181 results match your criteria Imaging in Clavicle Fractures and Dislocations


Analysis of the bony geometry of the acromio-clavicular joint.

Eur J Med Res 2018 Oct 23;23(1):50. Epub 2018 Oct 23.

Department of Trauma Surgery, Klinikum rechts der Isar, Technical University of Munich, Germany, Ismaninger Strasse 22, 81675, Munich, Germany.

Background: The primary goal of this study was to analyse the anatomic configuration of the acromio-clavicular joint in a healthy population to be able to develop a classification in a second step. On the basis of the primary findings a secondary goal was to find potential clinical indications in refer to AC-joint dislocation and lateral clavicle fractures.

Methods: The upper thoracic aperture including both shoulder joints as well as both sterno-clavicular joints was retrospectively reformatted in a bone kernel in axial orientation with 0. Read More

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https://eurjmedres.biomedcentral.com/articles/10.1186/s40001
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http://dx.doi.org/10.1186/s40001-018-0348-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198440PMC
October 2018
25 Reads

Posterior shoulder dislocation: it's worth another look.

BMJ Case Rep 2018 Jul 30;2018. Epub 2018 Jul 30.

Emergency Department, University of Plymouth, Plymouth, UK.

A 40-year-old woman presented to the emergency department with a painful left shoulder following a fall from a mountain bike. A radiograph of the clavicle and shoulder was carried out. A diagnosis of fractured left clavicle was made, which was treated conservatively in a sling. Read More

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http://dx.doi.org/10.1136/bcr-2018-224486DOI Listing
July 2018
3 Reads

Bipolar Injury of the Clavicle.

Orthopedics 2018 Sep 27;41(5):e681-e688. Epub 2018 Jul 27.

Eleven patients with bipolar clavicle injuries, including dislocation of both ends of the clavicle, dislocation of the sternoclavicular joint with distal clavicle fracture, dislocation of the acromioclavicular joint with medial clavicle fracture, and segmental fracture of the clavicle, were retrospectively reviewed. The purpose of this study was to report the clinical outcomes and a literature review of bipolar clavicle injury. Nonoperative treatment was performed for 5 patients and surgical treatment for 6 patients. Read More

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http://dx.doi.org/10.3928/01477447-20180724-02DOI Listing
September 2018
18 Reads

Clavicle Kirschner Wire Migration into Left Lung: A Case Report.

Am J Case Rep 2018 Mar 21;19:325-328. Epub 2018 Mar 21.

Américo Brasiliense State Hospital, São Paulo, SP, Brazil.

BACKGROUND Kirschner wires are often used to perform osteosynthesis. Migration through tissue of these wires is a rare but well-known occurrence. CASE REPORT A 65-year-old female presented with light intensity pain complaints in the upper left chest area; personal history included left clavicle fracture 20 years ago that was treated surgically with fixation using a K-wire. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5881454PMC
March 2018
4 Reads

Displacement of diaphyseal clavicle fractures related to patient position and progressive displacement in the peri-injury period.

J Shoulder Elbow Surg 2018 Apr;27(4):667-673

Department of Orthopaedic Surgery, University of Minnesota/Regions Hospital, St Paul, MN, USA. Electronic address:

Background: The purposes of this study were (1) to determine how supine versus upright patient position affects the measurement of diaphyseal clavicle fracture displacement, (2) to describe the incidence of progressive displacement in the peri-injury period, and (3) to investigate variables associated with the progressive displacement.

Methods: Between 2013 and 2015, patients aged 14 years or older presenting with a diaphyseal clavicle fracture within 7 days of injury were included (N = 50). A well-defined radiographic protocol was established. Read More

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http://dx.doi.org/10.1016/j.jse.2018.01.004DOI Listing
April 2018
5 Reads

Pediatric Orthopedic Trauma: An Evidence-Based Approach.

Orthop Clin North Am 2018 Apr 14;49(2):195-210. Epub 2017 Dec 14.

Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA. Electronic address:

The management of pediatric fractures has evolved over the past several decades, and many injuries that were previously being managed nonoperatively are now being treated surgically. The American Academy of Orthopaedic Surgeons has developed clinical guidelines to help guide decision making and streamline patient care for certain injuries, but many topics remain controversial. This article analyzes the evidence regarding management of 5 of the most common and controversial injuries in pediatric orthopedics today. Read More

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http://dx.doi.org/10.1016/j.ocl.2017.11.008DOI Listing
April 2018
7 Reads

Clinical outcomes of a single-tunnel technique for coracoclavicular and acromioclavicular ligament reconstruction.

J Shoulder Elbow Surg 2018 Jun 4;27(6S):S70-S75. Epub 2018 Jan 4.

Kerlan-Jobe Orthopaedic Clinic, Los Angeles, CA, USA.

