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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

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

Injury 2019 Feb 2. Epub 2019 Feb 2.

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

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

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

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

J Shoulder Elbow Surg 2019 Feb 1. 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

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

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

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

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

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

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

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

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

, Neumarkt i. d. OPf., Deutschland.

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

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

JBJS Case Connect 2019 Jan 9. Epub 2019 Jan 9.

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

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

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

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

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

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.

J Bone Joint Surg Am 2019 Jan;101(1):35-47

Department of Orthopedic Surgery, Henry Ford Health System, Detroit, Michigan.

Background: While previous studies have shown higher union rates and a quicker return to work with operative treatment of substantially displaced clavicle fractures, there is disagreement whether operative treatment results in improved clinical outcomes. Patients who undergo operative treatment sometimes require additional surgery for implant removal. Nonoperative treatment may fail so that delayed surgical intervention is ultimately required. Read More

Hua Xi Kou Qiang Yi Xue Za Zhi 2018 12;36(6):691-693

State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases & Dept. of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China.

Clavicle fracture, a very rare delayed complication following radical neck dissection of oral carcinoma, is normally ignored by oral and maxillofacial surgeons. We report and analyze a male patient with clavicle fracture after primary extended excision and bilateral radical neck dissection. This case was misdiagnosed as cervical metastasis. Read More

J Bone Oncol 2018 Nov 22;13:71-75. Epub 2018 Sep 22.

Department of Orthopaedics, Faculty of Medicine, Khon Kaen University, 40002, Thailand.

Background: The aim of this study was to evaluate survival of metastatic bone disease of an upper extremity, and to identify the prognostic factors that influence survival.

Methods: Patients with metastatic bone disease of an upper extremity between 2008 and 2015 were reviewed from the database of a tertiary university hospital.

Results: Of 102 patients, 48 males and 54 females with a median age of 61 (range, 28-82 years), the humerus (64. Read More

J Orthop Case Rep 2018 May-Jun;8(3):71-73

Department of Orthopedic and Traumatology, Istanbul University, Istanbul Faculty of Medicine, Istanbul, Turkey.

Introduction: Multiple bone fractures in a newborn can be associated with osteogenesis imperfect (OI). OI is a rare genetic disorder that causes Type I collagen synthesis disturbance results in bone fragility.

Case Report: We present a female newborn which had numerous fractures of the humerus, bilateral clavicle, and bilateral femur. Read More

J Orthop Case Rep 2018 May-Jun;8(3):42-46

Departamento de Radiologia, Universidade Federal do.

Introduction: The use of mini plates as a reduction tool is an elegant technique for temporary stabilization of multifragmentary fractures. For some complex periarticular fractures with severe comminution close to the articular surface, mini plates seem to be a better option than K-wires for provisional as well as definitive fixation, because of the presence of small fragments and proximity to the joint increases the risk of additional fragmentation and articular penetration, respectively.

Case Report: Five cases of complex periarticular fractures of the upper limb are presented. Read More

World J Clin Cases 2018 Dec;6(15):1029-1035

Department of Orthopedics, the Second Affiliated Hospital, Shantou University Medical College, Shantou 515041, Guangdong Province, China.

Background: A floating shoulder may be associated with catastrophic neurovascular injury and requires a multidisciplinary approach for its management. To maximize the likelihood of good patient outcomes, this unique injury pattern should be recognized in patients as early as possible. This can be difficult to achieve, however, as there are currently few reports of floating shoulder in the literature, meaning that associated neurovascular injuries may be overlooked. Read More

PLoS One 2018 19;13(12):e0208033. Epub 2018 Dec 19.

Forensic Medicine, Department of Surgical Sciences, Uppsala University, Uppsala, Sweden.

Background: The aim of this study was to assess the incidence of fractures in infancy, overall and by type of fracture, its association with accidents, metabolic bone disease risk factors, and abuse diagnosis.

Methods: The design was a population-based register study in Sweden. Participants: Children born 1997-2014, 0-1 years of age diagnosed with fracture-diagnosis according to International Classification of Diseases (ICD10) were retrieved from the National Patient Register and linked to the Swedish Medical Birth Register and the Death Cause Register. Read More

Surg Radiol Anat 2018 Dec 19. Epub 2018 Dec 19.

Center for Orthopedic and Trauma Surgery, University Medical Center, Kerpenerstr. 62, 50937, Cologne, Germany.

Background: The aim of the present study was to describe the prevalence and topography of the dominant nutrient foramen at the clavicle.

Methods: 317 macerated human clavicles (167 right and 150 left) were available for the study. After detecting the dominant nutrient foramen, the total distance from the sternal surface to the examined nutrient foramen was measured. Read More

Trauma Case Rep 2019 Feb 6;19:11-14. Epub 2018 Dec 6.

