3,445 results match your criteria Fracture Clavicle


Surgical treatment of mid-shaft clavicle fractures by minimally invasive internal fixation facilitated by intra-operative external fixation: A preliminary study.

Orthop Traumatol Surg Res 2019 Apr 8. Epub 2019 Apr 8.

Service de chirurgie orthopedique, traumatologique et reparatrice, hôpital Antoine-Béclère, AP-HP, université Paris-Saclay, 157, rue de la Porte-de-Trivaux, 92140, Clamart, France. Electronic address:

Background: Mid-shaft clavicle fractures are common and may require surgery. The objective of this study in adults with high-risk mid-shaft clavicle fractures was to evaluate the clinical and radiological outcomes of a minimally invasive surgical technique involving a minimally invasive approach, fracture reduction, temporary intra-operative external fixation, and locking plate internal fixation.

Hypothesis: This minimally invasive surgical technique for mid-shaft clavicle fractures ensures satisfactory radiographic fracture healing and medium-term functional outcomes, with a short immobilisation, rapid return to sports, and low complication rate. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.01.022DOI Listing

Multiple Abusive Fractures in an Infant With a Concurrent Parathyroid Hormone-Related Peptide-Secreting Renal Tumor: Abusive Fractures Accompanying a Parathyroid Hormone-Related Peptide-Secreting Tumor.

Pediatr Emerg Care 2019 Apr 9. Epub 2019 Apr 9.

Background: When evaluating an infant with unexplained fractures for child abuse, it is important to evaluate for possible causes of underlying bone fragility.

Case: A 7-month-old infant was found to have a parathyroid hormone (PTH)-related peptide-secreting mesoblastic nephroma. In spite of having an elevated serum calcium, depressed serum phosphate, and high levels of PTH-related peptide, he had no demineralization or other hyper parathyroid-related bone changes. Read More

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http://Insights.ovid.com/crossref?an=00006565-900000000-9815
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http://dx.doi.org/10.1097/PEC.0000000000001796DOI Listing
April 2019
2 Reads

Influence of venipuncture point and port chamber site on the risk of catheter fracture in right internal jugular port placements.

J Vasc Access 2019 Apr 11:1129729819839614. Epub 2019 Apr 11.

Department of Radiology, Showa University Northern Yokohama Hospital, Yokohama, Japan.

Background: For subcutaneously implanted central venous ports, some complications due to prolonged placement have been reported. We investigated the appropriate puncture points and port placement sites to prevent catheter fracture in right internal jugular port placement.

Methods: This retrospective study included 709 patients who underwent right internal jugular vein puncture and port implantation in the right precordium between 1 May 2012 and 31 March 2018. Read More

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http://dx.doi.org/10.1177/1129729819839614DOI Listing
April 2019
3 Reads

Clavicle fractures in adults; current concepts.

Eur J Trauma Emerg Surg 2019 Apr 3. Epub 2019 Apr 3.

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

Background: For decades, clavicle fractures have been treated conservatively. In the last 20 years, however, non-union rates after conservative treatment appear higher than previously reported and more evidence regarding operative treatment has become available. This has led to a paradigm shift towards an increase in operative treatment. Read More

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http://dx.doi.org/10.1007/s00068-019-01122-4DOI Listing
April 2019
1 Read

Is shortening of displaced midshaft clavicle fractures associated with inferior clinical outcomes following nonoperative management? A systematic review.

J Shoulder Elbow Surg 2019 Mar 28. Epub 2019 Mar 28.

Medical Technologies and Advanced Materials, Clifton Campus, Nottingham Trent University, Nottingham, UK; Renacres Hospital, Halsall, UK.

Background: Management of displaced midshaft clavicle fractures is controversial. Nonoperative treatment can lead to shortening, a risk factor for nonunion and poor functional outcomes. These inferior results have resulted in authors recommending surgical fixation for fractures with significant shortening. Read More

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http://dx.doi.org/10.1016/j.jse.2018.12.017DOI Listing
March 2019
1 Read
2.289 Impact Factor

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

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

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

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

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

Adolescent Clavicle Fractures: Is There a Role for Open Reduction and Internal Fixation.

