3,676 results match your criteria Fracture Clavicle


TREATMENT OF MIDSHAFT CLAVICLE FRACTURE WITH SUPERIOR PLATE PLACEMENT.

Acta Ortop Bras 2020 Mar-Apr;28(2):88-91

Istinye University, Faculty of Medicine, Orthopaedics Department, Istanbul, Turkey.

Objective: To evaluate the late clinical and radiological results of patients had locking plate anatomically compatible from superior surface and muscle cover on plate due to clavicle mid-region.

Materials And Methods: Forty patients were included retrospectively. Patients had a routine right shoulder anterior posterior graph after examination. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1590/1413-785220202802226166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7224320PMC

Comparison of maternal and fetal complications in pregnant women with breech presentation undergoing spontaneous or induced vaginal delivery, or cesarean delivery.

Taiwan J Obstet Gynecol 2020 May;59(3):392-397

Department of Obstetrics and Gynecology, Istanbul Medeniyet University Goztepe Education and Research Hospital, Doktor Erkin caddesi, Kadıkoy/Istanbul, Turkey. Electronic address:

Objective: Breech presentation is the most common form of malpresentation, and associated with perinatal asphyxia and mortality, and maternal morbidity. Data associated with labor induction in breech presentation are limited. The aim of this study was to compare maternal and fetal complication rates in induced and spontaneous vaginal, and cesarean delivery with breech presentation. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.tjog.2020.03.010DOI Listing

Free vascularized medial femoral condyle corticoperiosteal flap with non-vascularized iliac crest graft for the treatment of recalcitrant clavicle non-union.

J Plast Reconstr Aesthet Surg 2020 May 6. Epub 2020 May 6.

Department of Hand Surgery and Plastic and reconstructive surgery of the limbs - La Timone University Hospital - Assistance Publique Hôpitaux de Marseille, France.

Clavicle non-union is a challenging problem. Open reduction with internal fixation and autologous bone grafting is usually the first line treatment. In case of failure, the medial femoral condyle corticoperiosteal flap in association with a non-vascularized bone graft is one of the therapeutic options, which is well adapted to the clavicle anatomical characteristics. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.bjps.2020.03.018DOI Listing

[Surgical Treatment of Clavicle Midshaft Fractures - Prospective Randomized Trial].

Acta Chir Orthop Traumatol Cech 2020 ;87(2):101-107

Katedra vojenské chirurgie, Fakulta vojenského zdravotnictví, Univerzita obrany v Brně, Hradec Králové.

PURPOSE OF THE STUDY Comparison of the outcomes of clavicle midshaft fractures using two different surgical techniques, namely intramedullar osteosynthesis using elastic stable intramedullary nailing (ESIN) with medial cap and extramedullar plate osteosynthesis. MATERIAL AND METHODS The prospective randomized trial was conducted at the Department of Trauma Surgery of the Department of Surgery of the University Hospital Hradec Králové in the Czech Republic at the Level I Trauma Center between 2014 and 2018 and compared two types of osteosynthesis of clavicle midshaft fractures. 60 patients were enrolled in the study and were randomly assigned to one of the two groups. Read More

View Article

Download full-text PDF

Source
January 2020

A Case of Traumatic Pneumocephalus on the Opposite Side of the Injury Site.

Authors:
Ki Seong Eom

Korean J Neurotrauma 2020 Apr 20;16(1):73-78. Epub 2020 Apr 20.

Department of Neurosurgery, Wonkwang University College of Medicine, Iksan, Korea.

Pneumocephalus is defined as an abnormal presence of intracranial air or gas. Traumatic pneumocephalus (TP) typically occurs on the injured side and is in communication with the external environment. This report presented an extremely rare case of TP that occurred on the opposite side of the injured site, even with the absence of any traumatic injury. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.13004/kjnt.2020.16.e9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192804PMC

A novel variant of the IFITM5 gene within the 5'-UTR causes neonatal transverse clavicular fracture: Expanding the genetic spectrum.

Mol Genet Genomic Med 2020 May 8:e1287. Epub 2020 May 8.

