4,486 results match your criteria Clavicular Injuries


A new technique for medial-end comminuted clavicle fractures.

Injury 2019 Feb 2. 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
February 2019
1 Read

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
2 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
4 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
1 Read

Shoulder and Elbow Fractures in Athletes.

Curr Rev Musculoskelet Med 2019 Jan 31. Epub 2019 Jan 31.

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
January 2019
1 Read

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
2 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
3 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
1 Read

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
9 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
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http://dx.doi.org/10.1007/s00508-018-1433-xDOI Listing
February 2019
4 Reads

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
2 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
3 Reads

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

Orthop Traumatol Surg Res 2018 Dec 27. 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
December 2018
2 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
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http://dx.doi.org/10.12998/wjcc.v6.i15.1029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6288514PMC
December 2018
4 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
1 Read

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
8 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
1 Read

[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
2 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
9 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
17 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
5 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
10 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
9 Reads

Redefining the morphometry of subclavian vessels for clavicle fracture treatments.

Surg Radiol Anat 2018 Nov 3. 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
November 2018
9 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
7 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
14 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
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http://dx.doi.org/10.1097/MD.0000000000012729DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6203588PMC
October 2018
5 Reads

Displaced medial clavicle fractures: operative treatment with locking compression plate fixation.

Eur J Trauma Emerg Surg 2018 Oct 11. Epub 2018 Oct 11.

Department of Trauma Surgery, Kantonsspital Graubünden, Loëstrasse 170, 7000, Chur, Switzerland.

Objectives: Medial clavicle fractures are rare injuries and historically treated non-operatively. Displaced medial clavicle fractures, however, have a higher incidence of delayed- or non-union compared to non- displaced medial clavicle fractures and might benefit from operative treatment. We describe below a new technique for treating intra-articular fractures or extra-articular fractures with a small medial fragment using special locking plates and present the results of our operatively treated patients. Read More

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http://link.springer.com/10.1007/s00068-018-1024-6
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http://dx.doi.org/10.1007/s00068-018-1024-6DOI Listing
October 2018
5 Reads

Associations between upper extremity injury patterns in side impact motor vehicle collisions with occupant and crash characteristics.

Accid Anal Prev 2019 Jan 5;122:1-7. Epub 2018 Oct 5.

Department of Orthopedic Surgery, Washington University School of Medicine, Saint Louis, MO, United States.

Introduction: Side impact motor vehicle collisions (MVC) represent a significant burden of mortality and morbidity caused by automotive injury within the United States. The objective of this study was to evaluate the relationship between upper extremity (UE) injury patterns and contact sources in side impact MVC with occupant and crash variables.

Methods: Crash Injury Research and Engineering Network data obtained from 1998 to 2012 were used to evaluate UE injuries in side impact crashes. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00014575183069
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http://dx.doi.org/10.1016/j.aap.2018.09.029DOI Listing
January 2019
9 Reads

Plate fixation compared with nonoperative treatment of displaced midshaft clavicular fractures: a randomized clinical trial.

Bone Joint J 2018 Oct;100-B(10):1385-1391

Department of Orthopedics, Alborg University Hospital, Farsø, Denmark.

Aims: Recent studies of nonoperatively treated displaced midshaft clavicular fractures have shown a high incidence of nonunion and unsatisfactory functional outcome. Some studies have shown superior functional results and higher rates of healing following operative treatment. The aim of this study was to compare the outcome in these patients after nonoperative management with those treated with fixation. Read More

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https://online.boneandjoint.org.uk/doi/10.1302/0301-620X.100
Publisher Site
http://dx.doi.org/10.1302/0301-620X.100B10.BJJ-2017-1137.R3DOI Listing
October 2018
12 Reads

A novel hybrid fixation (coracoclavicular screw supplemented with K-wire) for the treatment of acute acromioclavicular joint dislocation: A prospective study.

