9,624 results match your criteria Clavicular Injuries


Clavicle Fracture Malunion Treated with an Osteotomy Guided by a Three-Dimensional-Printed Model: A Case Report.

JBJS Case Connect 2018 Dec 12. Epub 2018 Dec 12.

Department of Orthopaedic Surgery, University of California, San Francisco Medical Center, San Francisco, California.

Case: This case report describes the management of a chronic and symptomatic clavicle malunion with use of a 3-dimensional (3D)-printed model during the preoperative surgical planning.

Conclusion: The use of 3D printing has many applications in the medical field. Constant improvement in the quality of 3D printing has contributed to its increased use in a variety of surgeries. Read More

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December 2018

The expressions of NGF and VEGF in the fracture tissues are closely associated with accelerated clavicle fracture healing in patients with traumatic brain injury.

Ther Clin Risk Manag 2018 21;14:2315-2322. Epub 2018 Nov 21.

Department of Orthopedics, Liuzhou General Hospital, Liuzhou 545006, Guangxi, China,

Background: Angiogenesis and bone formation are vital for fracture healing. Nerve growth factor (NGF) not only promotes neuronal survival but also enhances the proliferation and differentiation of osteoblasts. Vascular endothelial growth factor (VEGF) plays an important role in angiogenesis. Read More

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November 2018

Catheter Fracture of Subclavian Venous Chemoport Device at Costoclavicular Junction: Pinch-off Syndrome.

Indian J Surg Oncol 2018 Dec 30;9(4):595-597. Epub 2018 Jul 30.

1Department of Surgical Oncology, Max Super-specialty Hospital, Saket, New Delhi, India.

Chemoport is most commonly used venous access devices for instillation of chemotherapeutic drugs in cancer care. Mechanical complications like catheter fracture can lead to serious morbidity, albeit occurring rarely. We present a case of a 35-year-old lady, a case of carcinoma breast, who had spontaneous fracture of chemoport access device in subclavian vein at the level of clavicle after four successful cycles of chemotherapy. Read More

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December 2018

Clavicle duplication following physeal injury.

Surg Radiol Anat 2018 Dec 8. 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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December 2018

Open traumatic scapulothoracic dissociation: Case report of a rare injury.

Trauma Case Rep 2018 Dec 27;18:42-45. Epub 2018 Nov 27.

Department of Orthopaedic and Traumatology, Penang General Hospital, Georgetown, Malaysia.

Open traumatic scapulothoracic dissociation is a rare and devastating injury. We are reporting a 21-year-old male factory worker who sustained a traumatic open scapulothoracic dissociation. His left arm was caught in conveyer belts resulting the arm, scapula, clavicle, and pectoral muscle torn from the body by tremendous traction force. Read More

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December 2018

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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November 2018

Fractures in older adults. A view of the future?

Injury 2018 Dec;49(12):2161-2166

University of Edinburgh, Royal Infirmary of Edinburgh, Little France, Edinburgh, EH 16 4SU, United Kingdom.

Introduction: It is accepted that the incidence of fractures in patients aged ≥ 65 years is increasing but little is known about which fractures are becoming more common in this group of patients. Virtually all research has concentrated on the classic fragility fractures of the proximal femur, proximal humerus, pelvis, spine and distal radius but it is likely that other fractures are becoming more common.

Methods: We have examined two prospectively collected databases 10 years apart to see which fractures are becoming more common in ≥ 65 year old patients. Read More

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December 2018

[Complex fractures of the clavicles lateral third].

Acta Ortop Mex 2018 May-Jun;32(3):140-144

Módulo de Cirugía de Hombro y Codo, Hospital General Xoco. Av. México Coyoacán S/N, Col. General Anaya, Deleg. Benito Juárez, CP 03340, Ciudad de México, México.

Background: Fractures of the lateral third of the clavicle represent 18% of all clavicle fractures. Even though non-displaced fractures can be managed conservatively, displaced fractures have a non-union percentage of 30%. Multiple approaches have been proposed to manage the displaced fractures. Read More

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December 2018
2 Reads

Minimally invasive plate osteosynthesis (MIPO) in AO/OTA type B displaced clavicle fractures.

