Düsseldorf, Germany; Department of Orthopedics and Trauma Surgery, University Hospital Freiburg, Freiburg, Germany; The authors are members of the Shoulder Committee of the German Society of Arthroscopy and Joint Surgery (AGA, Deutsche Gesellschaft für Arthroskopie und Gelenkchirurgie).

Background: The acromioclavicular joint (ACJ) is one of the more common sites of shoulder girdle injury, accounting for 4-12% of all such injuries, with an incidence of 3-4 cases per 100 000 persons per year in the general population. Current topics of debate include the proper standard diagnostic evaluation, the indications for surgery, and the best operative method.

Methods: This review is based on publications retrieved by a selective literature search. Read More

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http://dx.doi.org/10.3238/arztebl.2019.0089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6435864PMC
February 2019
1 Read

Ultrasound Radiation Force for the Assessment of Bone Fracture Healing in Children: An In Vivo Pilot Study.

Sensors (Basel) 2019 Feb 24;19(4). Epub 2019 Feb 24.

Department of Radiology, Mayo Clinic College of Medicine & Science, Rochester, MN 55905, USA.

Vibrational characteristics of bone are directly dependent on its physical properties. In this study, a vibrational method for bone evaluation is introduced. We propose a new type of quantitative vibro-acoustic method based on the acoustic radiation force of ultrasound for bone characterization in persons with fracture. Read More

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http://dx.doi.org/10.3390/s19040955DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412657PMC
February 2019
1 Read

Scapulothoracic Dissociation and Clavicle Fracture with Associated Brachial Plexus Palsy.

J Long Term Eff Med Implants 2018 ;28(3):233-237

Trauma and Orthopaedic Department, Red Cross Hospital, Athens, Greece.

Scapulothoracic dissociation is the traumatic separation of the scapula from the thoracic wall. It is the outcome of rare, high-energy trauma to the shoulder girdle and may include vascular and neurologic damage of the upper extremity. Of the few cases presented in the literature, the majority refer to polytrauma patients. Read More

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http://dx.doi.org/10.1615/JLongTermEffMedImplants.2018029212DOI Listing
January 2018
11 Reads

Grade 3 AC joint injury: A survey of current practice in the United Kingdom.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018825222

Department of Orthopaedics, George Eliot Hospital, College Street, Nuneaton, UK.

Acromio-clavicular (AC) joint injuries are a common injury seen in athletes and represent 9% to 12% of all shoulder injuries. There is no clear consensus on treatment of grade 3 injuries. We conducted a survey among upper limb surgeons in the United Kingdom to review commonly accepted practise. Read More

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http://dx.doi.org/10.1177/2309499018825222DOI Listing
February 2019
1 Read

Fragility of randomized clinical trials of treatment of clavicular fractures.

J Shoulder Elbow Surg 2019 Mar;28(3):415-422

Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.

Background: Statistical significance, as reported by the P value, has traditionally been the most commonly reported way to determine whether a difference exists between clinical interventions. Unfortunately, P values alone confer little about the robustness of a study's conclusions. An emerging metric, the fragility index (FI), helps to address this challenge by quantifying the number of events per outcome group that would need to be reversed to the alternative outcome in order to raise the P value above the 0. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.039DOI Listing
March 2019
1 Read

The term "floating" used in traumatic orthopedics.

Medicine (Baltimore) 2019 Feb;98(7):e14497

Department of Orthopedic Traumatology.

Background: The term "floating" is used in orthopedic literature to describe certain patterns of skeletal injuries that share one common character which is disruption and discontinuity of bones above and below a joint. The first time used in orthopedic literature being in late 1970 to describe a type of elbow injury. Later the word was used increasingly and applied to a variety of injuries affecting the knee, shoulder, hip, forearm, hand, and ankle. Read More

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http://dx.doi.org/10.1097/MD.0000000000014497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408003PMC
February 2019
7 Reads

A new technique for medial-end comminuted clavicle fractures.

Injury 2019 Mar 2;50(3):811-813. Epub 2019 Feb 2.