Department of Orthopedic Surgery, College of Medicine, Inha University, Jung-gu, Incheon, Republic of Korea.

It is generally known to use internal fixation using a hook plate or Kirschner wire as an operative treatment for distal clavicle fracture. TEN is a surgical technique that is mainly used in clavicle mid-shaft fracture, and there is no reported case for distal clavicle. We report a case of distal clavicle fracture treated with TEN. Read More

Open Access Maced J Med Sci 2018 Nov 20;6(11):2101-2106. Epub 2018 Nov 20.

Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Background: Due to the prevalence of shoulder injuries among athletes and other people and the prevalence of radiography for these injuries, there are still no valid criteria for indication of doing shoulder radiography.

Aim: This study aimed to examine the relationship between some signs and clinical examinations of the shoulder with shoulder bone injuries and the need for radiography.

Methods: This is a cross-sectional study. Read More

Acta Orthop Traumatol Turc 2018 Nov 11;52(6):464-468. Epub 2018 Dec 11.

Department of Orthopaedics, Ningbo, People's Republic of China.

Objective: The aim of this study was to evaluate the clinical results of T-plate fixation and anterior sternoclavicular ligament repair in proximal clavicle fractures.

Methods: Between August 2013 and August 2016, a total 12 patients (10 men and 2 women; mean age: 44.1 ± 9. Read More

Exp Ther Med 2018 Dec 17;16(6):5390-5393. Epub 2018 Oct 17.

First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355, P.R. China.

The present study examined the effectiveness of the method of inversing the distal clavicle anatomic locking plate to treat medial-end clavicle fractures. This involved retrospectively analyzing six cases of medial-end clavicle fractures treated using the method of inversing the distal clavicle anatomic locking plate between September 2013 and December 2015. These cases included five men and one woman with an average age of 46. Read More

JBJS Case Connect 2018 Oct-Dec;8(4):e98

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

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

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

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

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

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

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

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

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

Surg Radiol Anat 2018 Dec 8. Epub 2018 Dec 8.

Department of Radiology, Uludag University Faculty of Medicine, Bursa, Turkey.

Clavicle duplication is a rare entity with limited number of cases reported. Congenital origin and trauma related mechanisms are the main hypotheses to explain this anatomical variation. In skeletally immature patient, trauma may cause physeal-metaphyseal injury in the distal clavicle rather than acromioclavicular strain. Read More

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

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

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

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

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

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

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

Musculoskelet Surg 2018 Dec 5. Epub 2018 Dec 5.

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

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

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

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

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

Clin Orthop Surg 2018 Dec 21;10(4):455-461. Epub 2018 Nov 21.

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

Background: Surgical-site, multimodal drug injection has recently evolved to be a safe and useful method for multimodal pain management even in patients with musculoskeletal trauma.

Methods: Fifty consecutive patients who underwent plating for mid-shaft and distal clavicular fractures were included in the study. To evaluate whether surgical-site injections (SIs) have pain management benefits, the patients were divided into two groups (SI and no-SI groups). Read More

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

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

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

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

Valais Hospital, Martigny.

The surgical treatment of a displaced fracture of the clavicular shaft generally consists in an open reduction and plate fixation. The most common complications of the classic direct "transplatysma" approach are hardware related. These consist of simple hardware irritations requiring secondary plate removal but also feared wound healing problems ranging from dehiscence to superficial and deep wound infections. Read More

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

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

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

Arch Orthop Trauma Surg 2018 Nov 24. Epub 2018 Nov 24.

Luzerner Kantonsspital, Spitalstrasse 16, 6000, Lucerne, Switzerland.

Introduction: Arthroscopy-assisted treatment of lateral clavicle fractures with coracoclavicular stabilization and an endobutton device have gained popularity over recent years. There is little evidence to support which types of lateral clavicle fractures are suitable for this treatment. The primary aim of this study was to evaluate the clinical und radiological outcomes of this treatment and to identify which fracture types are suitable. Read More

Acta Orthop Belg 2018 Mar;84(1):62-67

Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to other classification systems and to evaluate the clinical outcome of nonoperative treated fractures. 55 acute medial clavicle fractures (55 patients) were 3D reconstructed and evaluated using the Edinburgh (ED), Throckmorton (TR) and new AB classification. Read More

Osteoporos Int 2019 Jan 19;30(1):79-92. Epub 2018 Nov 19.

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

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

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

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

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

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

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

Tunis Med 2018 May;96(5):264-268

Background: Fractures of the clavicle are common and usually treated as minor injuries. The middle-third fractures account for 80% of all clavicle fractures. For many years, these fractures have been treated conservatively. Read More

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

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

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

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

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

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

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