Musculoskelet Surg 2018 Dec 5. Epub 2018 Dec 5.

Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104, India.

Introduction: Open reduction and plate fixation is known to reduce chances of malunion and symptomatic nonunion in displaced middle-third clavicle fractures. However, this treatment modality is also associated with several complications, such as hardware irritation, numbness around the surgical scar, infection, nonunion and implant failure. The minimally invasive plate osteosynthesis (MIPO) technique may reduce these complications. Read More

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December 2018

Treatment of distal clavicle nonunion with and without bone grafting.

Injury 2018 Dec 3;49 Suppl 4:S34-S38. Epub 2018 Dec 3.

Orthopedics and Trauma Unit, Emergency Department, Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy.

The management of distal clavicle nonunion represents a challenging task for orthopaedic trauma surgeon. Both the choice of the implant and whether a bone graft is needed are controversial points which must be addressed. Particularly, in the case of a hypertrophic nonunion, grafting may not necessarily be needed, but given a poor underlying biological environment, a bone graft becomes necessary in order to enhance fracture healing. Read More

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December 2018
2 Reads

Subclavian Vein Puncture As an Alternative Method of Blood Sample Collection in Rats.

J Vis Exp 2018 Nov 18(141). Epub 2018 Nov 18.

Department of Cardiology, The Second Xiangya Hospital, Central South University;

Blood collection with enough blood volume is essential in animal experiments. Blood collection from the tail vein of rats is popular and less stressful compared to other more aggressive methods such as retro-orbital plexus sample collection. However, this blood collection method is sometimes limited by an unsatisfactory success rate. Read More

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November 2018

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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December 2018
1 Read

Motion preservation surgery: excision of juxta C5-C6 intervertebral disc osteoid osteoma using 3D C-arm based navigation: technical report.

SICOT J 2018 5;4:56. Epub 2018 Dec 5.

Mumbai Spine Scoliosis & Disc Replacement Centre, Bombay Hospital & Medical Research Center, Marine Lines, Mumbai 400002, India.

Introduction: Precise targeted excision of the C5-C6 osteoid osteoma with placement of reference array on clavicle with minimal disturbance of anatomy and motion.

Methods: A 20-year-old male presented with an osteoid osteoma in the superior end plate of the C6 vertebra abutting the spinal canal causing intractable pain. The authors curetted the nidus using a 3D C-arm-based intraoperative scan integrated with an optical navigation system through a minimal access anterior cervical exposure. Read More

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December 2018

Postoperative chest radiograph after open reduction internal fixation of clavicle fractures: a necessary practice?

J Shoulder Elbow Surg 2018 Nov 30. Epub 2018 Nov 30.

Department of Orthopaedics, West Virginia University, Morgantown, WV, USA.

Hypothesis/background: Iatrogenic pneumothorax is a rare but serious complication of open reduction and internal fixation (ORIF) of clavicular fractures. Many institutions use postoperative chest radiographs to evaluate for this complication despite a lack of data to support this routine practice. Due to concerns of radiation exposure and health care costs, this practice may not be necessary. Read More

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November 2018
1 Read

Predictable Location of Breast Sensory Nerves for Breast Re-innervation.

Plast Reconstr Surg 2018 Nov 21. Epub 2018 Nov 21.

Background: The sensory innervation to the breast originates from the medial and lateral cutaneous branches of the third to fifth intercostal nerves, which are at risk for injury or loss during a mastectomy. Providing re-innervation after mastectomy was introduced almost 20 years ago, but it is not widely performed, perhaps due to the difficulty of locating a recipient nerve. We have performed cadaveric dissections to allow for precise anatomical localization of the lateral intercostal branch providing breast sensation. Read More

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November 2018
1 Read

Technique Tip: Platysma-flap Approach to the Clavicle.

Tech Hand Up Extrem Surg 2018 Nov 26. Epub 2018 Nov 26.

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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November 2018
2 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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November 2018
1 Read

Acinic cell carcinoma of parotid gland with cavernous sinus metastasis: A case report.