Department of Obstetrics and Gynecology, 900 Hospital of the Joint Logistics Team or Dongfang Hospital, Fuzhou, Fujian, People's Republic of China.

Background: Osteogenesis imperfecta (OI) type V is a rare heritable bone disorder caused by pathogenic variants of IFITM5. Only two mutated alleles in IFITM5 have been identified worldwide, the role of which in OI pathology is not fully understood.

Methods: A neonatal case of suspected OI, clinically manifested as a rare clavicle transection fracture with delayed early fracture healing, was studied. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1002/mgg3.1287DOI Listing

Cost-Effectiveness of Operative Versus Non-Operative Treatment for Clavicle Fracture: a Systematic Literature Review.

Curr Rev Musculoskelet Med 2020 May 8. Epub 2020 May 8.

Department of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital, Teiskontie 35, 33521, Tampere, Finland.

Purpose Of Review: Operative and non-operative treatment of midshaft clavicle fractures seems to yield comparative functional results. Furthermore, it has been suggested that surgery is more expensive compared with non-operative treatment of clavicle fracture. Cost-effectiveness seems to be more important in trends of treatment decisions. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12178-020-09640-0DOI Listing

All arthroscopic coracoclavicular button fixation is efficient for Neer type II distal clavicle fractures.

Knee Surg Sports Traumatol Arthrosc 2020 May 7. Epub 2020 May 7.

Department of Orthopaedics and Traumatology, Bezmialem Vakif University Medical School, Istanbul, Turkey.

Purpose: Neer type II distal clavicle fractures are associated with a high rate of non-union or malunion due to impaired coracoclavicular ligament stability. The purpose of this study was to assess the clinical and radiological outcomes of arthroscopically assisted indirect osteosynthesis for type II distal clavicle fractures using a cortical suture button device.

Methods: Seventeen patients Neer type II fractures of the distal clavicle were treated surgically using cortical suture button fixation between 2012 and 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00167-020-06048-8DOI Listing

High grade acromioclavicular injury: Comparison of arthroscopic assisted acromioclavicular joint fixation and anatomic acromioclavicular joint reconstruction.

J Orthop 2020 Nov-Dec;22:151-157. Epub 2020 Apr 25.

Department of Orthopaedics, Faculty of Medicine, Thammasat University Hospital, Thailand.

Background: Injuries to the acromioclavicular (AC) joint disrupting the AC and Coracoclavicular (CC) ligaments could lead to loss of clavicular strut function. A High-grade AC joint injury remain challenging because of highly variety of treatment and limited evidence exists comparing clinical outcomes and complications after surgery.

Purpose: The purpose of this study was to compare the clinical and radiological outcome after arthroscopic assisted acromioclavicular Joint fixation and anatomic acromioclavicular joint reconstruction. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jor.2020.04.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7200614PMC

Intraoperative Identification of clavicle fracture patterns: Do clavicles fail in a predictable pattern?

J Orthop Trauma 2020 May 4. Epub 2020 May 4.

Medical University of South Carolina, Department of Orthopedic Surgery.

Objectives: To characterize the fracture pattern and pattern of fragmentation for displaced, mid-shaft clavicle fractures undergoing operative management.

Design: Prospective observational study.

Setting: Two institution. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/BOT.0000000000001801DOI Listing

Open Surgical Approach for Type II Endoleak in Subclavian Artery Pseudoaneurysm Presented With Neurological Symptoms After Endovascular Repair.

Vasc Endovascular Surg 2020 May 7:1538574420921278. Epub 2020 May 7.

Division of Vascular Surgery, UT Southwestern Medical Center, Dallas, TX, USA.

We present a rare case of a 10-cm right subclavian artery pseudoaneurysm, with slow growth over 4 years after a traumatic fracture of the right clavicle. The patient had multiple prior endovascular attempts of embolization and stenting at other hospitals; despite this the pseudoaneurysm continued to grow and caused mass effect and neurologic symptoms. We present our open approach for the repair and a review of literature. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1538574420921278DOI Listing

Intramedullary nailing of dislocated midshaft clavicle fractures with the Rockwood Clavicle Pin, a retrospective study.