Background: A large number of surgical techniques have been described to treat acromioclavicular (AC) joint separations. Despite the high success rates with double-tunnel reconstruction, this method has been associated with the risk of coracoid and clavicle fractures. This study aimed to evaluate the outcomes of the first cohort of patients who underwent single-tunnel AC and coracoclavicular (CC) ligament reconstruction. Read More

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http://dx.doi.org/10.1016/j.jse.2017.11.032DOI Listing
June 2018
10 Reads

Clavicle fracture associated with atlantoaxial rotatory displacement, type II in an 8-year-old girl: A case report.

Medicine (Baltimore) 2017 Nov;96(46):e8781

aPediatric Orthopedic and Rehabilitation Department bDepartment of Interventional Radiology and Neuroradiology, Medical University of Lublin, Poland.

Rationale: Fracture of the clavicle is a very common injury in children. However, association between clavicle fracture and atlantoaxial rotatory displacement is rarely observed.

Patient Concerns: We present a case of an 8-year-old girl, who suffered a right clavicle fracture as a result of a sledge accident. Read More

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http://dx.doi.org/10.1097/MD.0000000000008781DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5704880PMC
November 2017
4 Reads

Safe intramedullary fixation of displaced midshaft clavicle fractures with 2.5mm Kirschner wires - technique description and a two-part versus multifragmentary fracture fixation outcome comparison.

Injury 2017 Nov;48 Suppl 5:S27-S33

Department of Trauma & Orthopaedics, General Hospital Karlovac, Croatia.

Introduction: The aim of this study was to present a modified Murray and Schwarz 2.5-mm Kirschner wire (K-wire) intramedullary (IM) technique for fixation of displaced midshaft clavicle fractures (DMCF), and to compare the differences in treatment outcome of two-part (Robinson 2B.1) and multifragmentary (Robinson 2B. Read More

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http://dx.doi.org/10.1016/S0020-1383(17)30735-0DOI Listing
November 2017
11 Reads

Dimple on the shoulder after a ski injury.

Emerg Med J 2017 Nov;34(11):740

Department of Family Medicine and Denver Health Medical Center, University of Colorado Denver School of Medicine, Denver, Colorado, USA.

Clinical Introduction: A 74-year-old woman was brought to the ski clinic shortly after a fall on her left shoulder while skiing. She did not remember the exact fall mechanism. She felt a popping sensation in her left shoulder and was unable to move her left arm due to severe pain. Read More

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http://dx.doi.org/10.1136/emermed-2016-206560DOI Listing
November 2017
8 Reads

Three-dimensional morphological analysis of acromioclavicular joint in patients with and without subacromial erosion after hook plate fixation.

J Int Med Res 2018 Jan 31;46(1):511-521. Epub 2017 Aug 31.

4 Department of Orthopedic Surgery, Shanghai Jiao Tong University affiliated Sixth People's Hospital, Shanghai, China.

Objective To investigate the role of acromioclavicular joint morphology in the presence of subacromial erosion after hook plate fixation. Methods We retrospectively analyzed the clinical data of 36 patients (17 men, 19 women; mean age, 48.7 years; range, 21-76 years) treated with hook plate fixation for distal clavicular fractures (n = 20) or acromioclavicular joint dislocation (n = 16) from August 2011 to March 2013. Read More

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http://dx.doi.org/10.1177/0300060517725973DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6011301PMC
January 2018
15 Reads

Superior shoulder suspensory complex fracture dislocation case report.

Radiography (Lond) 2017 Aug 22;23(3):e68-e71. Epub 2017 Mar 22.

Canterbury Christ Church University, School of Allied Health Professionals, North Holmes Road, Canterbury, CT1 1QU, United Kingdom.

Background: Acromioclavicular joint dislocation can be more complex than it first appears. The presented case had an unusual combination of injuries to the superior shoulder suspensory complex, which yielded some interesting learning points.

Case Summary: The injuries were sustained after a fall from a push bike and included acromioclavicular dislocation with coracoid process, clavicle and acromion process fractures. Read More

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http://dx.doi.org/10.1016/j.radi.2017.03.002DOI Listing
August 2017
6 Reads

Anterior-Inferior Plating Results in Fewer Secondary Interventions Compared to Superior Plating for Acute Displaced Midshaft Clavicle Fractures.

J Orthop Trauma 2017 Sep;31(9):468-471

*Department of Orthopedic Surgery, University of South Florida, Tampa, FL; †Geisinger Medical Center, Orthopaedic Institute, Danville, PA; ‡Orthopaedic Trauma Service, Florida Orthopaedic Institute, Tampa, FL; §Shoulder and Elbow Surgery Service, Florida Orthopaedic Institute, Tampa, FL; and ‖Department of Orthopaedics, Harborview Medical Center, Seattle, WA.

Objectives: To determine whether a difference in plate position for fixation of acute, displaced, midshaft clavicle fractures would affect the rate of secondary intervention.