J Cancer Res Ther 2018 Oct-Dec;14(6):1428-1430

Department of Medical Oncology, All India Institute of Medical Sciences, New Delhi, India.

Acinic cell carcinoma (AciCC) is a low-grade malignancy which rarely metastasizes to bone or cavernous sinuses. A 62-year-old male patient, previously treated for AciCC of right parotid with surgery and local radiotherapy, presented 10 years later with progressive visual impairment and restriction of ocular movements. Magnetic resonance imaging of the head and orbit showed an expansile lobulated mass with heterogeneous signal intensity in bilateral cavernous sinus with encasement of the internal carotid artery on both sides. Read More

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November 2018
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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December 2018

Combined supraclavicular-superficial cervical plexus block for clavicle surgery.

Korean J Anesthesiol 2018 Nov 27. Epub 2018 Nov 27.

Clinic of Orthopedics and Traumatology, Palandöken State Hospital, Erzurum, Turkey.

35% of the shoulder girdle fractures include clavicle fractures. Surgical fixation is preferred especially for young patients for optimal functional outcomes while unresolved fractures are usually treated conservatively. A 38-year-old male patient was admitted to the emergency service after falling resulting a left clavicle fracture. Read More

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November 2018
8 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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October 2018
3 Reads

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

Knee Surg Sports Traumatol Arthrosc 2018 Nov 26. 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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November 2018
2 Reads

Endovascular Reconstruction of Subclavian Artery Aneurysms in Patients with Arterial Thoracic Outlet Syndrome.

Ann Vasc Surg 2018 Nov 23. Epub 2018 Nov 23.

Gonda Vascular Surgery Division, UCLA David Geffen School of Medicine. Electronic address:

Introduction: Subclavian artery aneurysms associated with thoracic outlet syndrome (TOS) have traditionally been managed by open surgical reconstruction. Endovascular subclavian artery reconstruction is novel in the setting of arterial TOS (aTOS). Our objective is to report our results with endovascular subclavian artery reconstruction in arterial TOS patients over a ten-year period with attention to surgical approach and late results. Read More

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November 2018
2 Reads

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

Arch Orthop Trauma Surg 2018 Nov 24. 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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November 2018
7 Reads

Factors Affecting the Cost and Profitability of Arthroscopic Rotator Cuff Repair.

Arthroscopy 2018 Nov 22. Epub 2018 Nov 22.

Department of Orthopaedic Surgery, Beaumont Health System, U.S.A.

Purpose: To examine the cost metrics and profitability of rotator cuff repairs (RCRs) in a large health care system.

Methods: A retrospective study was performed using value analysis team data from 2 hospitals within a large metropolitan health system from 2010 to 2014. Cost and profit metrics were collected and compared against surgeon volume, surgeon subspecialty training, implant costs, Current Procedural Terminology (CPT) coding, length of stay, and hospital site. Read More

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November 2018

Poorly differentiated plasmacytoid squamous cell carcinoma: Case report of a rare malignancy.

Am J Otolaryngol 2019 Jan - Feb;40(1):124-128. Epub 2018 Oct 23.

Case Western Reserve University School of Medicine, 10900 Euclid Avenue, Cleveland, OH 44106, USA; Department of Otolaryngology - Head & Neck Surgery, MetroHealth Medical Center, 2500 MetroHealth Drive, Cleveland, OH 44109, USA. Electronic address:

Plasmacytoid squamous cell carcinoma is an especially aggressive variant of squamous cell carcinoma that has previously been described in the literature as a variant of oral cancers and most extensively, in vulvular [3], transitional cell, and urothelial carcinomas [2,13,15-20]. In this case report, we present a 36-year-old man with 6 to 8 weeks of a progressively enlarging mass over the lateral third of his clavicle, acromion process, and deltoid. The mass was resected, and the supraclavicular defect was reconstructed using an anterolateral thigh free flap. Read More

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October 2018

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
4 Reads

Risk of subsequent fracture after prior fracture among older women.

