114 results match your criteria Distal Clavicle Osteolysis


Biomechanical analysis of a novel clavicular hook plate for the treatment of acromioclavicular joint dislocation: A finite element analysis.

Comput Biol Med 2021 Jun 14;133:104379. Epub 2021 Apr 14.

The Second Department of Orthopedics, Xi'an Centeral Hospital, No. 161, West Fifth Road, Xincheng District, Xi'an, 710003, Shaanxi, China. Electronic address:

Background: Clavicular hook plates are frequently used in clinical orthopedics to treat acromioclavicular joint dislocation. However, patients often exhibit acromial osteolysis and peri-implant fracture after hook plate fixation. To solve the above problems, we developed a novel double-hook clavicular plate and used finite element analysis (FEA) to investigate its biomechanical properties. Read More

View Article and Full-Text PDF

Long-term Outcome After Nonoperative Treatment for Rockwood I and II Acromioclavicular Joint Injuries.

Am J Sports Med 2021 03 13;49(3):757-763. Epub 2021 Jan 13.

Department of Orthopaedic Surgery, OLVG, Amsterdam, the Netherlands.

Background: Rockwood I and II acromioclavicular joint injuries are generally treated nonoperatively. The long-term outcome is considered to be good but has not yet been properly investigated.

Purpose: To assess the long-term outcome after nonoperative therapy for Rockwood I and II acromioclavicular joint injuries regarding functional and radiologic outcome. Read More

View Article and Full-Text PDF

No differences between conservative and surgical management of acromioclavicular joint osteoarthritis: a scoping review.

Knee Surg Sports Traumatol Arthrosc 2021 Jan 2. Epub 2021 Jan 2.

University of Brescia, Brescia, Italy.

Purpose: To conduct a scoping review to clarify the management of acromioclavicular joint osteoarthritis, as well as to identify any existing gaps in the current knowledge.

Methods: Studies were identified by electronic databases (Ovid, Pubmed) from their inception up to April 2nd, 2020. All studies reporting functional outcomes after conservative or surgical treatment of acromioclavicular joint osteoarthritis, either primary or secondary to trauma or distal clavicle osteolysis, were included. Read More

View Article and Full-Text PDF
January 2021

Comparative analysis of a locking plate with an all-suture anchor versus hook plate fixation of Neer IIb distal clavicle fractures.

J Orthop Surg (Hong Kong) 2020 Sep-Dec;28(3):2309499020962260

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Republic of Korea.

Background: The coracoclavicular fixation with suture anchors adds stability to type IIb distal clavicle fractures fixed with a plate and screws when loaded to failure. The purpose of this study was to compare the clinical and radiological outcomes between the use of a locking compression plate (LCP) with all-suture anchor fixation and hook LCP fixation of Neer IIb distal clavicle fractures.

Methods: A total of 82 consecutive patients who underwent plate fixation for Neer IIb distal clavicle fractures were included. Read More

View Article and Full-Text PDF

Diagnostic Ultrasonographic Diagnosis of Posttraumatic Osteolysis of the Distal Clavicle in a 24-Year-Old Bodybuilder: A Case Report With Correlative Radiographs and Magnetic Resonance Imaging.

Authors:
Michael P Fergus

J Chiropr Med 2019 Dec 3;18(4):321-326. Epub 2020 Sep 3.

Department of Diagnostic Imaging, National University of Health Sciences, Lombard, Illinois.

Objective: The purpose of this case study is to demonstrate the strength of diagnostic ultrasound in the evaluation of posttraumatic osteolysis of the distal clavicle (PTOC) when compared with radiographs and magnetic resonance imaging (MRI).

Clinical Features: The patient is a 24-year-old male bodybuilding athlete with focal tenderness of the left acromioclavicular joint. After a plain film examination, both diagnostic ultrasound and MRI were performed. Read More

View Article and Full-Text PDF
December 2019

Distal clavicle autograft augmentation for glenoid bone loss in revision shoulder arthroplasty: results and technique.

J Shoulder Elbow Surg 2020 Oct 9;29(10):e386-e393. Epub 2020 Jun 9.