Int J Surg 2018 Nov 3;59:61-66. Epub 2018 Oct 3.

Department of Orthopaedic Surgery, The Dingli Clinical Institute of Wenzhou Medical University (Wenzhou Central Hospital), Wenzhou, Zhejiang, 325000, PR China. Electronic address:

Objective: The aim of this study was to compare the radiological and clinical outcomes of clavicular hook plate fixation and the coracoclavicular lag screw supplemented with K-wire fixation in the treatment of acute acromioclavicular joint dislocation.

Methods: Between January 2012 to December 2015, 81 patients with acute acromioclavicular joint dislocation were included in this prospective study. 43 patients were treated with clavicular hook plate fixation (Group A) and 38 patients were treated with coracoclavicular lag screw supplemented with K-wire fixation (Group B). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17439191183164
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http://dx.doi.org/10.1016/j.ijsu.2018.09.019DOI Listing
November 2018
12 Reads

Comparison of ultrasonography and computed tomography in the determination of traumatic thoracic injuries.

Am J Emerg Med 2018 Aug 3. Epub 2018 Aug 3.

University of Health Sciences Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Objective: In this study, the accuracy of bedside thoracic ultrasonography (TUSG) performed by emergency physicians with patients in the supine position was compared with that of thoracic computed tomography (TCT) for the determination of thoracic injuries due to trauma.

Methods: Patients who suffered the multiple traumas, whose thoracic trauma was identified on physical examination or TCT imaging were included in the study. TUSG was performed following a physical examination by the emergency physician who managed the trauma patient. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757183063
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http://dx.doi.org/10.1016/j.ajem.2018.08.002DOI Listing
August 2018
16 Reads

Venous Thromboembolism in Upper Extremity Fractures.

J Hand Surg Asian Pac Vol 2018 Sep;23(3):320-329

* Department of Orthopaedic Surgery, The Johns Hopkins University, School of Medicine, Baltimore, MD, USA.

Background: Venous thromboembolism (VTE) has been studied in lower extremity fractures but little is known of its relation with upper extremity (UE) fractures. As an often overlooked but serious complication, VTE may compromise patient outcomes.

Methods: Using data on inpatients (aged ≥ 18 years) at a level-I trauma center and patients in the National Surgical Quality Improvement Program database who sustained UE fractures (clavicle, humerus, or radius/ulna) and VTE in the same hospitalization between 2007 and 2014, the authors analyzed data on demographic characteristics, fracture type, VTE location (pulmonary embolism, lower extremity, or UE), VTE onset, polytrauma, operative or nonoperative management, comorbidities, and mortality. Read More

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http://dx.doi.org/10.1142/S2424835518500303DOI Listing
September 2018
5 Reads

[Vertebrobasilar territory embolisms due to the ununited fracture of the right clavicle from 35 years ago].

Rinsho Shinkeigaku 2018 Oct 29;58(10):631-635. Epub 2018 Sep 29.

Department of Neurology, Kyoto Second Red Cross Hospital.

A 61-year-old man, with a history of right clavicular fracture 35 years prior, visited our hospital due to the sudden onset of vertigo and tinnitus following weakness and numbness in his left arm and leg. He also had a 6-month history of right arm pain with overuse. Brain MRI showed acute brain infarcts in the right posterior cerebral artery territory. Read More

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http://dx.doi.org/10.5692/clinicalneurol.cn-001191DOI Listing
October 2018
4 Reads

[Osteosynthesis of Clavicle Fractures - an Overview of Complications and Causes of Failure].

Authors:
J März Z Klézl

Acta Chir Orthop Traumatol Cech 2018 ;85(4):245-248

Chirurgicko-traumatologické oddělení, Karlovarská krajská nemocnice, a.s., Karlovy Vary, ČR.