Osteoporos Int 2018 Nov 19. Epub 2018 Nov 19.

University of Alabama at Birmingham, 510 20th Street South, Birmingham, AL, 35294, USA.

Among 377,561 female Medicare beneficiaries who sustained a fracture, 10% had another fracture within 1 year, 18% within 2 years, and 31% within 5 years. Timely management to reduce risk of subsequent fracture is warranted following all nontraumatic fractures, including nonhip nonvertebral fractures, in older women.

Introduction: Prior fracture is a strong predictor of subsequent fracture; however, postfracture treatment rates are low. Read More

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November 2018
3 Reads

Arthroscopic Coracoclavicular Fixation Using Multiple Low-Profile Devices in Acute Acromioclavicular Joint Dislocation.

Arthroscopy 2018 Nov 16. Epub 2018 Nov 16.

Department of Orthopedic Surgery, Hallym University Dongtan Sacred Heart Hospital, Medical College of Hallym University, Hwaseong, Republic of Korea.

Purpose: To introduce an arthroscopically assisted coracoclavicular (CC) fixation technique using multiple low-profile devices to evaluate the clinical and radiologic outcomes in patients with acute high-grade acromioclavicular (AC) joint dislocation.

Methods: Between July 2014 and September 2015, cases of AC joint dislocation that were treated with arthroscopic CC fixation using multiple low-profile devices with a minimum follow-up of 24 months were included. We measured the vertical coracoclavicular distance (CCD) on the anteroposterior view and the horizontal acromioclavicular distance on 3-dimensional computed tomography images to evaluate the changes in radiologic outcomes before and after surgery. Read More

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November 2018
5 Reads

Displaced medial end clavicular fractures treated with an inverted distal clavicle plate contoured through 90 degrees.

J Shoulder Elbow Surg 2018 Nov 16. Epub 2018 Nov 16.

Division of Orthopaedics, Addenbrooke's Hospital, Cambridge University Hospitals Trust, Cambridge, UK. Electronic address:

Background: This study assessed whether treating medial end clavicular fractures using an inverted distal clavicle locking plate, twisted through 90° around its axis, would allow for a less invasive surgical approach and improve screw trajectory insertion.

Materials And Methods: We searched the databases of the 2 senior authors for patients who had sustained an acute, displaced fracture of the medial end of the clavicle and had undergone operative fixation using an inverted distal clavicle plate contoured through 90°. Through an inferior incision, a contoured locking plate was positioned on the anterior surface of the medial end of the clavicle. Read More

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November 2018
4 Reads

Early Detection of Inflammation and Joint Destruction Revealed by Ultrasound in a Patient with Sternoclavicular Septic Arthritis.

Intern Med 2018 Nov 19. Epub 2018 Nov 19.

Immunology and Rheumatology, Nagasaki University Graduate School of Biomedical Sciences, Japan.

A 53-year-old Japanese man experienced fever/neck pain, and neck magnetic resonance imaging revealed a spinal epidural abscess. The following day, he developed a palpable mass with evident inflammatory signs in the right sternoclavicular joint (SCJ) with severe pain. Ultrasound revealed synovitis with remarkable power Doppler signals in the right SCJ. Read More

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November 2018
3 Reads

Patterns of lymphatic drainage after axillary node dissection impact arm lymphoedema severity: A review of animal and clinical imaging studies.

Surg Oncol 2018 Dec 12;27(4):743-750. Epub 2018 Oct 12.

Australian Lymphoedema Education, Research and Treatment Centre, Faculty of Medicine and Health Sciences, Macquarie University, Sydney, New South Wales, Australia.

Upper extremity lymphoedema after axillary node dissection is an iatrogenic disease particularly associated with treatment for breast or skin cancer. Anatomical studies and lymphangiography in healthy subjects identified that axillary node dissection removes a segment of the lymphatic drainage pathway running from the upper limb to the sub-clavicular vein, creating a surgical break. It is reasonable to infer that different patterns of lymphatic drainage may occur in the upper limb following surgery and contribute to the various presentations of lymphoedema from none to severe. Read More

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December 2018
1 Read
3.270 Impact Factor

Assessments of basic properties of distal-presented bone-conducted ultrasonic hearing.