Department of Orthopaedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325000, PR China; Zhejiang Provincial Key Laboratory of Orthpaedics, Wenzhou, Zhejiang, 325000, PR China. Electronic address:

Fractures of the medial comminuted clavicle are rare injuries but are associated with significant morbidity and mortality. Although rare, such injuries deserve rapid diagnosis and effective treatment to avoid future complications. An optimal, standardized operative treatment has not yet been established. Read More

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http://dx.doi.org/10.1016/j.injury.2019.02.002DOI Listing
March 2019
3 Reads

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Wrestling (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Men's Wrestling (2004-2005 Through 2013-2014).

J Athl Train 2018 Dec;53(12):1143-1155

Injury Prevention Research Center, University of North Carolina at Chapel Hill.

Context: The advent of Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided the acquisition of wrestling injury data.

Objective: To describe the epidemiology of injuries sustained in high school boys' wrestling in the 2005-2006 through 2013-2014 academic years and collegiate men's wrestling in the 2004-2005 through 2013-2014 academic years using Web-based sports injury surveillance.

Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.4085/1062-6050-154-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365066PMC
December 2018
9 Reads
1.509 Impact Factor

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in US High School Boys' Ice Hockey (2008-2009 Through 2013-2014) and National Collegiate Athletic Association Men's and Women's Ice Hockey (2004-2005 Through 2013-2014).

J Athl Train 2018 Dec;53(12):1129-1142

Department of Exercise and Sport Science, University of North Carolina at Chapel Hill.

Context: Web-based sports injury surveillance via programs such as the High School Reporting Information Online system and the National Collegiate Athletic Association Injury Surveillance Program has aided efforts to collect data on ice hockey injuries.

Objective: To describe the epidemiology of injuries sustained in high school boy's ice hockey in the 2008-2009 through 2013-2014 academic years and collegiate men's and women's ice hockey in the 2004-2005 through 2013-2014 academic years using Web-based surveillance.

Design: Descriptive epidemiology study. Read More

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http://dx.doi.org/10.4085/1062-6050-176-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6365065PMC
December 2018
10 Reads
1.509 Impact Factor

Scapulothoracic dissociation: a devastating "floating shoulder" injury.

Acta Biomed 2018 Nov 15;90(1-S):150-153. Epub 2018 Nov 15.

U.O. Ortopedia e Traumatologia, Ospedale M. Bufalini, Cesena (FC).

Background and aim of the work The term "floating shoulder" was used in a previous paper to describe lesions of at least two components of the SSSC (superior shoulder suspensory complex), a bony-ligamentous structure of the shoulder girdle. Following this article other types of floating shoulder were described, including scapulothoracic dissociation (STD), a rare lesion with potentially devastating consequences, with detachment of the scapular body from the thoracic wall, with following lateralization of the scapula,  fracture of the clavicle or injury of the adiacent sterno-clavear or acromion-clavicular joints. Prognosis and outcome are also negatively influenced by secondary vascular and neurologic injuries. Read More

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http://dx.doi.org/10.23750/abm.v90i1-S.7857DOI Listing
November 2018
2 Reads

Radiation-induced thoracic necrosis with a pulmonary cutaneous fistula repaired using a free omental flap: a case report.

BMC Surg 2019 Feb 2;19(1):14. Epub 2019 Feb 2.

Department of Plastic Surgery, National Defense Medical College, 3-2 Namiki Tokorozawa, Saitama, 359-0042, Japan.

Background: Chest wall necrosis can manifest as a late effect of radiation therapy for breast cancer. Only two cases of fistulas communicating with the respiratory tract as a result of radiation-induced necrosis of the lungs or bronchi have been reported. To the best of our knowledge, we report the first case of a pulmonary cutaneous fistula arising as a late effect of radiation therapy for breast cancer, which was successfully repaired using a free omental graft. Read More

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https://bmcsurg.biomedcentral.com/articles/10.1186/s12893-01
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http://dx.doi.org/10.1186/s12893-019-0479-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6360029PMC
February 2019
11 Reads

Shoulder and Elbow Fractures in Athletes.

Curr Rev Musculoskelet Med 2019 Mar;12(1):13-23

Department of Orthopedic Surgery, Mayo Clinic and Mayo College of Medicine, Gonda 14, 200 First Street SW, Rochester, MN, 55905, USA.

