A novel surgical method for treating medial‑end clavicle fractures
- Authors:
- Wen‑Peng Xie
- Yong‑Kui Zhang
- Yan‑Hua Chen
- Shi‑Lu Wang
- Hong‑Hao Xu
- Rong‑Xiu Bi
View Affiliations
Affiliations: First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250355, P.R. China, Department of Orthopedics, Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan, Shandong 250014, P.R. China
- Published online on: October 17, 2018 https://doi.org/10.3892/etm.2018.6870
-
Pages:
5390-5393
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Abstract
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 46.3±10.6 years old and a range of 24‑66 years old. Among these cases, one was type A, two were type C, and three were type D, based on the Throckmorton type classification. All patients had fresh closed fractures, which were caused by direct injury. A regular postoperative follow‑up was performed and the therapeutic efficacy was evaluated systematically with reference to the Rockwood and Disability of the Arm, Shoulder and Hand (DASH) score standards. All six cases had a follow‑up visit, which was between 10 and 14 months with an average of 12.0±2.2 months. All patients exhibited osseous healing and functional recovery without incision infection, nerve vascular injury, chest injury, fracture nonunion, or other complications. According to the Rockwood and DASH score standards, evaluation of the curative effect showed that five cases were excellent and one case was good, and the associated rate for achieving good or excellent outcomes was 100%. All of the DASH scores were <10. These results indicated that the effect of the treatment of medial‑end clavicle fractures by the method of inversing the distal clavicle anatomic locking plate was reliable, and the functional recovery of patients was good, making this method worthy of clinical promotion.
View References
1
|
Kihlström C, Möller M, Lönn K and Wolf O:
Clavicle fractures: Epidemiology, classification and treatment of
2422 fractures in the Swedish Fracture Register; an observational
study. BMC Musculoskelet Disord. 18:822017. View Article : Google Scholar : PubMed/NCBI
|
2
|
Allman FL Jr: Fractures and ligamentous
injuries of the clavicle and its articulation. J Bone Joint Surg
Am. 49:774–784. 1967. View Article : Google Scholar : PubMed/NCBI
|
3
|
Smelt J, Khakha RS, Harrison-Phipps K,
Richards A and Bille A: An isolated traumatic medial third
clavicular fracture requiring surgical fixation. Ann Thorac Surg.
103:e297–e298. 2017. View Article : Google Scholar : PubMed/NCBI
|
4
|
Sidhu VS, Hermans D and Duckworth DG: The
operative outcomes of displaced medial-end clavicle fractures. J
Shoulder Elbow Surg. 24:1728–1734. 2015. View Article : Google Scholar : PubMed/NCBI
|
5
|
Throckmorton T and Kuhn JE: Fractures of
the medial end of the clavicle. J Shoulder Elbow Surg. 16:49–54.
2007. View Article : Google Scholar : PubMed/NCBI
|
6
|
Vander Meijden OA, Gaskill TR and Millett
PJ: Treatment of clavicle fractures: Current concepts review. J
Shoulder Elbow Surg. 21:423–429. 2012. View Article : Google Scholar : PubMed/NCBI
|
7
|
Shetty SK, Chandran R, Ballal A, Mathias
LJ, Hegde A and Shetty A: To operate or not to operate the
mid-shaft fractures of the clavicle: A comparative study of
functional outcomes of the two methods of management. J Clin Diagn
Res. 11:RC01–RC03. 2017.
|
8
|
Rockwood CA Jr, Groh GI, Wirth MA and
Grassi FA: Resection arthroplasty of the sternoclavicular joint. J
Bone Joint Surg Am. 79:387–393. 1997. View Article : Google Scholar : PubMed/NCBI
|
9
|
Poggetti A, Novi M, Rosati M, Battistini
P, Parchi P and Lisanti M: Unusual medial-end clavicle fracture
combined with double disruption of the superior shoulder suspensory
complex (SSSC): A case report in triathlon Athlete. J Orthop Case
Rep. 6:19–21. 2016.PubMed/NCBI
|
10
|
Bourghli A and Fabre A: Proximal end
clavicle fracture from a parachute jumping injury. Orthop Traumatol
Surg Res. 98:238–241. 2012. View Article : Google Scholar : PubMed/NCBI
|
11
|
Teng HG and Liu AL: Partial claviculectomy
after non-union of proximal clavicle fracture. BMJ Case Rep.
2013(pii): bcr20130088742013.PubMed/NCBI
|
12
|
Koch MJ and Wells L: Proximal clavicle
physeal fracture with posterior displacement: Diagnosis, treatment,
and prevention. Orthopedics. 35:e108–e111. 2012.PubMed/NCBI
|
13
|
Bartonícek J, Fric V and Pacovsk V:
Displaced fractures of the medial end of the clavicle: Report of
five cases. J Orthop Trauma. 24:e31–e35. 2010. View Article : Google Scholar : PubMed/NCBI
|
14
|
Oe K, Gaul L, Hierholzer C, Woltmann A,
Miwa M, Kurosaka M and Buehren V: Operative management of
periarticular medial clavicle fractures: Report of 10 cases. J
Trauma. 72:E1–E7. 2012.
|
15
|
Correa MC, Gonçalves LB, Vilela JC, Leonel
IL, Costa LP and de Andrade RP: Extra-articular fracture of the
medial end of the clavicle associated with type IV
acromioclavicular dislocation: Case report. Rev Bras Orthop.
46:596–601. 2011. View Article : Google Scholar
|
16
|
Ding M, Ni J, Hu J and Song D: Rare
complication of clavicular hook plate: Clavicle fracture at the
medial end of the plate. J Shoulder Elbow Surg. 20:e18–e20. 2011.
View Article : Google Scholar : PubMed/NCBI
|
17
|
Sloan AG, Howcroft D and Wykes PR:
Operative treatment of medial clavicle fractures: an alternative
suigicle technique. Injury Extra. 39:270–272. 2008. View Article : Google Scholar
|