5,306 results match your criteria Clavicular Injuries


Incidence changes in risk factors associated with the decreasing number of birth-related clavicle fractures in Finland: A nationwide retrospective birth cohort from 2004 to 2017.

Birth 2022 Jun 23. Epub 2022 Jun 23.

Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Background: A clavicle fracture is one of the most common birth injuries. The objective of this study was to examine whether the decreased incidence of birth-related clavicle fractures in Finland is because of temporal changes in their predisposing factors.

Methods: For this nationwide population-based study, we used the Finnish Medical Birth Register and the Care Register for Health Care databases. Read More

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[Effectiveness of arthroscopic distal clavicle resection for symptomatic acromioclavicular joint arthritis].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2022 Jun;36(6):698-702

Department of Sports Medicine, Peking University Shenzhen Hospital, Shenzhen Guangdong, 518000, P. R. China.

Objective: To investigate the effectiveness of arthroscopic distal clavicle resection for the symptomatic acromioclavicular joint arthritis.

Methods: The clinical data of 14 patients with symptomatic acromioclavicular joint arthritis treated by arthroscopic indirect distal clavicle resection between January 2020 and March 2021 were retrospectively analyzed. There were 5 males and 9 females with an average age of 46. Read More

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Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident.

Vasc Specialist Int 2022 Jun 17;38:14. Epub 2022 Jun 17.

Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, México.

Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Read More

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Kinesiotaping in the emergency department: The effect of kinesiotaping on acute pain due to uncomplicated traumatic injury of the shoulder or chest wall. A pilot study.

Am J Emerg Med 2022 Jun 3;58:197-202. Epub 2022 Jun 3.

Professor of Trauma Surgery, Department of Surgery, OLVG, Amsterdam, the Netherlands.

Introduction: Traumatic injuries of the shoulder or chest wall are commonly treated in the Emergency Department (ED). A complementary treatment is kinesiotaping, an elastic tape often used to treat musculoskeletal dysfunction and pain. However, the added pain-reducing effect of kinesiotape in comparison to standard conservative treatment is unknown. Read More

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Coracoclavicular Ligament Reconstruction Using TightRope for Delayed Grade III Acromioclavicular Joint Injury After Ipsilateral Diaphyseal Clavicle Fracture Fixation: Surgical Technique and Review of Current Literature.

Tech Hand Up Extrem Surg 2022 Apr 7. Epub 2022 Apr 7.

Department of Orthopedics, Mercy Health St. Vincent Medical Center, Toledo, OH.

Athletes commonly sustain high-energy direct impact injuries to the shoulder, with acromioclavicular joint (ACJ) injuries accounting for over half. Ipsilateral ACJ injury and diaphyseal clavicle fracture occur nearly 7% of the time. There is limited literature offering treatment suggestions for this unique injury pattern and limited evidence providing guidance to suggest which injury patterns should be treated operatively or nonoperatively. Read More

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Detecting bone lesions in the emergency room with medical infrared thermography.

Biomed Eng Online 2022 Jun 13;21(1):35. Epub 2022 Jun 13.

CPGEI - Universidade Tecnológica Federal Do Paraná, Avenida Silva Jardim, 3165, Rebouças, Zip code 80230-901, Curitiba, Brasil.

Introduction: Low- to high-energy impact trauma may cause from small fissures up to extended bone losses, which can be classified as closed or opened injuries (when they are visible at a naked eye).

Objective: The aim of this study was to investigate the feasibility of clinical diagnosis of bone trauma through medical infrared thermography, in a hospital emergency room.

Methods: Forty-five patients with suspected diagnosis of bone fracture were evaluated by means of medical infrared images, and the data correlated with the gold standard radiographic images, in the anteroposterior, lateral, and oblique views, at the orthopedic emergency department. Read More

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Arthroscopically Assisted Stabilization of Chronic Acromioclavicular Joint Instability.

JBJS Essent Surg Tech 2021 Oct-Dec;11(4). Epub 2021 Nov 8.

