Background: Latarjet procedure is frequently done to treat shoulder instability. It includes osteotomizing the coracoid distal to the insertion of coracoclavicular ligament. Knowledge of the insertion of the trapezoid ligament is important to determine the level of coracoid osteotomy. Methods: Ten shoulders were dissected free of overlying soft tissue while preserving the ligament and muscle attachment on the coracoid. The distance between the tip of the coracoid to the coracoclavicular ligament and the pectoralis minor insertion width on the coracoid was measured. Result: The average distance from the tip of the coracoid to the trapezoid insertion was 2.6 cm. The average pectoralis minor insertion width was 1.9 cm. Conclusion: To preserve the insertion of the trapezoid ligament, the coracoid should be osteotomized less than 2.6 cm from the tip of the coracoid.
In our study, 30 patients with unstable, displaced, comminuted, intra-articular fracture of distal radius were treated and followed up with open reduction and internal fixation using 2.4 mm anatomical locking plates in a tertiary care hospital from May 2012 to October 2014. Patient were evaluated with mayo score at 3 weeks, 3 months, 6 months and 1 year. At 1 year the mayo score suggest, 93.3% patients were pain free with only 6.33% patients having mild occasional pain and average mayo score for pain was 24.67, 53.33% patients have equal hand grip as compare to opposite side and average mayo score for hand grip was 20.83, 40% of patients has equal range of movements as compare to opposite side with remaining were between 75-99% of opposite side and average mayo score for range of movement was 22, 93.33% patients had returned to their pre-injury employment and average mayo score for their functional status was 24.67. We concluded that volar fixed angle plating is a effective means of treatment for comminuted, displaced, intra-articular distal radius fracture.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.