California Pacific Orthopaedics, San Francisco, CA, USA. Electronic address:

Background: Structural bone graft for reconstruction of glenoid bone stock is often necessary in the setting of revision shoulder arthroplasty. This study introduces a new structural autograft technique using the distal clavicle for treatment of glenoid bone loss in the setting of revision shoulder arthroplasty.

Methods: This is a retrospective, single-surgeon study of patients with significant glenoid bone loss requiring revision shoulder arthroplasty with autologous distal clavicle bone grafting to the glenoid. Read More

View Article and Full-Text PDF
October 2020

Peri-implant Fractures Following Hook Plate Fixation for Unstable Distal Clavicle Fractures.

Orthopedics 2020 Sep 7;43(5):e359-e363. Epub 2020 Jul 7.

Clavicle hook plate is a common implant for treating distal clavicle fracture. Although high bone union rate and good functional outcome have been reported, so have several complications, such as osteolysis and fracture of the acromion, loss reduction, hook impingement, and rotator cuff tear. Peri-implant fracture over the medial side of the hook plate is a rare complication. Read More

View Article and Full-Text PDF
September 2020

Shoulder Conditions: Clavicle and Acromioclavicular Joint Conditions.

FP Essent 2020 Apr;491:27-32

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

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

View Article and Full-Text PDF

Botulinum Toxin Injection of a Patient with Intractable Acromio-Clavicular Joint Pain due to Distal Clavicular Osteolysis.

Pain Med 2020 12;21(12):3730-3732

Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, University of Ulsan College of Medicine, Dong-gu, Ulsan, Republic of Korea.

View Article and Full-Text PDF
December 2020

Comparison of a novel hybrid hook locking plate fixation method with the conventional AO hook plate fixation method for Neer type V distal clavicle fractures.

Orthop Traumatol Surg Res 2020 02 9;106(1):67-75. Epub 2019 Dec 9.

Department of Orthopaedic Surgery, Dankook University College of Medicine, Cheonan, Korea. Electronic address:

Background: The conventional AO hook locking compression plate (LCP) (Synthes, Solothurn, Switzerland) has only three holes for lateral fragments; therefore it is not suitable for use during the fixation of small-comminuted fragments in some cases. Recently, a novel hybrid hook LCP (TDM, Seoul, Korea) was developed to overcome this limitation. Here, we evaluated the clinical and radiologic outcomes of a novel hybrid hook LCP for Neer type V distal clavicle fractures compared to the outcomes of a conventional AO hook plate. Read More

View Article and Full-Text PDF
February 2020

Outcome of arthroscopy-assisted treatment for distal clavicle fractures.

Arch Orthop Trauma Surg 2019 Oct 17;139(10):1393-1398. Epub 2019 Jun 17.

Department of Orthopaedics Surgery (Ohashi), School of Medicine, Toho University, 2-22-36 Ohashi, Meguro-ku, Tokyo, 153-8515, Japan.

Hypothesis: The purpose of the present study was described as the arthroscopically assisted procedure that uses a synthetic conoid ligament reconstruction using Zip Tight (Zimmer biomet, Warsaw, USA) and fracture-site fixation with K-wire. Our hypothesis was that this technique provided a satisfactory functional outcome with minimum complication.

Methods: 45 patients underwent operation to treat fractures of the distal clavicle between January 2014 and May 2017. Read More

View Article and Full-Text PDF
October 2019

Lateral Clavicle Fractures with Coracoclavicular Ligament Disruption (Neer's Type IIB): Review of Literature and a New Technique for All-Suture Fixation.

Authors:
Praveen Sarda

Indian J Orthop 2019 May-Jun;53(3):465-471

Department of Orthopaedics, Manchester NHS Foundation Trust, Manchester, England, UK.

Background: All-suture fixation for the treatment of Neer's Type IIB lateral clavicle fractures by coracoclavicular (CC) ligament reconstruction has become popular in the past decade. Results of modified under-coracoid-around-clavicle (UCAC) technique are reported in this paper.

Methodology And Results: Nineteen consecutive patients with minimum 6-month followup (FU) were identified. Read More

View Article and Full-Text PDF

Nontraumatic Osteolysis of the Distal Clavicle: Diagnostic Approach and Management.