Department of Shoulder and Elbow Surgery, Schulthess Clinic, Zurich, Switzerland.

This video article demonstrates biological and synthetic acromioclavicular (AC) and coracoclavicular stabilization with use of a hamstring tendon graft and a low-profile TightRope implant (Arthrex). The low-profile TightRope reduces soft-tissue irritation due to knot stacks. The tendon graft is wrapped around the clavicle and the coracoid to avoid weakening of the osseous structures as a result of clavicular and coracoidal tunnel placement. Read More

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November 2021

Kinematic and Radiographic Evaluation of Acromioclavicular Reconstruction with a Synthetic Ligament.

Adv Orthop 2022 28;2022:7144209. Epub 2022 May 28.

Andrews Research and Education Foundation, Gulf Breeze, FL, USA.

Purpose: The optimal surgical technique for unstable acromioclavicular (AC) and coracoclavicular (CC) joint injuries has not yet been established. The biomechanical and radiographic effect of the LockDown device, a synthetic ligament for AC joint reconstruction, was evaluated to assess the optimal surgical technique for unstable AC and CC joint injuries. It was hypothesized that the LockDown device would restore AC joint kinematics and radiographic stability to near native values. Read More

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Arthroscopically Assisted Acromioclavicular and Coracoclavicular Reconstruction with a Looped Braided Polyester Suture Band and Buckle Device.

Arthrosc Tech 2022 May 22;11(5):e819-e826. Epub 2022 Apr 22.

Davidson Orthopedics, Salt Lake City, Utah, U.S.A.

Acromioclavicular (AC) joint injuries occur with a traumatic load to the lateral aspect of the shoulder and account for 9% of all shoulder girdle injuries. Rockwood classified AC joint injuries as type I though type VI, based on severity of injury, radiographic findings, and reducibility of the AC joint. Type I and II injuries are typically managed nonoperatively, whereas type IV, V, and VI are managed operatively to address the significant soft tissue disruption, persistent AC joint instability, and apical shoulder deformation. Read More

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Treatment of Acromioclavicular Joint Instability With a Tunnel-Free Reconstruction Technique.

Arthrosc Tech 2022 May 25;11(5):e895-e901. Epub 2022 Apr 25.

McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, USA.

Acromioclavicular joint injuries are a common shoulder injury encountered by orthopaedic surgeons. Many different surgical techniques have been described for the operative treatment of these injuries with no single, clear gold standard technique on which surgeons agree. Among the most common complications after surgical management of acromioclavicular injuries are loss of reduction, infection, fracture of clavicle or coracoid, and need for reoperation. Read More

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Minimally invasive reconstruction of acute acromioclavicular joint injuries using the TwinBridge button system.

Eur J Orthop Surg Traumatol 2022 May 31. Epub 2022 May 31.

Sportsclinic Cologne, University of Witten/Herdecke, Ostmerheimer Str. 200, 51109, Cologne, Germany.

Introduction: Acute acromioclavicular joint (ACJ) injuries are among the most common shoulder injuries in active young adults. The most frequently used surgical treatments include the hook plate implantation and arthroscopic treatment using flip-button systems. The aim of this study was to evaluate the results of treating acute ACJ injuries using a new minimally invasive implant based on a flip-button system. Read More

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Localization of VEGF, TGF-β1, BMP-2, and Apoptosis Factors in Hypertrophic Nonunion of Human Tubular Bones.

Bull Exp Biol Med 2022 May 28;173(1):160-168. Epub 2022 May 28.

Department of Histology, Embryology, and Cytology, Pacific State Medical University, Ministry of Health of the Russian Federation, Vladivostok, Russia.

We studied localization of VEGF, TGF-β1, BMP-2, caspase-3, Bcl-2, and TNFα in the callus samples obtained from 5 patients (4 women and 1 man) aged 41-53 years during planned surgery for nonunion and pseudarthrosis of the clavicle (n=1), ulna (n=1), femur (n=1), and tibia (n=2) bones. Two control groups included material of hypertrophied callus (n=3) with consolidated fractures of long bones and samples of intact bones (n=3) obtained by postmortem autopsy of subjects without pathology of the musculoskeletal system. A nonuniform distribution of the studied markers was revealed. Read More

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Are Patient-Reported Outcome Scores a Reasonable Substitute for Clinical Follow-up After Surgically Managed Acromioclavicular Joint Injuries?