Authors:
Nirav K Pandya

Curr Rev Musculoskelet Med 2019 Mar 28. Epub 2019 Mar 28.

Benioff Children's Hospitals Oakland and San Francisco, University of California San Francisco, 747 52nd Street, Oakland, CA, 94609, USA.

Purpose Of Review: Over the past ten years, there has been a change in the management of adolescent clavicle fractures. Utilizing data from the adult population, clinicians have become more aggressive in terms of surgical fixation. The purpose of this paper is to critically analyze the recent literature in regard to adolescent clavicle fractures, and to determine the role of open reduction and internal fixation. Read More

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http://dx.doi.org/10.1007/s12178-019-09553-7DOI Listing

A single centre experience of pre-contoured clavicle plates by an anterior approach.

J Orthop 2019 Mar-Apr;16(2):171-174. Epub 2019 Feb 27.

Dept. Orthopaedics and Trauma University Hospital Galway, Ireland.

Aim: In recent years there has been increasing evidence that comminuted and shortened clavicle fractures should be treated surgically. The aim of this study was to assess the outcome of patients who had their clavicle fracture fixed using a pre-contoured, clavicle specific plate from an anterior approach.

Method: A retrospective analysis was carried out of all patients treated with pre-contoured clavicle plates from an anterior approach between May 2014 and June 2016. Read More

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http://dx.doi.org/10.1016/j.jor.2019.02.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406594PMC
February 2019

Vacuum phenomenon in the shoulder of a child.

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

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

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

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

Clavicle and coracoid process periprosthetic fractures as late post-operative complications in arthroscopically assisted acromioclavicular joint stabilization.

Knee Surg Sports Traumatol Arthrosc 2019 Mar 21. Epub 2019 Mar 21.

Centre for Shoulder and Elbow Surgery, ATOS Clinic Munich, Munich, Germany.

Purpose: Arthroscopic-assisted stabilization surgery for acute acromioclavicular joint (ACJ) disruption shows excellent and reliable clinical outcomes. However, characteristic complications such as fracture of the clavicle and coracoid have been reported to occur during the early post-operative period. The main goal of this study was to highlight the occurrence of fractures as a late post-operative complication. Read More

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http://dx.doi.org/10.1007/s00167-019-05482-7DOI Listing
March 2019
4 Reads

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

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

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

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

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

Operative Versus Nonoperative Treatment of Pediatric and Adolescent Clavicular Fractures: A Systematic Review and Critical Analysis.

JBJS Rev 2019 Mar;7(3):e5

Case Western Reserve University School of Medicine, Cleveland, Ohio.

Background: The optimal treatment of displaced middle-third clavicular fractures in pediatric and adolescent patients remains controversial. Furthermore, risk factors for the failure of nonoperative treatment have not been clearly defined. Therefore, we designed a systematic review and critical analysis to assess appropriate Grades of Recommendation for evidence-based treatment of middle-third clavicular fractures in the pediatric and adolescent populations. Read More

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http://dx.doi.org/10.2106/JBJS.RVW.18.00043DOI Listing

Assessing the performance of motorcyclists' impact protectors in simulated ATD knee and shoulder impacts.

Traffic Inj Prev 2019 19;20(2):169-173. Epub 2019 Mar 19.

b Neuroscience Research Australia, School of Medical Science , University of New South Wales , Randwick , New South Wales , Australia.

Objective: Fractures are a common injury among motorcycle riders and can have serious health implications. Impact protection (IP) has been designed to help prevent fractures, yet there are conflicting opinions as to whether this IP does in fact help prevent fractures in real-world crashes. This work aimed to (1) use simulated dummy impacts to examine whether existing types of IP could reduce the force transferred to the underlying bone to below fracture tolerance levels and (2) investigate whether current European Standard (EN 1621-1) test procedures for impact protectors designed for motorcyclists are sufficient to ensure fracture protection. Read More

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http://dx.doi.org/10.1080/15389588.2018.1540867DOI Listing

Five-Year Follow-up Results of a Randomized Controlled Study Comparing Intramedullary Nailing with Plate Fixation of Completely Displaced Midshaft Fractures of the Clavicle in Adults.