Conf Proc IEEE Eng Med Biol Soc 2018 Jul;2018:2198-2201

Bone-conducted ultrasound (BCU) is perceived even by the profoundly sensorineural deaf and a novel hearing aid using the perception of amplitude-modulated BCU (BCU hearing aid) has been developed. In the BCU hearing aid, the vibrator is pressed onto a part of the cranial bone behind the ear (mastoid process). However, BCU can be heard on distal parts of the body; i. Read More

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July 2018
2 Reads

Response to Letter to Editor RE: Comparison of the 2 Tight Rope Technique and Clavicular Hook Plate for the Treatment of Rockwood 3 Type III Acromioclavicular Joint Dislocation.

Authors:
Hua Chen

J Invest Surg 2018 Nov 15. Epub 2018 Nov 15.

a Department of Orthopaedic Surgery , Second Affiliated Hospital of Wenzhou Medical University , Luheng District, Wenzhou, Zhejiang Province , PR China.

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November 2018
1 Read

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
3 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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November 2018
4 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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December 2018
6 Reads

Clinical and radiological findings in a severe case of cleidocranial dysplasia.

BMJ Case Rep 2018 Nov 12;2018. Epub 2018 Nov 12.

Division of Oral and Maxillofacial Radiology, Department of Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, New Jersey, USA.

Cleidocranial dysplasia (CCD) is a rare congenital autosomal dominant condition, causing hypoplasia of the clavicle, abnormal formation of teeth, skeletal and craniofacial bones. CCD is caused by the mutation of RUNX2/CBFA1 present in the short arm of chromosome 6 at position 21.1, a transcription factor essential for the formation of teeth, cartilage and bone. Read More

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November 2018
5 Reads

Primary Stability of an Acromioclavicular Joint Repair Is Affected by the Type of Additional Reconstruction of the Acromioclavicular Capsule.

Am J Sports Med 2018 Dec 12;46(14):3471-3479. Epub 2018 Nov 12.

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

Background:: The synergistic effect of the acromioclavicular (AC) capsule and coracoclavicular (CC) ligaments on AC joint stability has gained recent recognition for its importance. Biomechanical and clinical studies have shown the benefit of combined reconstruction with multiple variations of surgical techniques for AC capsule augmentation. The ideal configuration remains unknown for such capsular repair aimed at achieving optimal stability with anatomic reconstruction. Read More

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December 2018
6 Reads

Basis of Shoulder Nerve Entrapment Syndrome: An Ultrasonographic Study Exploring Factors Influencing Cross-Sectional Area of the Suprascapular Nerve.

Front Neurol 2018 23;9:902. Epub 2018 Oct 23.

Department of Physical and Rehabilitation Medicine, Hacettepe University Medical School, Ankara, Turkey.

As changes in nerves' shape and size are common ultrasonographic findings of entrapment neuropathy, measurement of the nerve cross-sectional area (CSA) becomes the mostly used indicator to differentiate normality from pathology. Recently, more US research has been conducted to measure the shape of the suprascapular notch and the diameter of the suprascapular nerve. Because the suprascapular nerve is paramount for various shoulder disorders, the present study aims to establish normal values of suprascapular nerve sizes at different levels as well as to investigate potential influence of participants' characteristics on the CSA measurements. Read More

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October 2018
5 Reads

Linear papules and plaques on the posterior shoulders of a teenage male.

Pediatr Dermatol 2018 Nov;35(6):854-855

Department of Dermatology, Oregon Health and Science University, Portland, Oregon.

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November 2018
2 Reads

Arthroscopy-assisted fixation of fracture of the distal part of the clavicle by subcoracoid suture and clavicle button.

Orthop Traumatol Surg Res 2018 Dec 2;104(8):1237-1240. Epub 2018 Nov 2.

Institut de la main et du membre supérieur (IMMS), 393, avenue du Prado, 13008 Marseille, France.