Orthop J Sports Med 2022 May 13;10(5):23259671221094056. Epub 2022 May 13.

DIAKOVERE Friederikenstift, Hannover, Germany.

Background: Various clinical outcome scores have been described to evaluate postoperative shoulder function after operatively treated acromioclavicular joint (ACJ) instability. Clinical outcome scores can be divided between patient-reported outcome measures (PROMs) and examiner-dependent outcome measures (EDOMs) after a clinical examination by a physician. The correlation between PROMs and EDOMs, and thus their interchangeability with regard to operatively treated ACJ instability, has not yet been evaluated. Read More

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Pre-contoured superior locking plates offer poor bone fit for midshaft clavicle fracture fixation: cadaveric analysis of 4 commercially available systems.

Rev Col Bras Cir 2022 27;49:e20223177. Epub 2022 Apr 27.

- Universidade Federal Fluminense, Faculdade de Medicina - Niterói - RJ - Brasil.

Objective: The goal of this study is to verify how commercially available pre-contoured superior plates fit on clavicle midshaft fractures.

Methods: 100 cadaveric clavicles were evaluated by three distinct observers applying the clavicle congruence score and comparing four different 6 to 8-hole pre-contoured anatomic locking-plate systems.

Results: the inter-observer agreement was considered moderate by the percentage agreement and fair by the Fleiss' Kappa, with no significant differences between evaluations. Read More

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Deep learning of birth-related infant clavicle fractures: a potential virtual consultant for fracture dating.

Pediatr Radiol 2022 May 17. Epub 2022 May 17.

Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02115, USA.

Background: In infant abuse investigations, dating of skeletal injuries from radiographs is desirable to reach a clear timeline of traumatic events. Prior studies have used infant birth-related clavicle fractures as a surrogate to develop a framework for dating of abuse-related fractures.

Objective: To develop and train a deep learning algorithm that can accurately date infant birth-related clavicle fractures. Read More

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Segmental Fracture Of The Clavicle - Unconventional Fracture Pattern Of A Conventionally Fractured Bone: A Case Report With Review Of Literature.

J Ayub Med Coll Abbottabad 2022 Apr-Jun;34(2):385-388

4Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan, India.

Though clavicle fractures are routinely seen in clinical practice, rarely do we encounter segmental fractures. This unusual pattern of fracture in clavicle has been seldom reported previously. We present a case of segmental fracture of the left clavicle fracture in a 64-year-old who was treated successfully. Read More

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Evaluation of obstetric management of women with macrosomic foetuses in two Level 3 maternity hospitals in France and identification of predictive factors for obstetric and neonatal complications.

Eur J Obstet Gynecol Reprod Biol 2022 Jul 13;274:34-39. Epub 2022 Apr 13.

CHU REIMS Maison Blanche, 45 Rue Cognacq Jay 51100 Reims, France.

Objective: Foetal macrosomia is associated with high maternal and neonatal morbidity; however, obstetric management of suspected macrosomia has not been well defined. This study aimed to analyse obstetric management in a population of women who delivered macrosomic new-borns and assess maternal and neonatal outcomes and risk factors for complications in such cases.

Study Design: This two-centre retrospective study conducted in France over a 10-year period comprised 1724 women who had delivered macrosomic new-borns (defined as those whose weight was > 90th percentile according to the Association of Users of Computerised Records in Perinatology, Obstetrics, and Gynaecology curve) from 37SA. Read More

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Evaluation of Patients with Acromioclavicular Joint Separation Treated Using the Clavicular Hook Plate.

Ortop Traumatol Rehabil 2022 Apr;24(2):73-78

Health Sciences University İzmir Bozyaka Training and Research Hospital Orthopedics and Traumatology Department, İzmi, Turkey.