Acta Orthop Belg 2019 Dec;85(4):412-420

This retrospective study evaluated the outcome after intramedullary nailing with the Rockwood Clavicle Pin (RCP) for acute displaced middle third clavicle fractures in adults. Of 84 included patients treated for this fracture 2003-2009, 66 (79%) were evaluated. Of these, 52 (79%) were re-examined, including fluoroscopy, while 14 patients (21%) were evaluated by mailed questionnaire. Read More

View Article

Download full-text PDF

Source
December 2019

Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis.

Case Rep Orthop 2020 23;2020:4069431. Epub 2020 Apr 23.

Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, Switzerland.

Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2020/4069431DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7196132PMC

Improved Functional Outcomes Following Operative Treatment of Midshaft Clavicle Fractures in an Active Duty Population.

Cureus 2020 Mar 31;12(3):e7488. Epub 2020 Mar 31.

Orthopaedics, Naval Medical Center San Diego, San Diego, USA.

Clavicle fractures are common orthopedic injuries that occur in a young active population and are even more common in the military. Military fitness test data presents the unique opportunity to analyze functional ability with regard to military-specific activities. The primary goal of this study was to compare functional outcomes using military fitness test data between operative and non-operative treatment of midshaft clavicle fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7488DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7192558PMC

[Fracture diagnosis: upper extremities : Shoulder and shoulder girdle].

Radiologe 2020 Apr 24. Epub 2020 Apr 24.

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland.

Background: The shoulder girdle is a chain of bones and joints which connect the upper extremity to the axial skeleton. The shoulder as a biomechanical unit has a remarkable range of motion and is therefore frequently prone to injuries of the three major joints (sternoclavicular joint, acromioclavicular joint, glenohumeral joint) and the bony elements (clavicle, scapula, humerus). Projection radiography is still the first imaging modality for injuries of the shoulder and usually sufficient for initial diagnosis and injury classification. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00117-020-00682-6DOI Listing

Recurrent acromioclavicular joint dislocation with an associated coracoid fracture following acromioclavicular joint reconstruction.

Ann R Coll Surg Engl 2020 Apr 24:e1-e5. Epub 2020 Apr 24.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

Acromioclavicular joint injuries are common and account for up to 12% of all shoulder girdle injuries and have been reported as being as high as 50% in sports-related shoulder injuries. While the majority of acromioclavicular joint dislocations can be treated non-operatively, there are certain injury configurations, which can include high-grade dislocations in overhead athletes, where surgery may be indicated. The surgical management of acromioclavicular joint instability has moved towards recreating the action of the coracoclavicular ligaments by resuspending the clavicle on to the coracoid. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2020.0051DOI Listing

Use of clavipectoral fascial plane block for clavicle fracture: Two case reports.

Saudi J Anaesth 2020 Apr-Jun;14(2):284-285. Epub 2020 Mar 5.

Department of Anesthesiology, Ube Industries Central Hospital, Ube City, Japan.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/sja.SJA_52_20DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7164465PMC

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

Download full-text PDF

Source

Comparative analysis of locking plates versus hook plates in the treatment of Neer type II distal clavicle fractures.

J Int Med Res 2020 Apr;48(4):300060520918060

Department of Orthopaedics, The Second Affiliated Hospital of Guilin Medical University, Guilin, Guangxi, China.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/0300060520918060DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175064PMC

Interscalene brachial plexus block for surgical repair of clavicle fracture: a matched case-controlled study.

BMC Anesthesiol 2020 Apr 20;20(1):91. Epub 2020 Apr 20.

Department of Anaesthesia, Lausanne University Hospital, Rue du Bugnon 46, BH 05.311, 1011, Lausanne, Switzerland.

Background: Innervation of the clavicle is complex and debated, with scarce data on the analgesic and clinical impact of regional anaesthesia after surgical repair of clavicle fracture.