Design: Retrospective Comparative Study.

Setting: Two academic Level 1 Regional Trauma Centers. Read More

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http://dx.doi.org/10.1097/BOT.0000000000000856DOI Listing
September 2017
41 Reads

Simultaneous bilateral midshaft clavicle fractures with unilateral dislocation of the acromioclavicular joint: A case report.

Medicine (Baltimore) 2017 May;96(21):e6975

aDepartment of Radiology, First Hospital, Jilin University, Changchun, Jilin bDepartment of Joint Surgery, Affiliated Zhongshan hospital, Dalian University, Dalian, Liaoning cDepartment of Joint Surgery, First Hospital, Jilin University, Changchun, Jilin, China.

Rationale: Simultaneous bilateral mid-clavicle fracture with unilateral dislocation of the acromioclavicular (AC) joint is an extremely rare injury combination.

Patient Concerns: Herein, we report a case of polytrauma in a 42 years old female following a road traffic accident.

Diagnoses: The radiographs showed the fractures in bilateral middle third of the clavicle and AC joint dislocation of left shoulder. Read More

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http://dx.doi.org/10.1097/MD.0000000000006975DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5457878PMC
May 2017
10 Reads

Diagnosis of a Posterior Fracture Dislocation of the Medial Clavicle in an Adolescent With Point-of-Care Ultrasound.

Pediatr Emerg Care 2017 Jul;33(7):519-521

From the Department of Pediatrics, New York-Presbyterian Morgan Stanley Children's Hospital, Columbia University College of Physicians and Surgeons, New York, NY.

We report a case of an adolescent patient with medial clavicular tenderness after a fall on the lateral left shoulder. Initial radiographs did not reveal a fracture or dislocation. Point-of-care ultrasound was used to diagnose a posterior clavicular fracture dislocation. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001121DOI Listing
July 2017
2 Reads

Scapulothoracic Dissociation: Evaluation and Management.

J Am Acad Orthop Surg 2017 May;25(5):339-347

From the Department of Orthopaedic Surgery, University of Texas Health Science Center, Houston, TX (Dr. Choo and Dr. Burgess), and the Department of Orthopaedics and Rehabilitation, University of Vermont Medical Center, Burlington, VT (Dr. Schottel).

Scapulothoracic dissociation is a rare, potentially limb- and life-threatening injury of the shoulder girdle. The injury is characterized by lateral displacement of the scapula resulting from traumatic disruption of the scapulothoracic articulation. The typical physical examination findings consist of substantial swelling of the shoulder girdle, along with weakness, numbness, and pulselessness in the ipsilateral upper extremity. Read More

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http://dx.doi.org/10.5435/JAAOS-D-15-00509DOI Listing
May 2017
12 Reads

[Secondary dislocation of primarily unnoticed fracture of the medial clavicle].

Ugeskr Laeger 2017 Mar;179(10)

This is a case report of a 16-year-old boy with a bipolar fracture of the left clavicle. The patient crashed into a car on a moped with 40 mph. In the accident & emergency department (A&E) the patient was examined physically and by X-ray. Read More

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Efficacy analysis of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture.

J Orthop Surg (Hong Kong) 2017 01;25(1):2309499016684488

Taizhou Hospital of Zhejiang Province, Linhai, Zhejiang, China.

Purpose: Sternoclavicular joint is an amphiarthrodial joint formed by the clavicle and sternal manubrium. This joint becomes chronically unstable in case of a medial clavicle dislocation or fracture, and improper treatment could cause malformation and pain. We aimed to determine the efficacy of a novel sternoclavicular hook plate for treatment of unstable sternoclavicular joint dislocation or fracture. Read More

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http://dx.doi.org/10.1177/2309499016684488DOI Listing
January 2017
13 Reads

[Fracture-separation of the medial clavicular epiphysis: about 6 cases and review of the literature].

Pan Afr Med J 2016 22;25:19. Epub 2016 Sep 22.

Service d'Orthopédie-Traumatologie de l'Hôpital Général de Grand Yoff, Dakar, Sénégal.

This study aims to describe the epidemiological characteristics and the different anatomo-clinical entities of the fracture-separation of the medial clavicular epiphysis but also to relate the morphological and functional results of bloody reduction followed by osteosuture using non absorbable thread. Five boys and one girl (mean age 14 years) showed a closed and isolated shoulder girdle trauma. Clinical examination and medical imaging, especially CT scan, allowed the diagnosis of epiphyseal separation and to classify the degree of medial clavicular epiphysiseal ossification indicating the direction of displacement as well as the nature of displacement according to the Salter-Harris classification. Read More

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http://dx.doi.org/10.11604/pamj.2016.25.19.8787DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5268753PMC
March 2017
14 Reads

Number of positive radiographic findings in pediatric trauma patients.

Emerg Radiol 2017 Jun 26;24(3):281-286. Epub 2017 Jan 26.