Background: This study aimed to evaluate the outcomes of patients who underwent surgical treatment using the clavicular hook plate for diagnosed Rockwood Type 3 - Type 4 - Type 5 acromioclavicular joint separation.

Material And Methods: Patients who were operated with the diagnosis of acute traumatic acromioclavicular joint separation between the years 2017-2021 were evaluated retrospectively. Patients' age, gender, mechanism of injury, time to surgery, follow-up duration, and complications were evaluated. Read More

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Differences between Coracoclavicular, Acromioclavicular, or Combined Reconstruction Techniques on the Kinematics of the Shoulder Girdle.

Am J Sports Med 2022 Jun 9;50(7):1971-1982. Epub 2022 May 9.

Department of Orthopedic Surgery and Traumatology, Ghent University Hospital, Ghent, Belgium.

Background: Although the coracoclavicular (CC) ligaments are classically reconstructed after acromioclavicular (AC) joint injuries, biomechanical studies over the past decade have indicated the importance of an additional reconstruction of the AC ligaments. To date, no kinematic study has investigated the kinematic differences between these reconstruction strategies.

Purpose: To evaluate the restoration of shoulder motion after an AC injury using a CC ligament, an AC ligament, or a combined reconstruction technique. Read More

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Kinesiotaping therapy for midshaft clavicular fractures: a randomised trial study.

Acta Orthop Belg 2022 Mar;88(1):143-150

Midshaft clavicle fractures with shortening by less than 2 cm or minimal displacement without neurovascular injury can be treated conservatively. We hypothesized that kinesiotaping reduces the disadvantages of conservative treatment, such as early-phase pain, high nonunion rates, and a prolonged time to return to work, and yields better clinical and functional outcomes. Forty patients were randomly divided into the arm slings only (group S) or arm sling with kinesiotaping therapy group (group K). Read More

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Injuries in alpine summer sports - types, frequency and prevention: a systematic review.

BMC Sports Sci Med Rehabil 2022 May 1;14(1):79. Epub 2022 May 1.

Department of Orthopaedic Surgery and Traumatology, Inselspital, University Hospital, University of Bern, Freiburgstrasse, 3010, Bern, Switzerland.

Introduction: Summer alpine sports, including mountain biking, hiking and airborne pursuits, have experienced a recent surge in popularity. Accordingly, trauma associated with these activities has increased. There is a scarcity of literature exploring clinical aspects surrounding injuries. Read More

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Management of Complex and Revision Anterior Shoulder Instability.

Arthroscopy 2022 05;38(5):1396-1397

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

Treatment of recurrent anterior shoulder instability has gained significant interest in recent years and involves evaluation of both glenoid and humeral sided bone loss. Decision making is more complex in patients with significant humeral or glenoid bone defects or in those who underwent previous instability surgery. Appropriate assessment of the glenoid track is necessary as "off track" lesions typically require treatments beyond arthroscopic labral repair alone. Read More

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Acromioclavicular Fracture-Dislocation Fixation Technique With Cerclages and Osteosutures: The "Invisible" Repair.

Arthrosc Tech 2022 Apr 16;11(4):e523-e529. Epub 2022 Mar 16.

Department of Orthopaedic Surgery and Traumatology, Hospital Universitario de Canarias, Tenerife, Spain.

Surgical treatment usually is indicated for the management of acromioclavicular fracture-dislocations. These are unstable injuries and have shown a high rate of nonunion when managed conservatively. However, surgical strategies often require a second surgery for hardware removal. Read More

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Three-dimensional morphometric analysis of the lateral clavicle and acromion: Implications for surgical treatment using subacromial support.

SAGE Open Med 2022 21;10:20503121221091395. Epub 2022 Apr 21.

Department of Orthopedics and Trauma Surgery, Medical Center, Albert-Ludwigs-University of Freiburg, Freiburg, Germany.