Methods: In order to assess the analgesic efficiency of an interscalene brachial plexus block (ISB) for surgical repair of clavicle fracture, 50 consecutive patients scheduled for surgical fixation of middle/lateral clavicle fracture under general anaesthesia with ISB were prospectively enrolled. This cohort was compared to a historical control of 76 retrospective patients without regional block. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12871-020-01005-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7171737PMC

Management of comminuted mid-shaft clavicular fractures: Comparison between dual-plate fixation treatment and single-plate fixation.

J Orthop Surg (Hong Kong) 2020 Jan-Apr;28(2):2309499020915797

Ningbo University Medical School, Ningbo, China.

Background: We consider dual-plate fixation to improve construct rigidity in cases with fracture complexity. The purpose of this study is to compare the rate of nonunion, prognosis, and complications at 6-12 months for surgically treated acute mid-shaft clavicle fractures when extra-periosteal dual-plate fixation is used in place of the conventional single-plate fixation.

Materials And Methods: The comparative study was conducted on 47 patients who received acute mid-shaft clavicular fracture treatment in our hospital from March 2015 to July 2018. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2309499020915797DOI Listing

Finite element analysis of dual small plate fixation and single plate fixation for treatment of midshaft clavicle fractures.

J Orthop Surg Res 2020 Apr 15;15(1):148. Epub 2020 Apr 15.

Department of Orthopedics, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, No.2800 Gongwei Road, Huinan Town, Pudong New Area, Shanghai City, China.

Background: Midshaft clavicle fractures are one of the most familiar fractures. And, dual small plate fixation has been reported as can minimize hardware-related complications. However, the biomechanical properties of the dual small plate fixation have not yet been thoroughly evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13018-020-01666-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7161212PMC

Obesity status is a risk factor for secondary surgery after neurolysis, direct nerve repair or nerve grafting in traumatic brachial plexus injury: a retrospective cohort study.

BMC Surg 2020 Apr 15;20(1):73. Epub 2020 Apr 15.

Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA, USA.

Background: The objective of the study was to investigate the association between obesity and the presence of secondary surgery following neurolysis, direct nerve repair, or nerve grafting in patients with traumatic brachial plexus injury.

Methods: In this retrospective chart review spanning two Level I medical centers in a single metropolitan area, 57 patients who underwent neurolysis, direct nerve repair, or nerve grafting for brachial plexus injuries between 2002 and 2015 were identified. Risk regression analysis was used to evaluate the association between obesity status and secondary surgery. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12893-020-00737-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7160993PMC

Recurrent acute limb ischaemia and thoracic outlet syndrome secondary to a clavicle fracture malunion.

ANZ J Surg 2020 Apr 8. Epub 2020 Apr 8.

Department of Orthopedic Surgery, Australian Capital Territory Health, The Canberra Hospital, Canberra, Australian Capital Territory, Australia.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ans.15893DOI Listing

Single-center experience in the treatment of extremely medial clavicle fractures with vertical fixation of double-plate: A retrospective study.

Medicine (Baltimore) 2020 Apr;99(14):e19605

Department of Orthopedics, The Second Hospital of Jilin University, Changchun.

Patients suffering from extremely medial clavicle fractures combined with distinct displacement generally need surgical intervention. Double-plate fixation is a widely applied technique in the treatment of distal radius fracture, which has been reported to fix lateral clavicle fracture as well. This study reveals the effect of double-plate fixation as an innovative procedure in the treatment of extremely medial clavicle fractures for the first time. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000019605DOI Listing

Symptomatic malunion after midshaft clavicle fracture in an adolescent patient: a case report of surgical deformity correction using a 3D printed model.

Ann R Coll Surg Engl 2020 Apr 1:e1-e4. Epub 2020 Apr 1.

St George's University Hospital NHS Foundation Trust, London, UK.