Purpose Of Review: The purposes of this review are to discuss the management of shoulder and elbow fractures in athletes to optimize the return to sport and to highlight treatment impact on the return to play.

Recent Findings: Fractures of the shoulder and elbow can have profound implications in an athlete career. Recent technique of fractures management trended toward to preserve soft tissue which is critical for an early recovery in athletic population. Read More

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http://dx.doi.org/10.1007/s12178-019-09530-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388575PMC
March 2019
2 Reads

The Effect of Level I Evidence on Surgical Decision Making in the United States Versus Canada.

J Am Acad Orthop Surg Glob Res Rev 2018 Dec 4;2(12):e056. Epub 2018 Dec 4.

Department of Orthopedic Surgery, New England Baptist Hospital, Boston, MA (Dr. Jawa, Carducci, Dr. Bhandari); Department of Orthopedic Surgery, the University of Alabama at Birmingham Hospital, Birmingham, AL (Dr. Pittman); Boston Sports and Shoulder Center, Waltham, MA (Dr. Jawa, Mr. Carducci); North Shore University Hospital, Manhasset, NY (Dr. Koenig); the Division of Orthopedic Surgery, McMaster University, Hamilton, ON, Canada (Dr. Bhandari); and the Department of Orthopedic Surgery, Boston University Medical Center, Boston, MA (Dr. Tornetta).

Background: In this study, we examined the difference that randomized trials favoring either surgery or nonsurgical treatment had on the surgical indications of American versus Canadian surgeons.

Methods: One randomized trial favoring surgical management of clavicle fractures and another one favoring nonsurgical management of Achilles tendon ruptures were used. American and Canadian orthopaedic surgeons were surveyed regarding their surgical indications for these injuries. Read More

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http://dx.doi.org/10.5435/JAAOSGlobal-D-18-00056DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336576PMC
December 2018
3 Reads

Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.

Cochrane Database Syst Rev 2019 01 22;1:CD009363. Epub 2019 Jan 22.

Orthopaedic Department and School of Medicine, Faculdade Israelita de Ciencias da Saude Albert Einstein and Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, São Paulo, São Paulo, Brazil, CEP 05651-901.

Background: Clavicle fractures are common, accounting for 2.6% to 4% of all fractures. Eighty per cent of clavicle fractures are located in the middle third of the clavicle. Read More

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http://doi.wiley.com/10.1002/14651858.CD009363.pub3
Publisher Site
http://dx.doi.org/10.1002/14651858.CD009363.pub3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6373576PMC
January 2019
5 Reads

Sports-related sternoclavicular joint injuries.

Phys Sportsmed 2019 Jan 15:1-9. Epub 2019 Jan 15.

b Department of Family Medicine and Orthopedics, School of Medicine , University of Colorado , ‎Aurora , CO , USA.

Sports-related injuries to the shoulder are common causes of disability. Injuries to the sternoclavicular joint (SCJ) in sports are more rare, though have been reported in a small number of cases. SCJ injury classification is determined by the degree of joint displacement and direction of clavicular displacement. Read More

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http://dx.doi.org/10.1080/00913847.2019.1568771DOI Listing
January 2019
5 Reads
1.490 Impact Factor

Bilateral Clavicular Fracture with Unilateral Scapular Fracture.

Kathmandu Univ Med J (KUMJ) 2018 Jan.-Mar;16(61):94-96

Department of Orthopedic and Trauma Surgery, Jinzhou Medical University, Liaoning, China.

The aim of this report is to present a rare case of bilateral clavicular fracture with a unilateral scapular fracture of a young patient following high-velocity trauma without any comorbidity. Clavicle fracture is common however, simultaneously, both clavicle and scapular fracture is a rare entity. The incidence of bilateral clavicle fracture is 0. Read More

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February 2019
3 Reads

Eighteen years' experience of traumatic subclavian vascular injury in a tertiary referral trauma center.

Eur J Trauma Emerg Surg 2019 Jan 9. Epub 2019 Jan 9.

Division of Trauma and Emergency Surgery, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No.5, Fuxing St., Guishan Dist., Linkou, Taoyuan, 333, Taiwan.