Objectives: Dislocations and periarticular fractures of the acromioclavicular joint are common injuries of the shoulder girdle. When surgical intervention is indicated, subacromial support is one option to restore the alignment between scapula and the distal/lateral clavicle. Devices used for subacromial support rely on a form of subacromial 'hook'. Read More

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Mid-term outcome of arthroscopic TightRope fixation of displaced lateral end clavicular fractures: Average follow-up of 6.1 years.

Chin J Traumatol 2022 Apr 16. Epub 2022 Apr 16.

Central Institute of Orthopedics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, 110029, India.

Purpose: Various surgical modalities are available to treat Neer types 2 and 5 unstable fractures of lateral end clavicle but none of them are standardized. Arthroscopic fixation of the displaced lateral end clavicle fractures provides good short-term results but mid-to long-term outcomes are not available. The purpose of this study was to show the mid-to long-term radiological and functional outcomes of these fractures treated arthroscopically by a TightRope device; and to show the complications associated with this procedure. Read More

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Operative management of midshaft clavicle fractures demonstrates better long-term outcomes: A systematic review and meta-analysis of randomised controlled trials.

PLoS One 2022 29;17(4):e0267861. Epub 2022 Apr 29.

Department of Orthopaedics and Traumatology, The University of Hong Kong, Queen Mary Hospital, Hong Kong Special Administrative Region, Hong Kong, China.

Introduction: Midshaft clavicular fractures are common amongst young adults. Conservative or surgical treatment for definitive fracture management has been widely debate, both with their pros and cons. Previous meta-analyses compared the clinical outcomes between conservative and surgical treatment options of midshaft clavicular fractures but failed to elucidate any difference in functional improvement. Read More

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Hook plate fixation with versus without coracoclavicular reconstruction for distal clavicular fractures.

J Orthop Surg (Hong Kong) 2022 Jan-Apr;30(1):10225536221088630

Department of Orthopedics, Orthopedic Research Institute, West China Hospital, 34753Sichuan University, Chengdu, Sichuan, People's Republic of China.

Purpose: Hook plate fixation is one of the most frequently used methods for unstable distal clavicular fractures, but it is still unknown if there is a need for coracoclavicular (CC) reconstruction. This study aimed to compare the efficacy of hook plate fixation with versus without CC reconstruction for distal clavicular fractures.

Methods: Eighty-one patients who underwent hook plate fixation (HP group, = 45) or hook plate fixation plus suture anchor reconstruction (HPA group, = 36) for Neer type II or V clavicular fractures were enrolled. Read More

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Comparison of 3 treatment methods for midshaft clavicle fractures: A systematic review and network meta-analysis of randomized clinical trials.

Injury 2022 Jun 8;53(6):1765-1776. Epub 2022 Apr 8.

Department of Hand Surgery, Department of Plastic Reconstructive Surgery, Ningbo No. 6 Hospital, Ningbo 315040, China. Electronic address:

Background: Our study aims to evaluate the fracture nonunion rate and the functional score of plate and screw fixation, intramedullary nailing and non-surgical treatment in midshaft clavicle fractures patients using a network meta-analysis of data from clinical randomized controlled trials.

Material/methods: The studies were abstracted from Medline, Embase, Web of Science, Google Scholar and the Cochrane Central Register of Controlled Trials. RCTs meeting the inclusion and exclusion criteria were selected. Read More

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[Minimally invasive osteosynthesis with blocked anatomical plate in displaced fractures of the middle third of the clavicle].

Authors:
G Cárdenas

Acta Ortop Mex 2021 Sep-Oct;35(5):479-485

Unidad de Cirugía de Hombro, Departamento de Traumatología y Ortopedia, Instituto de Seguridad del Trabajo (IST), Viña del Mar, Chile.

Surgical management of displaced midshaft clavicular fractures has gained popularity in the last decade due to reductions in functional recovery times and lower rates of nonunion. However, several complications related to the open approach have been described and remain concerning for patients. These potential sequelae include scar pain, local irritation, peri-incisional numbness, and cosmetic deformity, all of which may contribute to unsatisfactory subjective outcomes. Read More

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