JB JS Open Access 2018 Dec 23;3(4):e0009. Epub 2018 Oct 23.

Orthopaedic Department, Akershus University Hospital, Lørenskog, Norway.

Background: Surgical management of completely displaced midshaft fractures of the clavicle is becoming more frequent, although long-term follow-up with Level-I evidence is scarce. Plate fixation (PF) of comminuted fractures provides faster functional recovery than elastic stable intramedullary nailing (ESIN). The 12-month follow-up of this randomized controlled trial, published previously, found no clinical differences at that time on the group level, but subtle differences on the subgroup level indicated that the results after closed ESIN were better than those after open ESIN. Read More

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http://dx.doi.org/10.2106/JBJS.OA.18.00009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6400504PMC
December 2018

Late function and complications of hook plate implantation for distal-third clavicle fractures : a retrospective study.

Acta Orthop Belg 2018 Dec;84(4):485-490

In this study, the examined data was analysed from61 patients with Neer type II clavicle fractures treated with hook plate implantation between January 2008 and February 2011. The patients were divided into three groups depending on the removing time of plates after the fractures healing : early removal (<3 months, n=20), delayed removal (3-6 months, n=35), and retained plate (>6 months, n=6). All patients underwent clinical and radiographic follow-up in the outpatient department for a median of 18 months and every fracture healed eventually. Read More

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December 2018

Intramedullary nailing of displaced midshaft clavicle fractures using a TEN with end cap: issues encountered.

Acta Orthop Belg 2018 Dec;84(4):479-484

The purpose of this study was to describe our experience with a possible solution for implant- related irritation after intramedullary nailing of displaced midshaft clavicle fractures: the end cap. Ten patients with a displaced midshaft clavicle fracture were treated with intramedullary nailing and an end cap in 2013. Patients were followed in the outpatient clinic until fracture union. Read More

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December 2018

Outcomes and function of conoid ligament on the basis of postoperative radiographic findings of arthroscopic stabilization for the distal clavicle fractures.

Orthop Traumatol Surg Res 2019 Apr 12;105(2):281-286. Epub 2019 Mar 12.

Department of Orthopedic Surgery, Tokyo Medical University, 6-7-1 Nishishinjuku Shinjuku-ku, 160-0023 Tokyo, Japan.

Purpose: Distal clavicle fractures are divided into three types according to Neer's classification. These fractures are usually treated with a sling to immobilize the upper extremity, however, the treatment of type 2 fractures remain controversial. We focused on the anatomical basis of these fractures in which disruptions in the conoid ligament led to the distraction between the two bony fragments. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S18770568193003
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http://dx.doi.org/10.1016/j.otsr.2018.12.005DOI Listing
April 2019
8 Reads

Osteoblastoma of the clavicle at the site of a previous fracture-first case report and review of the literature.

Skeletal Radiol 2019 Mar 8. Epub 2019 Mar 8.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street Yawkey 6E, Boston, MA, 02114, USA.

Osteoblastoma is a rare, benign primary tumor of bone, accounting for < 1% of all bone tumors. We report the case of a 27-year-old female who developed pain and swelling five and a half years after a clavicular fracture and was subsequently found to have an osteoblastoma arising at the fracture site. This is the first reported case of an osteoblastoma developing after a fracture, although osteoid osteomas, which are histologically indistinguishable from osteoblastomas, have been reported at prior fracture sites. Read More

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http://link.springer.com/10.1007/s00256-019-03197-x
Publisher Site
http://dx.doi.org/10.1007/s00256-019-03197-xDOI Listing
March 2019
12 Reads

Surgical treatment of Neer type II and type V lateral clavicular fractures: comparison of hook plate versus superior plate with lateral extension: a retrospective cohort study.

Eur J Orthop Surg Traumatol 2019 Mar 7. Epub 2019 Mar 7.

Department of Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands.

Purpose: Different fixation methods are used for treatment of unstable lateral clavicle fractures (LCF). Definitive consensus and guidelines for the surgical fixation of LCF have not been established. The aim of this study was to compare patient-reported functional outcome after open reduction and internal fixation with the clavicle hook plate (CHP) and the superior clavicle plate with lateral extension (SCPLE). Read More

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http://dx.doi.org/10.1007/s00590-019-02411-9DOI Listing

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.