A 14-year-old boy underwent surgery for symptomatic malunion of the clavicle. This complication, which is uncommon in adults and adolescents, occurred after a displaced midshaft clavicle fracture that had been treated conservatively. Surgery may be considered if functional impairment, pain, weakness, fatigability and neurological symptoms persist in the presence of significant clavicular deformity. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1308/rcsann.2020.0046DOI Listing

Pathological Clavicle Fracture: Initial Presentation of Intrahepatic Cholangiocarcinoma.

Cureus 2020 Feb 24;12(2):e7094. Epub 2020 Feb 24.

Orthopedics and Traumatology, Istanbul Oncology Hospital, Istanbul, TUR.

Intrahepatic cholangiocarcinoma (ICC) is the second most common tumor of the liver and accounts for 3% of all gastrointestinal tumors. Bone metastasis due to ICC is extremely rare. In this case report, a patient with pathological clavicle fracture as the first presentation of ICC was reported. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.7094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7098414PMC
February 2020

Coracoclavicular Stabilization With Two Loops of Equal Tension Using a Double O Loops Technique in the Distal Clavicle Fracture.

Arthrosc Tech 2020 Mar 7;9(3):e345-e349. Epub 2020 Feb 7.

Department of Orthopaedic, Faculty of Medicine, Thammasat University, Prathumthani, Thailand.

The distal clavicle fracture is one of the most common injuries around the shoulder joint. There is no consensus regarding a gold standard treatment. Each technique has advantages and disadvantages. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.eats.2019.11.010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7093728PMC

Hook versus locking plate fixation for Neer type-II and type-V distal clavicle fractures: a retrospective cohort study.

Eur J Orthop Surg Traumatol 2020 Mar 27. Epub 2020 Mar 27.

Department of Orthopaedic Surgery, Stanford University, 450 Broadway Street, Pavilion C, 4th Floor, Redwood City, CA, 94063-6342, USA.

Purpose: This study examined the outcomes and complications after treatment of unstable distal clavicle fractures with hook or locking plate fixation.

Methods: A retrospective search was performed of all acute distal clavicle fractures treated with open reduction and internal fixation from 2009 to 2019 at a Level I trauma center. Patients were separated into hook and locking plate fixation groups. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00590-020-02658-7DOI Listing

The incidence of birth injuries decreased in Finland between 1997 and 2017: A nationwide register study.

Acta Paediatr 2020 Mar 22. Epub 2020 Mar 22.

Department of Emergency, Anesthesia and Pain Medicine, Tampere University Hospital, Tampere, Finland.

Aim: Birth injuries are rare complications that can have a significant impact on neonates and their families. This population-based study describes the rates and trends of all birth injuries in Finland over a 21-year period.

Methods: The study is based on a national Medical Birth Register that includes all live-born neonates of more than 22 gestational weeks or 500 g who were born in Finland between 1997 and 2017. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/apa.15267DOI Listing

[When to think about pediatric congenital pseudoarthrosis of the clavicle? Presentation of 2 cases].

Arch Argent Pediatr 2020 04;118(2):e194-e198

Hospital La Vega, Murcia, España.

The congenital pseudoarthrosis of the clavicle is a rare and benign malformation, characterized by the absence of the middle third of the clavicle. It is usually unilateral and the majority on the right side. The etiology is unknown, postulating diverse etiopathogenic theories (vascular, embryological and genetic). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.5546/aap.2020.e194DOI Listing

Midshaft clavicle fracture following osteosynthesis with a hook plate: a retrospective case analysis.

Arch Orthop Trauma Surg 2020 Mar 19. Epub 2020 Mar 19.

Department of Orthopaedic Surgery, Tri-Service General Hospital and National Defense Medical Center, No. 325, Cheng-gong Road Section 2, Taipei, 11472, Taiwan, Republic of China.

Purpose: The clavicle hook plate has been commonly used to treat distal clavicle fractures and acromioclavicular (AC) joint dislocations; however, midshaft clavicle fracture at the medial end of the hook plate remains an underestimated complication. We aimed to discover the risk factors for this complication and the influence of these risk factors on patients and to suggest preventive surgical techniques.