Department of Trauma and Orthopedic Surgery 1; Westpfalz-Klinikum, Teaching Hospital of the Medical Faculty Mannheim, University of Heidelberg and of the University of Mainz, Hellmut-Hartert-Str.1, Kaiserslautern, Germany.

Purpose: Conventional radiography is frequently performed in pediatric patients in whom fractures and dislocations are suspected. However, until now, the rate of positive findings of the most commonly performed radiographic examinations in pediatric patients is unknown. The aim of this study was to evaluate the number of positive findings in the 20 most frequently requested standard radiographic examinations in pediatric patients in a level 1 trauma center systematically. Read More

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http://dx.doi.org/10.1007/s10140-017-1482-xDOI Listing
June 2017
10 Reads

Midshaft clavicle fractures with associated ipsilateral acromioclavicular joint dislocations: Incidence and risk factors.

Injury 2017 Feb 28;48(2):469-473. Epub 2016 Dec 28.

Department of Orthopaedic Trauma, Grant Medical Center, Columbus, OH, USA.

Introduction: Simultaneous ipsilateral clavicle and acromioclavicular (AC) joint injury have been infrequently reported in the literature at this time. The purpose of this study was to assess incidence as well as assess risk factors for this dual injury pattern.

Methods: We performed a retrospective review of a prospectively collected database (Level III evidence), evaluating 383 adult patients without previous shoulder girdle injury or trauma with a minimum 1-year follow-up who sustained a displaced diaphyseal clavicle fracture. Read More

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http://dx.doi.org/10.1016/j.injury.2016.12.021DOI Listing
February 2017
7 Reads

Loss of reduction and complications of coracoclavicular ligament reconstruction with autogenous tendon graft in acute acromioclavicular dislocations.

J Shoulder Elbow Surg 2017 Apr 17;26(4):692-698. Epub 2016 Oct 17.

Department of Orthopaedic Surgery, Eulji Hospital, Eulji University School of Medicine, Seoul, Republic of Korea. Electronic address:

Background: This study was conducted to report loss of reduction and complications after single-tunnel coracoclavicular (CC) ligament reconstruction with autogenous semitendinosus tendon graft for acute acromioclavicular (AC) joint dislocations.

Methods: This retrospective study included patients with acute, unstable AC dislocations (surgery within 6 weeks after trauma). We excluded patients with chronic injury and distal clavicle fractures with CC ligaments disruption. Read More

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http://dx.doi.org/10.1016/j.jse.2016.09.014DOI Listing
April 2017
16 Reads

Atlantoaxial Rotatory Subluxation: A Review for the Pediatric Emergency Physician.

Pediatr Emerg Care 2016 Oct;32(10):710-716

From the *Department of Neurological Surgery, Montefiore Medical Center/Albert Einstein School of Medicine, Bronx, NY; †Division of Neurosurgery, Duke University Medical Center, Durham, NC; and ‡Department of Neurological Surgery, University of Texas Southwestern Medical Center, Dallas, TX.

Pediatric emergency physicians must have a high clinical suspicion for atlantoaxial rotatory subluxation (AARS), particularly when a child presents with neck pain and an abnormal head posture without the ability to return to a neutral position. As shown in the neurosurgical literature, timely diagnosis and swift initiation of treatment have a greater chance of treatment success for the patient. However, timely treatment is complicated because torticollis can result from a variety of maladies, including: congenital abnormalities involving the C1-C2 joint or the surrounding supporting muscles and ligaments, central nervous system abnormalities, obstetric palsies from brachial plexus injuries, clavicle fractures, head and neck surgery, and infection. Read More

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https://www.thieme-connect.com/products/ejournals/pdf/10.105
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http://dx.doi.org/10.1097/PEC.0000000000000817DOI Listing
October 2016
15 Reads

Acute Shoulder Injuries in Adults.

Am Fam Physician 2016 Jul;94(2):119-27

Rutgers University Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Acute shoulder injuries in adults are often initially managed by family physicians. Common acute shoulder injuries include acromioclavicular joint injuries, clavicle fractures, glenohumeral dislocations, proximal humerus fractures, and rotator cuff tears. Acromioclavicular joint injuries and clavicle fractures mostly occur in young adults as the result of a sports injury or direct trauma. Read More

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July 2016
5 Reads

Natural history of medial clavicle fractures.

Injury 2016 Oct 6;47(10):2235-2239. Epub 2016 Jun 6.

Department of Orthopaedic Surgery, Alfred Health, Melbourne, Victoria, Australia.

Background: Fractures of the medial third of the clavicle comprise less than 3% of all clavicle fractures. The natural history and optimal management of these rare injuries are unknown. The aim of our study is to describe the demographics, management and outcomes of patients with medial clavicle fractures treated at a Level 1 Trauma Centre. Read More

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http://dx.doi.org/10.1016/j.injury.2016.06.011DOI Listing
October 2016
6 Reads

Physes around the shoulder girdle: normal development and injury patterns.