Purpose: Traumatic subclavian vascular injury (TSVI) is rare but often fatal. The precise diagnosis of TSVI remains challenging mainly because of its occult nature, less typical presentations, and being overlooked in the presence of polytrauma. Compared to penetrating injuries, it is even more difficult to identify TSVI in patients who have blunt injuries and no visible bleeding. Read More

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http://dx.doi.org/10.1007/s00068-018-01070-5DOI Listing
January 2019
18 Reads

Ultrasound of horizontal instability of the acromioclavicular joint : A simple and reliable test based on a cadaveric study.

Wien Klin Wochenschr 2019 Feb 7;131(3-4):81-86. Epub 2019 Jan 7.

Department of Orthopaedic Surgery, Medical University of Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

Background: Horizontal instability influences the clinical outcome after acromioclavicular joint (ACJ) injuries and in joint degeneration. A standardized, dynamic examination of the horizontal instability has not been described before. This current study presents a sonographic method to analyze the dynamics between the clavicle and acromion in the horizontal plane. Read More

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http://link.springer.com/10.1007/s00508-018-1433-x
Publisher Site
http://dx.doi.org/10.1007/s00508-018-1433-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6394808PMC
February 2019
15 Reads

The first 100 patients treated with a new anatomical pre-contoured locking plate for clavicular midshaft fractures.

BMC Musculoskelet Disord 2019 Jan 5;20(1). Epub 2019 Jan 5.

Department of Orthopedic Surgery, Bürgerspital Solothurn, Schöngrünstrasse 38, 4500, Solothurn, Switzerland.

Background: Pre-contoured locking plates were recently introduced in the management of clavicular midshaft fractures. These plates may offer advantages such as no necessity for intraoperative bending and reduced plate irritation. The purpose of this study was to review the clinical and radiographical outcome of the first 100 patients treated with a new anatomical pre-contoured locking plate. Read More

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http://dx.doi.org/10.1186/s12891-018-2396-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6320588PMC
January 2019
1 Read

Human Shoulder Response to Lateral Impact in Intermediate Loading Conditions Between High-Velocity, Short-Duration and Low-Velocity, Long-Duration.

Stapp Car Crash J 2018 Nov;62:319-357

Université Paris René Descartes (Paris, France).

The EuroSID-2re (ES-2re) Anthropomorphic Test Device (ATD) commonly known as the crash test dummy is also used in the military domain to assess the risk of injury of armored vehicles occupants from lateral impact. The loading conditions range from low velocity - long duration impacts (4 m/s - 50 ms) similar to the automotive domain, to high velocity - short duration impacts (28 m/s - 3 ms) corresponding to cases where the panel deforms under an explosion. The human shoulder response to lateral impact was investigated at bounds of the loading condition spectrum previously mentioned, and also at intermediate conditions (14 m/s - 9 ms) in previous studies. Read More

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November 2018
3 Reads

Clinical Utility of Routine Chest X-Rays During the Initial Stabilization of Trauma Patients.

South Med J 2019 Jan;112(1):55-59

From the San Antonio Military Medical Center, Fort Sam Houston, the William Beaumont Army Medical Center, Fort Bliss, the Army Medical Department (AMEDD) Center and School, Fort Sam Houston, and the US Army Institute for Surgical Research, San Antonio, Texas.

Objectives: The Advanced Trauma Life Support (ATLS) course encourages the use of chest x-ray (CXR) to identify injuries that may change clinical management during the initial stage of trauma resuscitations. Several studies have failed to show benefit for the routine use of CXR without a clinical indication, however. We sought to validate these findings by determining the incidence of clinically significant findings discovered on a portable single-view CXR during the initial stabilization of trauma patients at a Level 1 trauma center. Read More

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http://dx.doi.org/10.14423/SMJ.0000000000000921DOI Listing
January 2019
4 Reads

Anatomical study of the position and orientation of the coracoclavicular ligaments: Differences in bone tunnel position by gender.

Orthop Traumatol Surg Res 2019 Apr 27;105(2):275-280. Epub 2018 Dec 27.

Department of Orthopaedic Surgery, Fukuoka University Faculty of Medicine, 7-45-1 Nanakuma, Jonan-ku, Fukuoka 814-0180, Japan.