Methods: We retrospectively reviewed the records of 150 patients with acute distal clavicle fractures or acute AC joint dislocations treated by internal fixation with a clavicle hook plate. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00402-020-03397-4DOI Listing

Long-term Functional Outcomes of Nonoperatively Treated Highly Displaced Scapular Body and Neck Fractures.

Orthopedics 2020 May 20;43(3):e177-e181. Epub 2020 Mar 20.

Historically, extra-articular scapular body fractures were treated nonsurgically, but displaced fractures of the glenoid neck can lead to dysfunction. Controversy exists regarding which extra-articular scapular fractures should be treated surgically; however, nonsurgical management of severely displaced scapular body fractures can result in satisfactory outcomes. Inclusion criteria for this study were medial or lateral displacement greater than 2 cm, angular deformity between fracture fragments greater than 45°, or glenopolar angle less than 22°. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3928/01477447-20200314-05DOI Listing

Long-term follow-up of conservatively treated midshaft clavicular fractures on functional outcome.

J Orthop 2020 Mar-Apr;18:80-85. Epub 2019 Sep 11.

Vrije Universiteit Amsterdam, Department of Human Movement Sciences, Amsterdam, Noord-Holland, the Netherlands.

Background: The aim of this study was to examine the long-term effect of shortening after a midshaft clavicular fracture on strength deficiency in the shoulder.

Method: This study included 18 participants (14 males, 4 females) with a conservatively treated midshaft clavicular fracture. Mean age was 52. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jor.2019.09.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7068017PMC
September 2019

Treatment of diaphyseal clavicular nonunion with special emphasis on microsurgery.

Injury 2020 Mar 9. Epub 2020 Mar 9.

Department of Orthopaedics and Traumatology, Cliniques Universitaires de Bruxelles, Hôpital Erasme, Université libre de Bruxelles, Route de Lennik 808, 1070 Bruxelles, Brussels, Belgium.

Diaphyseal fractures of the clavicle had until recently the reputation to always heal with abundant callus formation, except if operated, due to a reported high rate of nonunion after plate fixation by older series. The reason would be that the bone has only periosteal vascularization, easily destroyed by periosteal stripping for implant apposition. Bone autograft and external fixation has been reported as the best technique to heal a nonunited clavicle nonunion. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.injury.2020.03.021DOI Listing

Contribution of Digital Subtraction Angiogram in Diagnosis and Anatomic Recognition of Traumatic Pulsatile Mass.

J Craniofac Surg 2020 Mar 13. Epub 2020 Mar 13.

Department of Plastic Surgery.

Traumatic pulsating masses are difficult to make a definitive diagnosis due to anatomic variation of malformed vessels and rarely clinical incidence. It is essentially to recognizing the anatomy of such vessels, otherwise it may lead to an improperly treatment or serious complication. Digital subtraction angiogram (DSA) has a distinct advantage in both diagnosis and treatment of this subject. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/SCS.0000000000006302DOI Listing

A cracking complication: Displacement of existing clavicle fracture complicating subcutaneous implantable cardioverter defibrillator implantation.

Indian Pacing Electrophysiol J 2020 May - Jun;20(3):129-131. Epub 2020 Mar 4.

Section of Cardiology, Department of Internal Medicine, Max Rady College of Medicine, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, Manitoba, R3E3P5, Canada. Electronic address:

An 18 year old male with an incompletely healed clavicle fracture presented with unexplained syncope. Subsequent investigations were consistent with a diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). A subcutaneous implantable cardioverter-defibrillator (S-ICD) was successfully implanted and defibrillation threshold (DFT) testing performed as per standard protocol. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ipej.2020.02.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7244852PMC

A delayed and recurrent pneumothorax complicating a fractured clavicle - A novel presentation.

Trauma Case Rep 2020 Apr 25;26:100294. Epub 2020 Feb 25.

Community Mental Health, Trelawny Health Services, Western Regional Health Authority, 1S, Montego Bay, St. James, Jamaica.