Clin Radiol 2016 Jul 23;71(7):702-9. Epub 2016 Apr 23.

Radiology Department, St Mary's Hospital, Imperial College Healthcare NHS Trust, Praed Street, London W2 1NY, UK.

Traumatic injuries involving the scapula and clavicle in skeletally immature patients have unique characteristics that distinguish them from similar injuries in the mature skeleton. Fractures involving unossified cartilage and unfused epiphyses are difficult to appreciate on plain radiographs and computed tomography (CT) imaging. Knowledge of the developmental anatomy and normal radiological appearances during different stages of development of these bones is an essential prerequisite for the radiologist tasked with interpreting the imaging of such injuries in order to avoid potential diagnostic pitfalls. Read More

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http://dx.doi.org/10.1016/j.crad.2016.03.008DOI Listing
July 2016
1 Read

Posterior sternoclavicular Salter-Harris fracture-dislocation in a patient with unossified medial clavicle epiphysis.

Skeletal Radiol 2016 Aug 23;45(8):1123-7. Epub 2016 Apr 23.

Department of Orthopedic Surgery, University of Texas Health Science Center, 6400 Fannin Street; Suite 1700, Houston, TX, 77030, USA.

Sternoclavicular injuries are relatively rare, composing less than 1 % of all musculoskeletal fractures or dislocations. When sternoclavicular injuries do occur, they typically present as an isolated dislocation of the sternoclavicular joint without associated fracture of the clavicle or manubrium. However, in patients with unfused medial clavicle physis, sternoclavicular joint injuries can present as a fracture-dislocation through the unfused physis. Read More

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http://dx.doi.org/10.1007/s00256-016-2399-2DOI Listing
August 2016
40 Reads

Transclavicular Osseous Sutures for the Treatment of Displaced Distal Clavicular Fractures in Children.

J Orthop Trauma 2016 May;30(5):e181-5

Departments of Experimental and Clinical Medicine, and Orthopedic Surgery, Faculty of Health Science, Linköping University, Linköping, Sweden.

We describe a novel surgical technique for the treatment of displaced distal clavicular fractures in children. These fractures are rare, and recommendations on treatment vary. Conservative treatment might lead to persistent deformity and limitations of function. Read More

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http://dx.doi.org/10.1097/BOT.0000000000000527DOI Listing
May 2016
4 Reads

All Things Clavicle: From Acromioclavicular to Sternoclavicular and All Points in Between.

Instr Course Lect 2016 ;65:181-96

Orthopedic Surgeon, Blue Ridge Bone & Joint, Asheville, North Carolina.

The clavicle is the most frequently injured bone in the human body. In most cases, fractures that occur in the midshaft of the clavicle can be managed nonsurgically. An increasing number of studies suggest that displaced midshaft clavicle fractures have improved outcomes after surgical management, and equivalent outcomes can be achieved with both plating and intramedullary techniques. Read More

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July 2016
24 Reads

Bilateral sternoclavicular joint dislocation due to sternal fracture: Is it a dislocation or a separation?

Arch Orthop Trauma Surg 2016 May 5;136(5):605-8. Epub 2016 Mar 5.

Department of Orthopaedic Surgery, Konyang University College of Medicine, 158 Gwanjeodong-ro, Seo-Gu, Daejeon, Republic of Korea.

Traumatic bilateral sternoclavicular joint dislocation is very rare injury. In shoulder girdle injuries, anterior dislocation of the sternoclavicular joint accounts for 3 % and posterior sternoclavicular joint dislocation is lesser. Previous reported cases about bilateral sternoclavicular joint dislocation were result from proximal clavicle fracture with intact connection between sternum and ribs. Read More

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http://dx.doi.org/10.1007/s00402-016-2433-9DOI Listing
May 2016
8 Reads
1.310 Impact Factor

A dual injury of the shoulder: acromioclavicular joint dislocation (type IV) coupled with ipsilateral mid-shaft clavicle fracture.

BMJ Case Rep 2015 Nov 23;2015. Epub 2015 Nov 23.

Department of Orthopaedics, Kasturba Medical College, Manipal, Karnataka, India.

A direct blow to the shoulder, as may be sustained in a road traffic accident (RTA), can result in various combinations of fracture dislocations in the shoulder joint complex. Among these, a rare variety is an acromioclavicular joint (ACJ) dislocation coupled with ipsilateral mid-shaft clavicle fracture. Diverse treatment options have been described in the literature, ranging from non-operative and operative, to hybrid management. Read More

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http://dx.doi.org/10.1136/bcr-2015-213254DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4680282PMC
November 2015
5 Reads

A Case of Acromioclavicular Joint Dislocation Associated with Coracoid Process Fracture.