PURPOSE OF THE STUDY The study aimed to find out whether the higher rate of complications described in literature in the case of plate and intramedullary osteosynthesis of clavicle fractures is high enough to discredit one of these methods. MATERIAL AND METHODS In the period from July 2007 to March 2016, a total of 151 osteosyntheses of diaphyseal clavicle fractures were performed in 149 patients (106 men, 43 women). The plate as well as intramedullary techniques were used in this group of patients. Read More

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January 2019
1 Read

Temporary Sternoclavicular Stabilization Using an Innovative Blocking Technique with Kirschner Wires for the Treatment of Posterior Sternoclavicular Joint Injury in Adolescent Patients: A Report of Two Cases.

JBJS Case Connect 2018 Jul-Sep;8(3):e76

Department of Orthopedic Surgery, Keio University School of Medicine, Tokyo, Japan.

Case: A 15-year-old boy with a posterior physeal fracture-dislocation of the medial aspect of the clavicle and a 14-year-old boy with a posterior sternoclavicular joint dislocation were successfully treated with temporary sternoclavicular stabilization using an innovative blocking technique with Kirschner wires.

Conclusion: When treating posterior sternoclavicular joint injuries, posterior instability should be securely stabilized. Temporary blocking stabilization of the sternoclavicular joint using Kirschner wires does not rigidly fix the sternoclavicular joint, but it prevents posterior displacement of the proximal aspect of the clavicle. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00010DOI Listing
September 2018
3 Reads

Acromioclavicular joint injuries: diagnosis, classification and ligamentoplasty procedures.

EFORT Open Rev 2018 Jul 17;3(7):426-433. Epub 2018 Jul 17.

Marmara University Pendik Research and Teaching Hospital, Department of Orthopaedics and Traumatology, Turkey.

Acromioclavicular (AC) joint injury is a frequent diagnosis after an acute shoulder trauma - often found among athletes and people involved in contact sports.This injury occurs five times more frequently in men than in women, with the highest incidence in the 20- to 30-year-old age group. Patients usually complain of pain and tenderness over the shoulder, particularly over the AC joint. Read More

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http://dx.doi.org/10.1302/2058-5241.3.170027DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6129955PMC
July 2018
8 Reads

Prevalence and Epidemiology of Injuries Among Elite Cyclists in the Tour de France.

Orthop J Sports Med 2018 Sep 4;6(9):2325967118793392. Epub 2018 Sep 4.

Orthopaedic and Rheumatologic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

Background: Cycling injuries are increasing, particularly among elite athletes during major events such as the Tour de France. Many athletes miss considerable time from sport and require surgical intervention. Little is known about the epidemiology of injuries to guide practice participation strategies, return-to-competition expectations, and injury prevention protocols. Read More

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http://dx.doi.org/10.1177/2325967118793392DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6124184PMC
September 2018
11 Reads

[Shoulder injuries in the elderly and their functional impact on the DASH scale].

Acta Ortop Mex 2018 Jan-Feb;32(1):13-16

Facultad de Medicina de León, Universidad de Guanajuato. México.

Introduction: Disabling shoulder problems in the elderly are common.

Objective: To quantify the diagnoses found in 100 consecutive shoulders cases in rehabilitation and its functional impact on the DASH scale.

Material And Methods: 100 consecutive patients with age 65 years received in the Rehabilitation Department, performing diagnosis and functional assessment in the DASH scale. Read More

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September 2018
17 Reads

Management of Midshaft Clavicle Fractures in Adults.

J Am Acad Orthop Surg 2018 Nov;26(22):e468-e476

From the MedStar Georgetown University Hospital, Washington, DC (Dr. Wiesel and Dr. Churchill), the Anderson Orthopaedic Clinic, Alexandria, VA (Dr. Nagda), and the Hospital of the University of Pennsylvania, Philadelphia, PA (Dr. Mehta).