There are very few reports in the literature about clavicular fractures being associated with a pneumothorax. With this combination of injuries, there are also minimal reports of a delayed presentation of a pneumothorax. This is the first report of a delayed pneumothorax followed by a recurrence of a pneumothorax due to the fractured ends of the clavicle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.tcr.2020.100294DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044753PMC

Treatment of distal clavicle fractures using a Scorpion plate and influence of timing on surgical outcomes: a retrospective cohort study of 105 cases.

BMC Musculoskelet Disord 2020 Mar 4;21(1):146. Epub 2020 Mar 4.

Department of Orthopaedic Surgery, National Hospital Organization Tokyo Medical Center, 2-5-1, Higashigaoka, Meguro-ku, Tokyo, 152-8902, Japan.

Background: Plate fixation is an established method for treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s12891-020-3169-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7057610PMC

Clinical Evaluation of the Surgical Treatment of Midshaft Clavicle Fractures at a Hospital in the South of Santa Catarina.

Rev Bras Ortop (Sao Paulo) 2020 Feb 23;55(1):100-105. Epub 2019 Sep 23.

Departamento de Ortopedia e Traumatologia, Hospital Nossa Senhora da Conceição, Tubarão, SC, Brasil.

 To evaluate the results of the surgical treatment of fractures of the middle third of the clavicle.  A retrospective cross-sectional study, in which 36 patients who suffered fractures of the middle third of the clavicle and who were surgically treated from January 2012 to February 2017 were evaluated. They were evaluated for types of fracture, age, smoking, osteosynthesis material, and Constant-Murley and Modified-University of California at Los Angeles Shoulder Rating Scale (UCLA-M) scores. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/s-0039-1697013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7048566PMC
February 2020

Hemothorax resulting from an initially masked aortic perforation caused by penetration of the sharp edge of a fractured rib: A case report.

Int J Surg Case Rep 2020 13;68:18-21. Epub 2020 Feb 13.

Department of Thoracic Surgery, Otsu Red Cross Hospital, Shiga, Japan. Electronic address:

Introduction: There are multiple causes of hemothorax in blunt chest trauma. However, a traumatic hemothorax with an uncertain cause is potentially life-threatening without treatment, because an undetected and hidden great vessel injury can remain unknown. Delayed diagnosis can lead to death. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.ijscr.2020.02.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044492PMC
February 2020

Iatrogenic Femur Fracture Following Medial Femoral Condyle Flap Harvest.

J Hand Surg Am 2020 Feb 20. Epub 2020 Feb 20.

Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, North Shore Private Hospital, University of Sydney, Sydney, Australia. Electronic address:

A case of iatrogenic femoral fracture after harvest of a medial femoral condyle flap is presented. The procedure was performed for a recalcitrant nonunion of the clavicle that required a flap of 6 × 1 × 1 cm. The patient suffered a supracondylar fracture at the proximal extent of the flap harvest site 3 weeks after surgery, requiring surgical fixation of the femur. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jhsa.2019.12.001DOI Listing
February 2020

A 3D Bioprinted Pseudo-Bone Drug Delivery Scaffold for Bone Tissue Engineering.

Pharmaceutics 2020 Feb 17;12(2). Epub 2020 Feb 17.

Wits Advanced Drug Delivery Platform Research Unit, Department of Pharmacy and Pharmacology, School of Therapeutic Sciences, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, 7 York Road, Parktown 2193, South Africa.

A 3D bioprinted pseudo-bone drug delivery scaffold was fabricated to display matrix strength, matrix resilience, as well as porous morphology of healthy human bone. Computer-aided design (CAD) software was employed for developing the 3D bioprinted scaffold. Further optimization of the scaffold was undertaken using MATLAB software and artificial neural networks (ANN). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3390/pharmaceutics12020166DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7076403PMC
February 2020

Optimal plate position in minimally invasive plate osteosynthesis for mid-shaft clavicle fractures: simulation using 3D-printed models of actual clinical cases.

Eur J Trauma Emerg Surg 2020 Feb 20. Epub 2020 Feb 20.

Department of Orthopedic Surgery, Asan Medical Center, College of Medicine, University of Ulsan, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.