Background: Reconstructing both coracoclavicular ligaments following acromioclavicular dislocation has recently been reported to restore the function of the acromioclavicular joint better than traditional procedures. Knowing the appropriate position and orientation of the bone tunnels and the potential risks of neurovascular injuries leads to safe reconstruction. We aimed to answer the following questions: what is the difference in the accurate clavicular bone tunnel positions (BTPs) during coracoclavicular ligament reconstruction between sex, and what are the potential risks for neurovascular injuries?

Hypothesis: The BTPs differ by sex at the site of coracoclavicular ligament reconstruction. Read More

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http://dx.doi.org/10.1016/j.otsr.2018.10.020DOI Listing
April 2019
4 Reads

Injury to the axillary artery and brachial plexus caused by a closed floating shoulder injury: A case report.

World J Clin Cases 2018 Dec;6(15):1029-1035

Department of Orthopedics, the Second Affiliated Hospital, Shantou University Medical College, Shantou 515041, Guangdong Province, China.

Background: A floating shoulder may be associated with catastrophic neurovascular injury and requires a multidisciplinary approach for its management. To maximize the likelihood of good patient outcomes, this unique injury pattern should be recognized in patients as early as possible. This can be difficult to achieve, however, as there are currently few reports of floating shoulder in the literature, meaning that associated neurovascular injuries may be overlooked. Read More

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http://www.wjgnet.com/2307-8960/full/v6/i15/1029.htm
Publisher Site
http://dx.doi.org/10.12998/wjcc.v6.i15.1029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288514PMC
December 2018
5 Reads

The Relationship between Clinical Findings of Shoulder Joint with Bone Damage of Shoulder Joint in Patients with Isolated Shoulder Blunt Trauma.

Open Access Maced J Med Sci 2018 Nov 20;6(11):2101-2106. Epub 2018 Nov 20.

Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Due to the prevalence of shoulder injuries among athletes and other people and the prevalence of radiography for these injuries, there are still no valid criteria for indication of doing shoulder radiography.

Aim: This study aimed to examine the relationship between some signs and clinical examinations of the shoulder with shoulder bone injuries and the need for radiography.

Methods: This is a cross-sectional study. Read More

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http://dx.doi.org/10.3889/oamjms.2018.478DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6290453PMC
November 2018
2 Reads

T-plate fixation for unstable proximal clavicula fractures.

Acta Orthop Traumatol Turc 2018 Nov 11;52(6):464-468. Epub 2018 Dec 11.

Department of Orthopaedics, Ningbo, People's Republic of China.

Objective: The aim of this study was to evaluate the clinical results of T-plate fixation and anterior sternoclavicular ligament repair in proximal clavicle fractures.

Methods: Between August 2013 and August 2016, a total 12 patients (10 men and 2 women; mean age: 44.1 ± 9. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1017995X173050
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http://dx.doi.org/10.1016/j.aott.2018.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6318499PMC
November 2018
12 Reads

Clavicular non-union treated with fixation using locking compression plate without bone graft.

J Orthop Surg Res 2018 Dec 13;13(1):317. Epub 2018 Dec 13.

Department of Orthopedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

Background: The articles that have reported on the size at which a segmental defect of clavicular non-union requires bone grafting are scarce. This study evaluated the functional and radiologic results of fixation by locking compression plate (LCP) without bone graft when the defect size is less than 2 cm following bone sclerosis removal for the treatment of clavicular non-union.

Methods: The study included 17 patients with mid-shaft clavicular non-union. Read More

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http://dx.doi.org/10.1186/s13018-018-1015-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292160PMC
December 2018
3 Reads

Clavicle duplication following physeal injury.

Surg Radiol Anat 2019 Apr 8;41(4):373-376. Epub 2018 Dec 8.

Department of Radiology, Uludag University Faculty of Medicine, Bursa, Turkey.