Kurume Med J 2015 25;61(3-4):77-9. Epub 2015 Aug 25.

Department of Orthopaedic Surgery, Kurume University Medical Center.

Rupture of any two or more parts of the superior shoulder suspensory complex (SSSC) including the distal clavicle, acromion, coracoid process, glenoid cavity of the scapula, acromioclavicular ligament, and coracoclavicular ligament is associated with shoulder girdle instability and is an indication for surgery. Here we report a case of acromioclavicular joint dislocation associated with coracoid process fracture. A 48-year-old man sustained a hard blow to the left shoulder from a fall, and simple radiography detected a coracoid process fracture and acromioclavicular joint dislocation. Read More

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http://dx.doi.org/10.2739/kurumemedj.MS64009DOI Listing
June 2016
17 Reads

[Combined ac joint dislocation and distal clavicle fracture. Closed reduction and arthroscopically assisted coracoclavicular fixation].

Unfallchirurg 2015 May;118(5):427-31

Schulter- und Ellenbogenchirurgie, Klinik für Allgemeine, Unfall-, Hand- und Plastische Chirurgie - Campus Großhadern, Klinikum der Universität München (LMU), München, Deutschland.

Background: A 55-year-old male patient sustained a dislocation of the acromioclavicular (AC) joint in combination with a distal clavicle fracture.

Methods: Following closed reduction of the fractured clavicle, arthroscopically assisted coracoclavicular fixation was performed.

Discussion And Conclusion: A combined injury of a complete ac joint dislocation and a distal clavicle fracture is rare and is not included in currently available classification systems; therefore, in this article a classification and assessment of the stability of this injury as well as appropriate treatment options are discussed. Read More

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http://dx.doi.org/10.1007/s00113-015-0006-yDOI Listing
May 2015
1 Read

Surgical treatment of dislocated fracture of the scapula column and glenoid: a 22-year follow-up.

Vojnosanit Pregl 2015 Feb;72(2):181-4

Introduction: Most scapular fractures are caused by high-impact blunt injuries, often as the result of motor vehicle accidents, fall from height, etc. In 80% to 90% of cases, scapula fractures are associated with multiple injuries (clavicle fracture, rib fractures, humeral fracture, pulmonary injury, brachial plexus injury).

Case Report: We presented scapular fracture in a 27-years-old male who had sustained a work-related injury when a ground soil brick machine pressed him. Read More

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February 2015
2 Reads

[Traumatic bone and cartilage injuries of the shoulder].

Authors:
G Scheurecker

Radiologe 2015 Mar;55(3):188-94

CT- und MRT-Institut am Schillerpark, Rainerstr. 6-8, 4020, Linz/Donau, Österreich,

Background: Traumatic injuries to the shoulder joint occur both as isolated, especially to the humerus and clavicle, as well as accompanying glenohumeral dislocations.

Aim: To give an overview of the main approach of diagnostic imaging of the more common traumatic injuries to bone and/or cartilage of the shoulder joint. Only the scapula, proximal humerus and lateral clavicle are covered. Read More

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http://dx.doi.org/10.1007/s00117-014-2783-7DOI Listing
March 2015
1 Read

Concurrent treatment of a middle-third clavicle fracture and type IV acromioclavicular dislocation.

Am J Orthop (Belle Mead NJ) 2014 Nov;43(11):E275-8

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

Acromioclavicular (AC) dislocation with an associated displaced fracture of the middle third of the clavicle is a rare injury with no established standard treatment. Previous AC fixation techniques described have not included simultaneous internal fixation of the clavicle. We present the case of a 19-year-old man who sustained this combined injury pattern with a type IV AC dislocation. Read More

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November 2014
11 Reads

Functional results following titanium elastic-stable intramedullary nailing (ESIN) of mid-shaft clavicle fractures.

Acta Chir Orthop Traumatol Cech 2014 ;81(2):118-21

Klinik und Poliklinik für Unfallchirurgie, Rechts der Isar, TUM, München, Germany.

INTRODUCTION While plate fixation remains the gold standard for surgical treatment for displaced mid-shaft clavicle fractures (DMCF), intramedullary fixation has emerged as a promising alternative. However, due to its more demanding technique and depending on the fracture's nature, an open reduction can be necessary. Aim of this study was to compare the outcome of open reduction versus closed reduction of DMCF using ESIN. Read More

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August 2015
12 Reads

[Middle-third clavicle fracture with ipsilateral acromioclavicular dislocation].

Acta Chir Orthop Traumatol Cech 2014 ;81(3):238-40

Ortopedicko-traumatologické oddělení Nemocnice Mělník.

A rare case of a middle-third clavicle fracture concurrent with ipsilateral acromioclavicular dislocation in a 46-year-old women who had fallen off her bicycle is presented. The clavicular fracture was managed by locking plate osteosynthesis. The acromioclavicular joint was stabilised by traction osteorrhaphy that was removed at 7 weeks after the procedure. Read More

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August 2015
2 Reads

[Shoulder fractures, Part 1: Clavicular fractures].