Introduction: This study evaluated the optimal anatomical locking plate position using three-dimensional printed models of the clavicle.

Materials And Methods: Three-dimensional models of the fractured clavicle were reproduced from seventeen patients who underwent minimally invasive plate osteosynthesis (MIPO) procedures. The fracture location-the percentage of the distal fragment length compared to the entire clavicle-ranged from 30-44%. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00068-020-01330-3DOI Listing
February 2020

Bilaterally Threaded, Minimal Invasive, Elastic Locking Intramedullary Nailing (ELIN) for the Treatment of Clavicle Fractures.

Orthop Surg 2020 Feb;12(1):321-332

Department of Orthopedic Surgery, Tianjin Medical University General Hospital, Tianjin, China.

Objective: To evaluate and present the effectiveness of this innovatively designed, elastic locking intramedullary nail (ELIN) in fixation of clavicle fractures.

Methods: The study included 38 patients from July 2014 to July 2017. All of them received intramedullary fixation treated with ELIN, 22 were males and 16 females. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/os.12612DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031594PMC
February 2020

Predictors of clavicle fixation in multiply injured patients.

J Orthop 2020 Sep-Oct;21:35-39. Epub 2020 Feb 4.

Department of Epidemiology and Preventive Medicine, Monash University, Victoria, Australia.

Introduction: Clavicle fractures account for approximately 10% of all fractures in multiply injured patients. Our study aims to determine factors associated with surgical fixation of the clavicle fracture in multiply injured patients.

Methods: Major adult trauma patients from 2005 to 2014 with a clavicle fracture were included. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jor.2020.02.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7016330PMC
February 2020

Traumatic medial clavicle fracture induced by chin bar of a full-face helmet following a downhill mountainbike accident.

Sportverletz Sportschaden 2020 Mar 18;34(1):48-50. Epub 2020 Feb 18.

Sportklinik Stuttgart GmbH, Stuttgart, Germany.

Downhill mountain biking is a rapidly growing sport. In our case we want to present an isolated medial clavicular fracture following a mountain bike accident with a critical review on the used protection device. A 35 year old healthy patient presented to our hospital after bike accident during downhill mountain biking in Austria with pain over his right medial clavicle. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1055/a-1057-1096DOI Listing

Response to Van Tongel and De Wilde regarding: "A biomechanical comparison of a novel technique for distal clavicle fracture repair versus locked plating".

J Shoulder Elbow Surg 2020 Mar;29(3):e97

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

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jse.2019.09.046DOI Listing

Morphometric analyses of clavicle's nutrient foramen.

Surg Radiol Anat 2020 Feb 12. Epub 2020 Feb 12.

Department of Anatomy, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Purpose: Fractures of the clavicle, which has an important location and function in the upper extremity and shoulder joint, compose 10% of all fracture cases. During the osteosynthesis of clavicle fractures and in the post-operative period of patients, considering the detailed morphometric and topographic properties of the nutrient foramen of clavicle is important to avoid the disruption of arterial nutrition of the clavicle and prevent unexpected injuries. The aim of this study was to investigate the morphometric properties of the nutrient foramen of clavicle in more detail using computedtomography images. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00276-020-02433-7DOI Listing
February 2020

Diffuse large B-cell lymphoma involving the left sternoclavicular joint mimicking rheumatoid arthritis flare: a case-based review.

Rheumatol Int 2020 Apr 8;40(4):651-655. Epub 2020 Feb 8.

Division of Rheumatology, Department of Internal Medicine, Seoul National University Bundang Hospital, 82 Gumi-ro, 173 beon-gil, Bundang-gu, Seongnam-si, 13620, Gyeonggi-do, South Korea.

Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting primarily joints and an increased risk of developing malignant lymphomas in RA has been well reported. However, primary lymphoma in a joint in RA patient is rare. We report the case of a 65-year-old man with RA suffering from pain and swelling of left sternoclavicular (SC) joint, which was not relieved by adding low-dose glucocorticoid. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00296-020-04528-1DOI Listing