J Long Term Eff Med Implants 2019 ;29(3):221-224

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

Osteolysis of the distal clavicle is a rare radiological manifestation. It can be of traumatic or nontraumatic origin and is usually seen in weight-lifting trainers as a result of stress-induced osteolysis of the distal clavicle, a phenomenon known as stress failure syndrome. We present a rare case of nontraumatic osteolysis of the distal clavicle in a 65-year-old, male, non-weight lifter who was referred to our outpatient clinic. Read More

View Article and Full-Text PDF
November 2020

The Radiologic Comparison of Operative Treatment Using a Hook Plate versus a Distal Clavicle Locking Plate of Distal Clavicle Fracture.

Clin Shoulder Elb 2018 Dec 1;21(4):227-233. Epub 2018 Dec 1.

Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.

Background: The purpose of this study was to compare the radiologic results of patients who underwent surgery with a hook plate and a locking plate in distal clavicle fractures.

Methods: Sixty patients underwent surgical treatment for Neer type IIa, IIb, III, and V distal clavicle fracture. Twenty-eight patients underwent fracture fixation with a hook plate and 32 with a locking plate. Read More

View Article and Full-Text PDF
December 2018

Complications with the clavicle hook plate after fixation of Neer type II clavicle fractures.

Int Orthop 2019 07 16;43(7):1701-1708. Epub 2018 Aug 16.

Shoulder and Elbow Unit, Department of Orthopaedic Surgery and Traumatology, Clínico San Carlos Hospital, C/Cotoblanco 11, 3° A. Majadahonda, 28222, Madrid, Spain.

Background And Purpose: There is no consensus on the optimal surgical procedure for treating Neer type-2 distal clavicle fractures. Hook plates provide better stability than other fixation methods for small fragments but have been related to multiple complications.

Methods: Retrospective study on patients operated for Neer type-2 fractures using a hook plate. Read More

View Article and Full-Text PDF

Single coracoclavicular suture fixation with Mersilene tape versus hook plate in the treatment of acute type V acromioclavicular dislocation: a retrospective analysis.

J Orthop Surg Res 2018 May 16;13(1):110. Epub 2018 May 16.

Department of Orthopedics, Kaohsiung Veterans General Hospital, No. 386, Ta-Chung 1st Rd, Kaohsiung, 81346, Taiwan, Republic of China.

Background: Here, we compared the clinical and radiographic outcomes between coracoclavicular (CC) fixation with Mersilene tape and hook plate for acute unstable acromioclavicular (AC) joint dislocation treatment.

Methods: We enrolled 49 patients with unstable acute AC dislocation who, between January 2010 and January 2014, underwent surgery with single CC suture fixation with Mersilene tape (M group, 25 cases) or clavicle hook plate (H group, 24 cases). In M and H groups, the average age was 43. Read More

View Article and Full-Text PDF

Evaluation and management of shoulder pain in skeletally immature athletes.

Transl Pediatr 2017 Jul;6(3):181-189

Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan 49008, USA.

Shoulder pain in young athletes generally is a result of poor sports technique and overuse. A number intrinsic causes of shoulder pain have been identified. Pain may also be referred to shoulder area from cervical spine, neck and chest pathology. Read More

View Article and Full-Text PDF

Is the Clavicula Pro Humero Technique of Value for Reconstruction After Resection of the Proximal Humerus in Children?

Clin Orthop Relat Res 2017 Oct 11;475(10):2550-2561. Epub 2017 Jul 11.

Pediatric Orthopedics Department, Children's Hospital, CHU Nancy, Rue du Morvan, 54000, Nancy, France.

Background: There are several options for reconstruction of proximal humerus resections after wide resection for malignant tumors in children. The clavicula pro humero technique is a biologic option that has been used in the past, but there are only scant case reports and small series that comment on the results of the procedure. Because the longevity of children mandates a reconstruction with potential longevity not likely to be achieved by other techniques, the clavicula pro humero technique may be a potential option in selected patients. Read More

View Article and Full-Text PDF
October 2017

Biomechanical analysis of clavicle hook plate implantation with different hook angles in the acromioclavicular joint.

Int Orthop 2017 08 18;41(8):1663-1669. Epub 2017 Jan 18.