Lakartidningen 2014 May 14-20;111(20):879-82

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August 2014
5 Reads

Atlantoaxial rotatory subluxation as a cause of torticollis in a 5-year-old girl.

BMJ Case Rep 2014 May 15;2014. Epub 2014 May 15.

Department of Trauma and Orthopaedics, Sunderland Royal Hospital, Sunderland, UK.

Many patients present to the emergency department complaining of a sore or stiff neck and lateral flexion of the neck with contralateral rotation. Under the pressure of the breaching time and busy shifts some of the patients are discharged to the care of their general practitioners without adequate investigations. While most of the cases are due to benign causes, torticollis can be due to many congenital and acquired pathologies, some of which may need further investigation and urgent management. Read More

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http://casereports.bmj.com/content/2014/bcr-2013-202990.full
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http://casereports.bmj.com/cgi/doi/10.1136/bcr-2013-202990
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http://dx.doi.org/10.1136/bcr-2013-202990DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4024542PMC
May 2014
7 Reads

Posterior sternoclavicular joint injuries in skeletally immature patients.

Orthopedics 2014 Feb;37(2):e174-81

The management of sternoclavicular injuries in skeletally immature patients has not been well described. The purpose of this study was to describe the authors' experience treating this rare and potentially life-threatening injury. All skeletally immature patients who underwent treatment for a medial clavicular physeal fracture or sternoclavicular dislocation between 2003 and 2011 were identified using ICD-9 diagnostic codes. Read More

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http://dx.doi.org/10.3928/01477447-20140124-22DOI Listing
February 2014
32 Reads

Retrosternal displacement of the clavicle after medial physeal fracture in an adolescent: MRI.

J Pediatr Orthop B 2014 Jul;23(4):375-8

Departments of aOrthopaedic Surgery and Traumatology bRadiology, Medicana International Istanbul Hospital, Istanbul, Turkey.

Retrosternal displacement of the medial clavicular metaphysis after a medial physeal fracture is a rare and potentially fatal injury because of possible damage of neurovascular structures, trachea and oesophagus. As the medial clavicular epiphysis does not ossify until 18-20 years of age and the medial clavicular physis is the last to close, around 22-25 years of age, this injury is difficult to demonstrate with plain radiographs in younger patients and is often mistaken for a sternoclavicular joint dislocation. We report on a 16-year-old boy with a fracture of the medial clavicular physis with retrosternal displacement of the metaphysis that was diagnosed with MRI, and discuss the diagnostic tools and treatment options in this rare injury. Read More

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http://pdfs.journals.lww.com/jpo-b/2014/07000/Retrosternal_d
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http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:land
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http://dx.doi.org/10.1097/BPB.0000000000000043DOI Listing
July 2014
11 Reads

Chronic posterior sternoclavicular joint fracture dislocations in children and young adults: results of surgical management.

J Pediatr Orthop 2014 Jul-Aug;34(5):542-7

*Harvard Combined Orthopaedic Residency Program, Massachusetts General Hospital †Department of Orthopaedic Surgery, Boston Children's Hospital, Boston, MA.

Background: Posterior sternoclavicular joint (SCJ) fracture dislocations in children and young adults can be missed on initial examination or could fail closed treatment. We hypothesize that surgical interventions (open reduction and ligamentous reconstruction or medial clavicle resection depending on the clinical scenario) are safe treatment options in patients with symptomatic chronic posteriorly displaced SCJ injuries.

Methods: A retrospective review was conducted of all patients younger than 25 years of age who underwent surgical treatment for chronic posteriorly displaced SCJ injuries at our institution from January 1, 1999 to December 31, 2011. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000148DOI Listing
April 2015
8 Reads

[Acute and overuse injuries of the shoulder in sports].

Orthopade 2014 Mar;43(3):202-8

Centrum für Muskuloskeletale Chirurgie (CMSC) und Centrum für Sportwissenschaft und Sportmedizin (CSSB), Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, 13353, Berlin, Deutschland.

Background: During sports the shoulder complex is exposed to considerable load especially where throwing is important and various pathological changes can occur. In the last two decades the shoulder in athletes has become a special term in clinical sports medicine

Methods: Selective literature review in PubMed and consideration of personal experience, research results as well as national and international recommendations

Results: In general acute lesions of the shoulder caused by sudden sport injuries, such as traumatic luxation, acromioclavicular (AC) joint disruption, traumatic tendon ruptures, labral lesions, cartilage defects and fractures have to be distinguished from chronic or long-standing pathologies due to recurrent microtrauma, such as overuse bursitis and tendinitis, as well as secondary forms of impingement along with rotator cuff tears and labral lesions. Besides common pathological changes that can be observed in almost all overhead-sports, there are also injuries that are more sport-specific due to the particular load profile in each sport. Read More

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http://dx.doi.org/10.1007/s00132-013-2141-xDOI Listing
March 2014
10 Reads

Clavicular hook plate may induce subacromial shoulder impingement and rotator cuff lesion--dynamic sonographic evaluation.