Fractures of the clavicle are common injuries that occur across all age groups but are most frequently seen in the young, active patient population. Among the different types of clavicle fractures, those occurring in the middle third of the clavicular shaft are the most common. Historically, most of these fractures were treated by closed means even when notable displacement was present. Read More

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http://Insights.ovid.com/crossref?an=00124635-900000000-9961
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http://dx.doi.org/10.5435/JAAOS-D-17-00442DOI Listing
November 2018
18 Reads

The distributed pattern of the neurovascular structures around clavicle to minimize structural injury in clinical field: anatomical study.

Surg Radiol Anat 2018 Nov 27;40(11):1261-1265. Epub 2018 Aug 27.

Department of Anatomy, College of Medicine, Chung-Ang University, Seoul, South Korea.

Introduction: The aim of this study was to determine the location and distribution pattern of neurovascular structures superior and inferior to the clavicle by detailed dissection.

Methods: Fifteen adult non-embalmed cadavers with a mean age of 71.5 years were studied. Read More

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http://dx.doi.org/10.1007/s00276-018-2091-4DOI Listing
November 2018
9 Reads

The First Decade of Web-Based Sports Injury Surveillance: Descriptive Epidemiology of Injuries in United States High School Football (2005-2006 Through 2013-2014) and National Collegiate Athletic Association Football (2004-2005 Through 2013-2014).

J Athl Train 2018 Aug 23;53(8):738-751. Epub 2018 Aug 23.

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 football injury data.

Objective: : To describe the epidemiology of injuries sustained in high school football in the 2005-2006 through 2013-2014 academic years and collegiate football 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/10.4085/1062-6050-144-17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188086PMC
August 2018
8 Reads
1.510 Impact Factor

Arthroscopic Coracoclavicular Ligament Reconstruction for Acromioclavicular Joint Dislocation.

J Nippon Med Sch 2018 ;85(3):166-171

Department of Orthopaedic Surgery, Nippon Medical School.

Background: The purpose of this study was to evaluate mid- and long-term clinical and radiologic outcomes of arthroscopic coracoclavicular ligament reconstruction (ACCLR) with an artificial ligament for acute dislocation of the acromioclavicular joint (ACJ).

Methods: Twelve male patients (average age at the time of surgery: 40.8 years, range: 21-64 years) underwent ACCLR with an artificial ligament for acute dislocation of the ACJ type III or type V according to the Rockwood classification. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2018_85-24DOI Listing
October 2018
2 Reads

[Effectiveness of anatomical locking plate internal fixation combined with coracoclavicular ligament reconstruction for Neer type b distal clavicle fractures].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 09;32(9):1181-1186

Department of Orthopaedics, Jiading Center Hospital, Shanghai, 201800,

Objective: To investigate the effectiveness of anatomical locking plate internal fixation combined with coracoclavicular ligament reconstruction in treatment of the Neer type Ⅱb distal clavicle fractures by comparing with the simple anatomical locking plate internal fixation.

Methods: The clinical data of 40 patients with Neer type Ⅱb distal clavicle fractures who met the criteria between February 2013 and January 2017 were analyzed. Eighteen cases were treated with anatomical locking plate internal fixation and coracoclavicular ligament reconstruction by using a suture anchor (reconstruction group), and 22 cases were treated only with anatomical locking plate internal fixation (non-reconstruction group). Read More

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http://dx.doi.org/10.7507/1002-1892.201803127DOI Listing
September 2018
3 Reads

Injuries among Korean Female Professional Golfers: A Prospective Study.

J Sports Sci Med 2018 Sep 14;17(3):492-500. Epub 2018 Aug 14.

Department of Rehabilitation Medicine, SOL Hospital, Seoul, Republic of Korea.

This study aims to analyze the incidence, location, type, and mechanisms of injuries and possible injury risk factors among all levels of Korean female professional golfers. This was a prospective study with a follow-up period of 24 months. A total of 363 members of the Korean Ladies Professional Golf Association (KLPGA), who competed in tournaments during the 2015 and 2016 seasons, took part in the study. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090400PMC
September 2018
16 Reads

Acromio-Clavicular Joint Dislocation Types IV to VI: Does the Outcome with the modified Weaver-Dunn Procedure Justify the Treatment?