Department of Orthopedics, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung, Taiwan, 40705, Taiwan.

Purpose: A clavicle hook plate is a simple and effective method for treating acromioclavicular dislocation and distal clavicle fractures. However, subacromial osteolysis and peri-implant fractures are complicated for surgeons to manage. This study uses finite element analysis (FEA) to investigate the post-implantation biomechanics of clavicle hook plates with different hook angles. Read More

View Article and Full-Text PDF

Diagnosis and Management of Distal Clavicle Osteolysis.

Orthopedics 2017 Mar 7;40(2):119-124. Epub 2016 Dec 7.

Distal clavicle osteolysis is an uncommon condition that most commonly affects weight lifters and other athletes who perform repetitive overhead activity. Although this condition most commonly presents in young active men, it is becoming increasing more common in women with the rise in popularity of body building and extreme athletics. Distal clavicle osteolysis can be debilitating, especially in those with rigorous training regimens, preventing exercise because of pain with activities such as bench presses and chest flies. Read More

View Article and Full-Text PDF

Clinical and radiological results on the fixation of Neer type 2 distal clavicle fractures with a hook plate.

Acta Orthop Traumatol Turc 2016 Oct 11;50(5):489-493. Epub 2016 Oct 11.

İstanbul Education and Research Hospital, İstanbul, Turkey.

Objective: The aim of this study was to analyze the clinical and functional results of hook plate fixation in Neer type 2 distal clavicle fractures.

Methods: We retrospectively analyzed 16 patients (11 males, 5 females) who were diagnosed with Neer type 2 distal clavicle fractures and treated with hook plate fixation between 2013 and 2014. Mean age was 38 (range: 27-61), and mean follow-up time was 14. Read More

View Article and Full-Text PDF
October 2016

[Acromioclavicular instability: arthroscopic and mini-open combined treatment].

Acta Ortop Mex 2016 Jan-Feb;30(1):2-6

Instituto de Ortopedia y Traumatología Dr. Jaime Slullitel, Sanatorio de la Mujer. San Luis 2534, 2000 Rosario, Santa Fe. Argentina.

Introduction: The surgical treatment of acromioclavicular dislocation remains controversial. We describe herein a combined two-stage technique that includes an arthroscopic approach followed by a mini-invasive approach.

Material And Methods: 41 patients with acromioclavicular dislocation grades III, IV and V. Read More

View Article and Full-Text PDF

Distal clavicular osteolysis in adults: association with bench pressing intensity.

Skeletal Radiol 2016 Nov 22;45(11):1473-9. Epub 2016 Aug 22.

Division of Musculoskeletal Imaging and Interventions, Department of Radiology, Thomas Jefferson University Hospital, Sidney Kimmel Medical College at Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA, 19107, USA.

Objectives: To investigate the association between distal clavicular osteolysis (DCO) and bench pressing intensity.

Methods: From a retrospective review of MRI shoulder reports of individuals between 20 and 40 years of age, 262 male patients with DCO and 227 age-matched male patients without DCO were selected. All patients had completed a bench pressing questionnaire. Read More

View Article and Full-Text PDF
November 2016

Gorham's Disease in a Patient with Traumatic Spinal Cord Injury: Case Report and Review of the Literature.

Authors:
B Seidel M Kupfer

Top Spinal Cord Inj Rehabil 2016 ;22(1):79-82

Department of Physical Medicine and Rehabilitation, Magee Rehabilitation Hospital, Philadelphia, Pennsylvania.

Gorham's disease is a rare entity that has been sparsely covered in the medical literature, and its pathophysiology remains poorly understood. We present the case of a 22-year-old man who sustained a traumatic T6 American Spinal Injury Association Impairment Scale B paraplegic injury complicated by a complaint of shoulder pain during his acute rehabilitation stay. He was found to have osteolysis of the distal right clavicle (Gorham's disease). Read More

View Article and Full-Text PDF
January 2016

Frequency, imaging findings, risk factors, and long-term sequelae of distal clavicular osteolysis in young patients.

Skeletal Radiol 2015 May 7;44(5):659-66. Epub 2015 Jan 7.