Clavicle duplication is a rare entity with limited number of cases reported. Congenital origin and trauma related mechanisms are the main hypotheses to explain this anatomical variation. In skeletally immature patient, trauma may cause physeal-metaphyseal injury in the distal clavicle rather than acromioclavicular strain. Read More

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http://dx.doi.org/10.1007/s00276-018-2151-9DOI Listing
April 2019
6 Reads

Open Anatomic Coracoclavicular Ligament Reconstruction by Modified Conjoint Tendon Transfer for Treatment of Acute High-Grade Acromioclavicular Dislocation.

Authors:
Naser M Selim

Arthrosc Tech 2018 Nov 15;7(11):e1157-e1165. Epub 2018 Oct 15.

Knee Surgery-Arthroscopy and Sports Injuries Unit, Orthopedic Department, Faculty of Medicine, Mansoura University Hospital, Mansoura, Egypt.

There is no ideal surgical technique for the treatment of acromioclavicular (AC) dislocations. Reconstruction of the coracoclavicular ligaments (CCLs) for the treatment of AC dislocations is evolving. Many techniques for CCL reconstruction have been described. Read More

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http://dx.doi.org/10.1016/j.eats.2018.07.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262162PMC
November 2018
2 Reads

Effect of Surgical-Site, Multimodal Drug Injection on Pain and Stress Biomarkers in Patients Undergoing Plate Fixation for Clavicular Fractures.

Clin Orthop Surg 2018 Dec 21;10(4):455-461. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

Background: Surgical-site, multimodal drug injection has recently evolved to be a safe and useful method for multimodal pain management even in patients with musculoskeletal trauma.

Methods: Fifty consecutive patients who underwent plating for mid-shaft and distal clavicular fractures were included in the study. To evaluate whether surgical-site injections (SIs) have pain management benefits, the patients were divided into two groups (SI and no-SI groups). Read More

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http://dx.doi.org/10.4055/cios.2018.10.4.455DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250965PMC
December 2018
3 Reads

Technique Tip: Platysma-flap Approach to the Clavicle.

Tech Hand Up Extrem Surg 2019 Mar;23(1):31-32

Valais Hospital, Martigny.

The surgical treatment of a displaced fracture of the clavicular shaft generally consists in an open reduction and plate fixation. The most common complications of the classic direct "transplatysma" approach are hardware related. These consist of simple hardware irritations requiring secondary plate removal but also feared wound healing problems ranging from dehiscence to superficial and deep wound infections. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000219DOI Listing
March 2019
15 Reads

Influence of Level 1 Evidence on Management of Clavicle and Distal Humerus Fractures: A Nationwide Comparative Study of Records From 2005 to 2014.

J Surg Orthop Adv Fall 2018;27(3):219-225

Department of Shoulder & Elbow Surgery, Holy Cross Orthopedic Institute, Fort Lauderdale, Florida.

The purpose of this study was to examine alterations in national trends managing midshaft clavicle fractures (MCF) and intra-articular distal humerus fractures (DHF) surrounding recent level 1 publications. A retrospective review of the PearlDiver supercomputer for DHF and MCF was performed. Using age limits defined in the original level 1 studies, total use and annual use rates were examined. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6396281PMC
February 2019
4 Reads

[Clavicular fractures : Diagnostics, management and treatment].

Unfallchirurg 2018 Dec;121(12):983-998

Klinik und Poliklinik für Unfallchirurgie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Clavicular fractures account for approximately 6% of bony injuries of the shoulder girdle. Patients suffering from this type of injury show 2 peaks (at the 2nd and 8th decades of life) where the majority occur in young active patients during recreational and sports activities. Besides an accurate patient history with a focus on the trauma mechanism, the clinical and radiological investigations are the cornerstones of the diagnostics. Read More

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http://dx.doi.org/10.1007/s00113-018-0575-7DOI Listing
December 2018
7 Reads

Upper Extremity Injuries in Soccer.

Am J Orthop (Belle Mead NJ) 2018 Oct;47(10)

535 East 70th Street, New York, NY 10021, USA. Email:

Upper limb injuries in soccer represent only a marginal portion of injuries, however this is mainly true for outfield players. Goalkeepers are reported to have up to 5 times more upper extremity injuries, many of them requiring substantial time-loss for treatment and rehabilitation. The most common upper extremity injury locations are the shoulder/clavicle followed by the hand/finger/thumb, elbow, wrist, forearm, and upper arm. Read More

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http://dx.doi.org/10.12788/ajo.2018.0091DOI Listing
October 2018
20 Reads

Anterior buttress plate is successful for treating posterior sterno-clavicular dislocation.