J Orthop Surg Res 2014 Feb 6;9. Epub 2014 Feb 6.

Department of Orthopaedic Surgery, Wan Fang Hospital, Taipei Medical University, No, 111, Sec, 3, Xinglong Road, Taipei 11696, Taiwan.

Background: Clavicular hook plates are effective fixation devices for distal clavicle fractures and severe acromioclavicular joint dislocations. However, increasing number of studies has revealed that subacromial portion of the hook may induce acromial bony erosion, shoulder impingement, or even rotator cuff damage. By sonographic evaluation, we thus intended to determine whether the presence of hook plate may induce subacromial shoulder impingement and its relationship relative to surrounding subacromial structures. Read More

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http://dx.doi.org/10.1186/1749-799X-9-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3922330PMC
February 2014
3 Reads

Video-assisted thoracoscopic surgery for migration of a Kirschner wire in the spinal canal: a case report and literature review.

Turk Neurosurg 2013 ;23(6):803-6

Second Xiangya Hospital of Central South University, Department of Spinal Surgery, Changsha, China.

Orthopedic wires and pins are regularly used for the treatment of dislocations and bone fractures. Migration of these metallic fixation devices into the spinal canal is an uncommon complication. We present a 35-year-old man who underwent thoracic spinal canal migration of a Kirschner wire. Read More

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http://dx.doi.org/10.5137/1019-5149.JTN.5300-11.1DOI Listing
July 2014
5 Reads
0.529 Impact Factor

Evaluation and treatment of sternoclavicular, clavicular, and acromioclavicular injuries.

Prim Care 2013 Dec 26;40(4):911-23, viii-ix. Epub 2013 Sep 26.

Department of Emergency Medicine, Robert C. Byrd Health Sciences Center, School of Medicine, West Virginia University, PO Box 9149, Morgantown, WV 26506, USA. Electronic address:

Injuries to the clavicle and associated structures may involve fractures of the clavicle or injuries to the surrounding joints, usually from a blow to the shoulder. They present with variable signs and symptoms, requiring a thorough history and physical examination. Diagnosis typically involves plain radiographs but more advanced imaging may be required, especially in the case of sternoclavicular joint dislocations. Read More

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http://dx.doi.org/10.1016/j.pop.2013.08.008DOI Listing
December 2013
4 Reads

Posterior sternoclavicular joint injuries in skeletally immature patients.

J Pediatr Orthop 2014 Jun;34(4):369-75

*Department of Orthopaedic Surgery, Boston Children's Hospital †Harvard Medical School, Boston, MA.

Background: Posterior injuries to the sternoclavicular (SC) joint are uncommon. In the skeletally immature (SI) population, these injuries have been described as either dislocations of the SC joint or fractures of the medial clavicular physis. The current literature and standardized test questions state that a posterior SC injury, in a SI patient, is more likely a physeal fracture than a SC joint dislocation. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000114DOI Listing
June 2014
5 Reads

Long-term patient-reported outcome after fractures of the clavicle in patients aged 10 to 18 years.

J Pediatr Orthop 2014 Jun;34(4):393-9

*Health Services Research Unit (HØKH) †Department of Orthopaedic Surgery, Akershus University Hospital ‡Institute of Clinical Medicine, University of Oslo, Lørenskog, Norway.

Background: Fractures of the clavicle are common among adolescents and have traditionally been treated nonoperatively. Recent literature has demonstrated less satisfactory results than expected after conservative management of displaced fractures in adults. The purpose of this study was to evaluate the long-term patient-reported outcome after clavicle fractures in older children and adolescents. Read More

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http://dx.doi.org/10.1097/BPO.0000000000000082DOI Listing
June 2014
1 Read

Acute lateral dislocated clavicular fractures: arthroscopic stabilization with TightRope.

J Shoulder Elbow Surg 2014 Mar 9;23(3):e47-52. Epub 2013 Aug 9.

Shoulder Unit, CTO Orthopedic and Trauma Center, Turin, Italy.

Hypothesis: Type IIA, IIB, and V lateral clavicular fractures (Craig modification of the Neer classification) are characterized by a constant displacement and are associated with a high rate of nonunion. The aim of this study is to verify whether the reduction and arthroscopic stabilization of these clavicular fractures with coracoclavicular cerclage provide stable fixation to allow for bone healing. To date, the treatment of these fractures is still controversial in young active patients in whom functional requirements are to be met. Read More

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http://dx.doi.org/10.1016/j.jse.2013.05.016DOI Listing
March 2014
11 Reads