Division of Musculoskeletal Imaging and Interventions, Department of Radiology, Thomas Jefferson University Hospital, Thomas Jefferson University, 132 South 10th Street, Philadelphia, PA, 19107, USA,

Objective: Atraumatic distal clavicular osteolysis (DCO) has been described in adult male weightlifters. Our purpose was to investigate the frequency, magnetic resonance imaging (MRI) characteristics, risk factors, and long-term sequelae of DCO in young patients.

Materials And Methods: Individuals with atraumatic DCO were identified in a retrospective review of 1,432 consecutive MRI shoulder reports in patients between 13 and 19 years of age. Read More

View Article and Full-Text PDF

Distal Clavicle Osteolysis after Modified Weaver-Dunn's Procedure for Chronic Acromioclavicular Dislocation: A Case Report and Review of Complications.

Case Rep Orthop 2014 2;2014:953578. Epub 2014 Dec 2.

Department of Orthopedic Surgery and Traumatology, Parc de Salut Mar, Hospital del Mar and Hospital de l'Esperança, Universitat Autònoma de Barcelona (UAB), Passeig Maritim 25-27, 08003 Barcelona, Spain.

Distal clavicle osteolysis after acromioclavicular joint stabilization has only been described after the use of hardware for clavicle stabilization or synthetic graft causing a foreign body reaction. This paper reports a very rare case of distal clavicle osteolysis after modified Weaver-Dunn procedure for the treatment of chronic acromioclavicular joint dislocation. The paper also provides a comprehensive review of complications of this surgical technique and discusses a potential vascular etiology and preventive strategies aimed at avoiding clavicle osteolysis. Read More

View Article and Full-Text PDF
December 2014

Comparison of single coracoclavicular suture fixation and hook plate for the treatment of acute unstable distal clavicle fractures.

J Orthop Surg Res 2014 May 29;9:42. Epub 2014 May 29.

Department of Orthopedics, Kaohsiung Veterans General Hospital, 386 Ta-Chung 1st Road, Kaohsiung 81346, Taiwan.

Background: Surgical managements are recommended for unstable distal clavicle fractures because of a high incidence of nonunion. A variety of methods have been previously reported, but there is no current consensus regarding which method is the most suitable.

Methods: Between December 2004 and August 2010, we treated 68 patients with Neer type IIB distal clavicle fractures using single coracoclavicular suture fixation with Mersilene tape (M group) or clavicular hook plate (H group). Read More

View Article and Full-Text PDF

[Complications of treatment of acromioclavicular joint dislocation and unstable distal clavicular fracture with clavicular hook plate].

Zhongguo Gu Shang 2013 Nov;26(11):927-31

Department of Orthopaedics, Wuxi Hospital of Traditional Chinese Medcine, Wuxi 214001, Jiangsu, China.

Objective: To investigate the causes and prevention of the complications about treatment of acromioclavicular joint dislocation (Tossy III) and unstable distal clavicular fracture (Neer II) with clavicular hook plate.

Methods: From January 2001 to December 2011, 246 patients with acromioclavicular joint dislocation (Tossy III) and 222 patients with unstable distal clavicular fracture (Neer II) were treated with acromioclvicular hook plate fixation,including 348 males and 120 females with an average age of 45.4 years old ranging from 21 to 80 years old. Read More

View Article and Full-Text PDF
November 2013

Surgical treatment of chronic acromioclavicular dislocation with biologic graft vs synthetic ligament: a prospective randomized comparative study.

J Orthop Traumatol 2013 Dec 7;14(4):283-90. Epub 2013 May 7.

Unit of Shoulder and Elbow Surgery, D. Cervesi Hospital, Via L. Van Beethoven 1, 47841, Cattolica, RN, Italy,

Background: Acromioclavicular (AC) dislocation involves complete loss of articular contact; it is defined as chronic when it follows conservative management or unsuccessful surgical treatment.

Materials And Methods: The study compared the clinical and radiographic outcomes of AC joint stabilization performed in 40 patients with chronic dislocation using a biological allograft (group A) or a synthetic ligament (group B). Demographic data included: M/F: 25/15; mean age: 35 ± 3. Read More

View Article and Full-Text PDF
December 2013