Knee Surg Sports Traumatol Arthrosc 2019 Jan 26;27(1):251-258. Epub 2018 Nov 26.

Centre Hospitalier de Luxembourg, 76 Rue d'Eich, 1460, Luxembourg, Luxembourg.

Purpose: Traumatic posterior instability of the sternoclavicular joint is a potentially life-threatening injury. In contrast to the low incidence there is a plethora of different strategies to treat this lesion. It was the objective of this retrospective analysis to evaluate and further develop current strategies. Read More

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http://link.springer.com/10.1007/s00167-018-5298-3
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http://dx.doi.org/10.1007/s00167-018-5298-3DOI Listing
January 2019
18 Reads

Which lateral clavicle fractures can be treated by an arthroscopic-assisted endobutton procedure? An analysis of risk factors.

Arch Orthop Trauma Surg 2019 Mar 24;139(3):331-337. Epub 2018 Nov 24.

Luzerner Kantonsspital, Spitalstrasse 16, 6000, Lucerne, Switzerland.

Introduction: Arthroscopy-assisted treatment of lateral clavicle fractures with coracoclavicular stabilization and an endobutton device have gained popularity over recent years. There is little evidence to support which types of lateral clavicle fractures are suitable for this treatment. The primary aim of this study was to evaluate the clinical und radiological outcomes of this treatment and to identify which fracture types are suitable. Read More

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http://link.springer.com/10.1007/s00402-018-3075-x
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http://dx.doi.org/10.1007/s00402-018-3075-xDOI Listing
March 2019
22 Reads

Anatomically based classification of medial clavicle fractures.

Acta Orthop Belg 2018 Mar;84(1):62-67

Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to other classification systems and to evaluate the clinical outcome of nonoperative treated fractures. 55 acute medial clavicle fractures (55 patients) were 3D reconstructed and evaluated using the Edinburgh (ED), Throckmorton (TR) and new AB classification. Read More

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March 2018
25 Reads

Midshaft clavicle fracture synthesis with twisted one-third tubular plate with anterior-inferior approach.

Tunis Med 2018 May;96(5):264-268

Background: Fractures of the clavicle are common and usually treated as minor injuries. The middle-third fractures account for 80% of all clavicle fractures. For many years, these fractures have been treated conservatively. Read More

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May 2018
8 Reads

Fatal Acute Myocardial Infarction after Multiple Blunt Injuries Involving the Chest.

J Emerg Trauma Shock 2018 Jul-Sep;11(3):230-232

Acute Critical Care and Emergency Medicine, Shizuoka Hospital, Juntendo University Address 1129 Nagaoka, Izunokuni-city, Shizuoka 410-2295, Japan.

The patient was a 60-year-old male fell whose head and left chest hit the ground after falling from a height of 2 m. He complained of the left shoulder and chest pain after regaining consciousness. On arrival, he showed left bloody otorrhea, left chest tenderness, and a limited range of motion due to the left shoulder pain. Read More

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http://dx.doi.org/10.4103/JETS.JETS_39_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6182957PMC
November 2018
19 Reads

[Pinch-off syndrom or costo clavicular forceps syndrom].

Rev Pneumol Clin 2018 Dec 10;74(6):492-496. Epub 2018 Nov 10.

Département de chirurgie thoracique, hôpital Militaire d'instruction Mohammed V, faculté de médecine et de pharmacie, université Mohamed V, 10100 Rabat, Maroc.

Implantable catheter systems are the most common procedure used for patients requiring chemotherapy or long-term drug administration. Several procedures are used for the installation of these systems. Patients with long-term subclavian venous catheters described a progressive rupture of the catheter which is a rare complication. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07618417183012
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http://dx.doi.org/10.1016/j.pneumo.2018.09.014DOI Listing
December 2018
15 Reads

Redefining the morphometry of subclavian vessels for clavicle fracture treatments.

Surg Radiol Anat 2019 Apr 3;41(4):365-372. Epub 2018 Nov 3.