Introduction: Neer IIB displaced fracture of the distal part of the clavicle is often treated surgically. Arthroscopy-assisted surgery was recently developed. The aim of the present study was to present an original technique of subcoracoid suture under arthroscopy, with clinical and radiological results. Read More

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December 2018
4 Reads

Distal clavicle fractures: A new classification system.

Orthop Traumatol Surg Res 2018 Dec 2;104(8):1231-1235. Epub 2018 Nov 2.

Department of Orthopedic Surgery, Gyeongju Hospital, College of Medicine, Dongguk University, Gyeongu, South Korea.

Introduction: Existing various classification systems for distal clavicle fractures have low interobserver and intraobserver reliability and provide limited information for treatment decision. The objective of this study was to determine interobserver and intraobserver reliability of the new classification system and the associated treatment choice for distal clavicle fractures.

Hypothesis: The new classification system has good reliability. Read More

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December 2018
7 Reads

A pilot study comparing two sites for incision during pacemaker implantation and their influence on the scar.

Indian Heart J 2018 Sep - Oct;70(5):704-708. Epub 2018 May 9.

K.J. Somaiya Medical College and Research Centre, Mumbai, India; Cosmetic Plastic Surgery & Laser Superspecialities, Mumbai, India; Cardiac Safety Services, Quintiles, Mumbai, India; Arrhythmia Associates, Mumbai, India. Electronic address:

Objective: There are two most common incisions that are used during most pacemaker implantation procedures, with the first type of incision being inferior and parallel to the clavicle (Group C) and the second type of incision along the deltopectoral groove (Group D). We evaluated the scars resulting from the two types of incision to objectively evaluate the degree of superiority in cosmetic outcomes, between these two types of incisions.

Methods: Seventy-six patients who underwent left pre-pectoral pacemaker insertion were evaluated, close to 6 months after the date of the pacemaker implantation, using a simple scoring system based on atrophy, contour and colour of the scar. Read More

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May 2018
3 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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November 2018
7 Reads

Morphometric, anatomic and radiographic study of the scapula in the white-footed tamarin (Saguinus leucopus): report of scapular cartilage and one variation in cranial (superior) transverse scapular ligament.

J Anat 2019 Jan 31;234(1):120-131. Epub 2018 Oct 31.

Facultad de Medicina Veterinaria y Zootecnia, Departamento de Sanidad Animal, Universidad del Tolima, Ibagué, Colombia.

The white-footed tamarin (Saguinus leucopus) is an endangered endemic primate of Colombia, mainly due to the deforestation of its habitat and illegal trade, which generates a high incidence of these animals in wildlife care centres. Musculoskeletal system disorders in S. leucopus are one of the most common diseases and therefore the aim of this study was to contribute to the morphologic studies with a morphometric, anatomic and radiographic description of the scapula in this species to provide a basis for medical interventions, surgical approaches, radiologic diagnoses and comparative functions of this bone. Read More

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January 2019
1 Read

Late presentation of critical upper limb ischemia caused by pseudarthrosis of the clavicle.

J Vasc Bras 2018 Apr-Jun;17(2):174-177

Hospital Nossa Senhora das Graças - HNSG, Serviço de Cirurgia Vascular e Endovascular Elias Abrão, Curitiba, PR, Brasil.

Compression of the subclavian artery in the thoracic outlet is a well-known phenomenon. In rare cases, bone abnormalities, such as pseudarthrosis of the clavicle, can cause arterial compression at this level. Pseudarthrosis may develop as a result of trauma, which is the more common form, or it may be congenital. Read More

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November 2018
1 Read

Return to elite-level sport after clavicle fractures.

BMJ Open Sport Exerc Med 2018 16;4(1):e000371. Epub 2018 Oct 16.

Department of Orthopaedic Surgery and Sports Medicine, Harborview Medical Center, Seattle, Washington, USA.

Objective: To determine if return to sport following clavicle fracture occurs earlier in high-level sports than the current standard of care allows for.

Design: Observational study retrospective review of NHL prospective data.

Setting: The study was performed at a university orthopaedic surgery department. Read More

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October 2018
10 Reads