Clin Orthop Surg 2019 Mar 18;11(1):103-111. Epub 2019 Feb 18.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.

Background: Arthroscopic stabilization of torn coracoclavicular (CC) ligaments gained popularity recently. However, loss of reduction after the operation and complications unique to this technique involving tunnel placement through the distal clavicle and coracoid process are concerns. The purpose of this study was to report intraoperative and early postoperative complications associated with this procedure. Read More

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http://dx.doi.org/10.4055/cios.2019.11.1.103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6389532PMC
March 2019
10 Reads

Midshaft Clavicle Fractures: Surgery Provides Better Results as Compared With Nonoperative Treatment: A Meta-analysis.

Am J Sports Med 2019 Mar 5:363546519826961. Epub 2019 Mar 5.

Orthopaedic and Traumatology Unit, Ospedale Regionale di Lugano, EOC, Lugano, Switzerland.

Background:: There is no agreement on the best treatment for displaced midshaft clavicle fractures (MCFs), which are currently addressed by nonoperative or surgical approaches.

Purpose:: The aim of this meta-analysis was to compare fracture healing and functional outcome after surgical versus nonsurgical treatment of MCFs, to help specialists in deciding between these different strategies by providing a synthesis of the best literature evidence.

Study Design:: Meta-analysis. Read More

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http://dx.doi.org/10.1177/0363546519826961DOI Listing
March 2019
1 Read

[Clinical application of bridge-link combined fixation system for adult mid-shaft clavicle fractures].

Zhongguo Gu Shang 2019 Jan;32(1):38-42

Department of Orthopaedics, Nanjing University of Traditional Chinese Medicine, Nanjing 210023, Jiangsu, China;

Objective: To explore clinical efficacy of bridge-link combined fixation system for adult mid-shaft clavicle fractures.

Methods: From January 2016 to August 2016, 28 patients with mid-shaft clavicle fractures were treated by bridge-link combined fixation system, including 15 males and 13 females, aged from 27 to 82 years old with an average of(48.50±15. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.008DOI Listing
January 2019
1 Read

[Minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate].

Zhongguo Gu Shang 2019 Jan;32(1):28-32

Department of Orthopaedics, the Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang, China;

Objective: To investigate clinical effects of minimally-invasive internal fixation for mid-lateral 1/3 clavicle fracture with distal clavicular anatomic locking plate.

Methods: From February 2016 to March 2017, 32 patients with mid-lateral 1/3 clavicle fractures treated by minimally-invasive internal fixation with distal clavicular anatomic locking plate, including 24 males and 8 females with an average of (42.3±12. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.006DOI Listing
January 2019

[Case-control study on single locking plate and locking plate with suture anchors for the treatment of unstable distal clavicle fractures].

Zhongguo Gu Shang 2019 Jan;32(1):11-16

Department of Orthopaedics, Beijing Jishuitan Hospital, Beijing 100035, China.

Objective: To compare therapeutic effects of single locking plates and locking plates with suture anchors in treating type Neer IIb distal clavicle fractures.

Methods: From January 2013 to January 2015, 40 distal clavicle fractures patients with Neer IIb were treated by retrospectively analyzed and divided into single locking plates (control group) and locking plates with suture anchors(observation group) according to methods of operation. There were 20 patients in control group treated by single locking plates, including 16 males and 4 females aged from 26 to 64 years old with an average of(40. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.003DOI Listing
January 2019

[Case-control study on minimally invasive surgery and conventional open plating for displaced midshaft clavicular fracture based on 3D-print].

Zhongguo Gu Shang 2019 Jan;32(1):5-10

Department of Orthopaedics, Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Zhejiang Chinese Medical University, Wenzhou 325000, Zhejiang, China;

Objective: To compare clinical effect of minimally invasive surgery and conventional open plating for acute displaced midshaft clavicle fracture based on 3D-print.