Malays Orthop J 2018 Jul;12(2):31-36

Department of Orthopaedics, Civil Service Hospital, Kathmandu, Nepal.

The optimal surgical treatment for acromioclavicular joint (ACJ) injuries remains controversial. The modified Weaver-Dunn (WD) procedure is one of the frequently used techniques. Recently when it was compared with anatomical autogenous tendon graft reconstruction procedures, the results were inferior. Read More

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http://dx.doi.org/10.5704/MOJ.1807.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6092530PMC
July 2018
3 Reads

Fifteen-degree clavicular hook plate achieves better clinical outcomes in the treatment of acromioclavicular joint dislocation.

J Int Med Res 2018 Nov 9;46(11):4547-4559. Epub 2018 Aug 9.

1 Department of Orthopedic Surgery, The Third Affiliated Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Objective: Clavicular hook plate application is one of the most commonly used treatment methods for acromioclavicular (AC) joint dislocation, although it may cause multiple postoperative complications. We modified the regularly used 0° hook plate to 15° and compared the clinical outcomes of these two hook plates for treatment of AC joint dislocation.

Methods: Forty-three patients with acute AC joint dislocation were randomly enrolled (0° hook plate, 20 patients; 15° hook plate, 23 patients). Read More

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http://dx.doi.org/10.1177/0300060518786910DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259358PMC
November 2018
15 Reads

Treatment of Grade III Acromioclavicular Separations in Professional Baseball Pitchers: A Survey of Major League Baseball Team Physicians.

Am J Orthop (Belle Mead NJ) 2018 Jul;47(7)

Midwest Orthopaedics at Rush, Chicago, IL.

Despite advancements in surgical technique and understanding of throwing mechanics, controversy persists regarding the treatment of grade III acromioclavicular (AC) joint separations, particularly in throwing athletes. Twenty-eight major league baseball (MLB) orthopedic team physicians were surveyed to determine their definitive management of a grade III AC separation in the dominant arm of a professional baseball pitcher and their experience treating AC joint separations in starting pitchers and position players. Return-to-play outcomes were also evaluated. Read More

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http://dx.doi.org/10.12788/ajo.2018.0051DOI Listing
July 2018
3 Reads

Arthroscopy-assisted Treatment of Displaced Distal Clavicle Fractures Utilizing Curved Buttons and Suture Tape With a Single Coracoclavicular Tunnel.

Tech Hand Up Extrem Surg 2018 Sep;22(3):94-98

Southern Oregon Orthopedics, Medford.

Background: Distal third clavicle fractures are associated with high rates of nonunion. Acceptable healing rates have been reported; however, complications and the need for additional procedures are a concern. The purpose of this study was to evaluate the functional outcomes and healing rates of an arthroscopy-assisted technique for fixation of unstable distal third clavicle fractures. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000203DOI Listing
September 2018
1 Read

Treatment of unstable distal clavicle fractures (Neer type II): A comparison of three internal fixation methods.

J Int Med Res 2018 Nov 1;46(11):4678-4683. Epub 2018 Aug 1.

Department of Trauma and Orthopedics, Peking University People's Hospital, Beijing, China.

Objective: This study was performed to compare the clinical efficacy of three internal fixation methods for distal clavicle fractures (Neer type II): clavicular hook plate (Group A), anatomical plate (Group B), and arthroscopic Endobutton (Group C).

Methods: From 2001 to 2014, 58 patients with Neer type II distal clavicle fractures were treated at our institution. The clinical results were assessed with the visual analog scale (VAS), Constant score, and Simple Shoulder Test (SST) score. Read More

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http://dx.doi.org/10.1177/0300060518788245DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259385PMC
November 2018
3 Reads