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

Purpose: Clavicle fractures are common injuries in adults and children. Although neurovascular damage is rarely seen, acute subclavian artery pseudoaneurysms and injuries to subclavian vessels were reported for closed fractures of the clavicle. The aim of this study was to identify the morphological details of the subclavian vessels and their relation to the sternoclavicular joint and body of the clavicle. Read More

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http://link.springer.com/10.1007/s00276-018-2132-z
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http://dx.doi.org/10.1007/s00276-018-2132-zDOI Listing
April 2019
10 Reads

Epiphysiolysis Type Salter I of the Medial Clavicle with Posterior Displacement: A Case Series and Review of the Literature.

Case Rep Orthop 2018 27;2018:4986061. Epub 2018 Sep 27.

Department of Orthopedic Surgery, HFR Fribourg-Hôpital Cantonal, Switzerland.

Physeal fractures of the medial clavicle with posterior displacement of the metaphysis are very rare injuries, but additional injuries can be life-threatening. Due to the specific clavicular ossification process, skeletally immature patients present usually not true sternoclavicular joint (SCJ) dislocations accordingly to adults but rather displaced physeal fractures. There is no consensus in the current literature on the best treatment of this lesion. Read More

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http://dx.doi.org/10.1155/2018/4986061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6180938PMC
September 2018
8 Reads

Analysis of the bony geometry of the acromio-clavicular joint.

Eur J Med Res 2018 Oct 23;23(1):50. Epub 2018 Oct 23.

Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany, Ismaninger Strasse 22, 81675, Munich, Germany.

Background: The primary goal of this study was to analyse the anatomic configuration of the acromio-clavicular joint in a healthy population to be able to develop a classification in a second step. On the basis of the primary findings a secondary goal was to find potential clinical indications in refer to AC-joint dislocation and lateral clavicle fractures.

Methods: The upper thoracic aperture including both shoulder joints as well as both sterno-clavicular joints was retrospectively reformatted in a bone kernel in axial orientation with 0. Read More

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https://eurjmedres.biomedcentral.com/articles/10.1186/s40001
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http://dx.doi.org/10.1186/s40001-018-0348-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198440PMC
October 2018
25 Reads

Does altering projection of the fractured clavicle change treatment strategy?

J Shoulder Elbow Surg 2019 Mar 19;28(3):e65-e70. Epub 2018 Oct 19.

Department of Orthopedic Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Shortening of the fractured clavicle is proposed and debated as an indicator for surgical intervention. There is no standardized or uniform method for imaging and measuring shortening. Different methods and techniques can lead to different measured outcomes. Read More

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http://dx.doi.org/10.1016/j.jse.2018.08.008DOI Listing
March 2019
3 Reads

Sharp bone trauma diagnosis: a validation study using epifluorescence microscopy.

Int J Legal Med 2019 Mar 18;133(2):521-528. Epub 2018 Oct 18.

Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France.

Identifying tool mark and involved weapon in sharp force trauma is essential to understanding the circumstances of death. But accuracy and reliability of such expert testimony remains unknown, and validation studies are rare in forensic literature. That is why, we conducted an experiment in order to determine error rates and predictive values on identifying the right implement through different types of knife-inflicted trauma. Read More

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http://dx.doi.org/10.1007/s00414-018-1944-zDOI Listing
March 2019
2 Reads

Cutaneous paresthesia after internal plate fixation of clavicle fractures and underlying anatomical observations.

Medicine (Baltimore) 2018 Oct;97(41):e12729

Department of Traumatic Orthopedics and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Guangxi, China.

To assess the clinical and anatomical causes of cutaneous paresthesia after internal fixation of clavicle fractures.This study included 135 patients who underwent internal fixation of clavicle fractures from May 2013 to June 2016 at the First and Second Affiliated Hospital of Guangxi Medical University. The incidence of postoperative supraclavicular nerve injury, the duration of numbness, and improvements after plate removal were retrospectively analyzed. Read More

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http://Insights.ovid.com/crossref?an=00005792-201810120-0005
Publisher Site
http://dx.doi.org/10.1097/MD.0000000000012729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203588PMC
October 2018
6 Reads