Methods: From July 2016 and December 2016, 40 patients with acute displaced midshaft clavicle fractures were retrospectively analyzed. The patients were divided into 3D minimally invasive surgery group (group A) and conventional open plating group (group B) according to different surgical incisions and whether to use 3D printing. Read More

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http://dx.doi.org/10.3969/j.issn.1003-0034.2019.01.002DOI Listing
January 2019

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

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

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

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

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

Scapulothoracic Dissociation and Clavicle Fracture with Associated Brachial Plexus Palsy.

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

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

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

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

Comparative analysis of functional outcome of anatomical precontoured locking plate versus reconstruction plate in the management of displaced midshaft clavicular fractures.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018820351

Institute of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Park Town, Chennai.

Introduction:: For the fixation of displaced midshaft clavicular fractures, different plates are available, each with its specific pros and cons. The ideal plating choice remains subject to ongoing discussion. Reconstruction plates are cheap and easily bendable, but their strength and stability have been questioned. Read More

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http://dx.doi.org/10.1177/2309499018820351DOI Listing
February 2019

Fragility of randomized clinical trials of treatment of clavicular fractures.

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

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

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

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

The term "floating" used in traumatic orthopedics.

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

Department of Orthopedic Traumatology.

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

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

Cutibacterium (formerly Propionibacterium) acnes clavicular infection.

J Bone Jt Infect 2019 29;4(1):40-49. Epub 2019 Jan 29.

University of California San Francisco, Department of Orthopaedic Surgery.

(formerly ) is a slow growing, gram-positive bacteria that is naturally found in higher concentrations as skin flora on the chest and back, as well as in other areas with greater numbers of hair follicles. Most of the reported cases of shoulder girdle infection follow arthroplasty surgery, which then often requires debridement, administration of intravenous antibiotics, and surgical revision of the implanted device. In a recent study, 56% of 193 shoulder revisions had a positive culture, 70% of which grew . Read More

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http://dx.doi.org/10.7150/jbji.29153DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6367193PMC
January 2019

Medial Clavicle Osseous Dimensions with Implication on Plate Fixation.

Tech Shoulder Elb Surg 2019 Mar;20(1):26-29

Vanderbilt University Medical Center, Vanderbilt Department of Orthopaedics, 1215 21 Avenue South, Ste. 3200, Nashville, TN 37232-8828.

Significantly displaced medial clavicle fractures are associated with high rates of painful nonunion. Operative fixation can be challenging due to limited medial bone stock and adjacent vital vascular structures. Twenty-one consecutive chest computer topography (CT) scans were analyzed to measure anterior-posterior and superior-inferior dimensions of the medial clavicle. Read More

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http://dx.doi.org/10.1097/BTE.0000000000000152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6364839PMC
March 2019
2 Reads

A new technique for medial-end comminuted clavicle fractures.

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

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

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

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

Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients.

Shoulder Elbow 2019 Feb 4;11(1):9-16. Epub 2018 Jun 4.

Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Introduction: The hypothesis of this study was that patient selection for midshaft clavicle fracture (open reduction internal fixation with plate conservative) would give better functional outcome than random treatment allocation.

Methods: We performed a systematic literature search for primary studies providing functional score and non-union rate after conservative or surgical management of midshaft clavicle fractures. Six randomized controlled trial and 19 non-randomized controlled trial studies encompassing a total of 1348 patients were included. Read More

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http://dx.doi.org/10.1177/1758573218777996DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6348584PMC
February 2019
2 Reads

Scapulothoracic dissociation: a devastating "floating shoulder" injury.

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

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

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

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

A biomechanical comparison of new techniques for distal clavicular fracture repair versus locked plating.

J Shoulder Elbow Surg 2019 May 1;28(5):982-988. Epub 2019 Feb 1.

Miami Orthopaedics and Sports Medicine Institute, Baptist Health South Florida, Coral Gables, FL, USA. Electronic address:

Background: Unstable distal clavicular fractures treated surgically are associated with high failure rates and hardware-related complications. Newer techniques have shown promising early clinical results with fewer hardware complications; however, their biomechanical performance has not been assessed. This study biomechanically compared a distal-third locking plate with 3 newer techniques that incorporate coracoid fixation into the construct. Read More

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http://dx.doi.org/10.1016/j.jse.2018.11.041DOI Listing

Shoulder and Elbow Fractures in Athletes.

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

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

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

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

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

Treatment of unstable distal-third clavicule fractures using minimal invasive closed-loop double endobutton technique.

J Orthop Surg Res 2019 Jan 31;14(1):37. Epub 2019 Jan 31.

Department of Orthopaedic Surgery, MacKay Memorial Hospital, No. 92, Sec. 2, Zhongshan N. Rd., Taipei City, 10449, Taiwan.

Background: Clavicle fractures are common clinical problems, accounting for approximately 10% of all fractures. Neer's type II fractures disrupt the integrity of the coracoclavicular ligament and, therefore, are inherently unstable, requiring an extended period time to achieve bone union and being associated with a high rate of non- or malunion. Restoration of the stability of the distal clavicle is an important factor to decrease the rate of non- or malunion. Read More

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http://dx.doi.org/10.1186/s13018-019-1073-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357394PMC
January 2019
1 Read

Sternoclavicular Joint Graft in Temporomandibular Joint Reconstruction for Ankylosis.

Ann Maxillofac Surg 2018 Jul-Dec;8(2):292-298

Department of Oral and Maxillofacial Surgery, Tamilnadu Government Dental College and Hospital, Tirunelveli, Tamil Nadu, India.

Background: Temporomandibular joint ankylosis is one of the most distressing clinical condition resulting in loss of jaw function and impairment of growth. Ankylosis is a greek word meaning "Stiff Joint". It is observed that in humans the Sternoclavicular joint and Temporomandibular joint are similar morphologically and histologically as they are the only two synovial joints covered with fibrocartilage. Read More

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http://dx.doi.org/10.4103/ams.ams_209_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6327794PMC
January 2019
1 Read

The Association of Clavicle Fracture With Brachial Plexus Birth Palsy.

J Hand Surg Am 2019 Jan 23. Epub 2019 Jan 23.

Division of Orthopaedics, Children's Hospital of Philadelphia, Philadelphia, PA. Electronic address:

Purpose: Shoulder dystocia is the strongest known risk factor for brachial plexus birth palsy (BPBP). Fractures of the clavicle are known to occur in the setting of shoulder dystocia. It remains unknown whether a clavicle fracture that occurs during a birth delivery with shoulder dystocia increases the risk of BPBP or, alternatively, is protective. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.11.006DOI Listing
January 2019
3 Reads

[Clavicle fracture].

MMW Fortschr Med 2019 01;161(1):47

, Neumarkt i. d. OPf., Deutschland.

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http://dx.doi.org/10.1007/s15006-019-0068-9DOI Listing
January 2019

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

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

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

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

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

Bilateral Clavicular Fracture with Unilateral Scapular Fracture.

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

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

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

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February 2019
3 Reads

Dynamic Compression of the Subclavian Artery Secondary to Clavicle Nonunion: A Report of 2 Cases.

JBJS Case Connect 2019 Jan-Mar;9(1):e4

Royal Infirmary of Edinburgh, Edinburgh, Scotland.

Case: We describe 2 patients with nonunion of the clavicle and dynamic compression of the subclavian artery. In both patients, no structural abnormality of the subclavian vessels was evident at rest; however, with the arm in hyperabduction, arterial occlusion occurred because of the mobility of the fracture and a prominent callus.

Conclusion: This small case series demonstrates an important and, to our knowledge, unreported clinical complication of clavicle fracture nonunion. Read More

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http://dx.doi.org/10.2106/JBJS.CC.18.00200DOI Listing
January 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
18 Reads

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

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

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

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

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

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

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

Université Paris René Descartes (Paris, France).

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

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November 2018
3 Reads

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

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

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

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

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

My Clavicle Fracture Definitely Warrants Surgery-Or Not So Much?: Commentary on an article by Jane Liu, MD, et al.: "Cost-Effectiveness of Operative Versus Nonoperative Treatment of Displaced Midshaft Clavicle Fractures. A Decision Analysis".

Authors:
Leon S Benson

J Bone Joint Surg Am 2019 Jan;101(1):e3

The University of Chicago Pritzker School of Medicine, Illinois Bone and Joint Institute, Glenview, Illinois.

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http://dx.doi.org/10.2106/JBJS.18.00920DOI Listing
January 2019
1 Read