Complications with the clavicle hook plate after fixation of Neer type II clavicle fractures

Lópiz, Yaiza; Checa, Pablo; García-Fernández, Carlos; Valle, J; Vega, Melina; Marco, Fernando

doi:10.1007/s00264-018-4108-3

Cited by 31 publications

(31 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Subacromial osteolysis and rotator cuff injury caused by the hook are serious complications caused by clavicle hook plates, and there are many reports of these complications [1][2][3][4][5][6][7][8][9][10][11]. An inappropriate hook depth and incongruency between the hook and undersurface of the acromion have been reported as causes of subacromial osteolysis [20][21][22][23].…”

Section: Discussionmentioning

confidence: 99%

“…In previous reports, X-ray or computed tomography (CT) was commonly used to evaluate subacromial osteolysis [2,4,[6][7][8][9][10]. However, it is difficult to accurately evaluate subacromial osteolysis.…”

Section: Discussionmentioning

confidence: 99%

“…Clavicle hook plates used for the treatment of distal clavicle fractures provide strong fixation, and the surgical procedure is relatively easy to perform. However, complications such as subacromial osteolysis and rotator cuff injury due to the hook have been reported [1][2][3][4][5][6][7][8][9][10][11]. The hook portion of the clavicle hook plate is placed under the acromion, and downward pressure is applied from the plate 3 portion on the clavicle to reduce the fracture.…”

Section: Introductionmentioning

confidence: 99%

“…The hook portion of the clavicle hook plate is placed under the acromion, and downward pressure is applied from the plate 3 portion on the clavicle to reduce the fracture. Pressure is continuously applied to the undersurface of the acromion after the operation to suppress the upward dislocation of the distal end of the clavicle, and this pressure has been shown to cause subacromial osteolysis [2][3][4][6][7][8][9][10]. If the severity of subacromial osteolysis progresses significantly, a serious complication, acromial fracture, occurs [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Reduction of subacromial osteolysis by bending the hook arthroscopically in clavicle hook plate fixation for distal clavicle fractures

Okazaki¹,

Shiba²,

Takeuchi³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Subacromial osteolysis is a serious complication caused by clavicle hook plates. Incongruency between the hook and undersurface of the acromion has been reported as a cause of subacromial osteolysis. The aim of this study was to retrospectively examine the effectiveness of hook bending in reducing subacromial osteolysis. Methods: Twenty-two patients with unstable distal clavicle fractures were treated with clavicle hook plates. There were 19 males and 3 females, with a mean age of 55.0 years. They were followed for a mean period of 9.5 months. The patients were divided into two groups; there were 10 patients whose hook was bent (the bending group) and 12 patients whose hook was not bent (the nonbending group). In the bending group, the hook was bent using a dedicated bender such that the hook and the undersurface of the acromion were parallel, and the direction of the hook was confirmed arthroscopically. At plate removal, arthroscopy was performed in both groups to observe the subacromial bony defect and the rotator cuff injury. Results: One patient in the nonbending group had a fibrous union, but bone union was achieved in all other patients. In the bending group, the angle at which the hook was inclined downward with respect to the distal portion of the plate (hook inclination angle) was 9.3 ± 6.1˚ (range, 2-23˚). The subacromial bony defects were significantly smaller in the bending group (1.7 ± 2.4 mm) than in the nonbending group (4.7 ± 2.3 mm) (P<0.05). Partial-thickness rotator cuff tears localized around the hook were observed arthroscopically in 6 patients in the bending group (60%) and in 7 patients in the nonbending group (58%). Conclusions: When the hook was bent such that it was parallel to the undersurface of the acromion, the degree of subacromial osteolysis was reduced.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Reduction of subacromial osteolysis by bending the hook arthroscopically in clavicle hook plate fixation for distal clavicle fractures

Okazaki¹,

Shiba²,

Takeuchi³

et al. 2020

Preprint

View full text Add to dashboard Cite

show abstract

“…Since the 1970s, clavicle hook steel plate, which utilize the lever principle to achieve the reduction of fracture has been widely used [6][7]. However, with the extension of follow-up, we observed there still existed many problems with the application of hook steel plate.1) hook plate design is not anatomic plate, which often requires intraoperative shaping.…”

Section: Discussionmentioning

confidence: 99%

Retrospective comparative study of arthroscopy assisted loop-plate suture technique and a Hook plate for the treatment of distal clavicle fractures

Wang¹,

Cai²,

Li³

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose To compare the clinical effects of hook plate and AALS technique in the treatment of acute Neer II distal clavicular fracture. Methods 33 patients with Neer II distal clavicular fracture were included in this study. 15 patients were treated internal fixation with clavicular hook plate. 18 patients underwent fracture reduction with AALS technique. Constant-Murley and VAS scores were used to evaluate shoulder joint function and pain degree during follow-up. Karlsson score and shoulder joint X-ray was used to evaluate patients' satisfaction and the loss of reduction respectively. Results There were significant differences in amount of bleeding, Constant-Murley score and Karlsson score between these two groups (P<0.05). In the AALS group, we observed 3 cases with rotator cuff injury, 1 case with labrum injury during the operation. Two patients in AALS group had slight loss of reduction, but with no requirement of removal of internal fixation owing to discomfort. In hook plate group, 5 patients complained discomfort in shoulder movement and limited function after operation. At the last follow-up, 3 patients suffered from subacromial osteolysis accompanied by acromial impingement pain, and 2 patients with mild reduction loss. Conclusion For patients with Neer IIB distal clavicle fracture, AALS technique is superior to hook plate in shoulder joint function recovery and pain performance after operation, which is probably a novel reliable choice.

show abstract

Komplikationsmanagement in der operativen Versorgung der Klavikulafraktur

2020

View full text Add to dashboard Cite

Complications with the clavicle hook plate after fixation of Neer type II clavicle fractures

Cited by 31 publications

References 28 publications

Reduction of subacromial osteolysis by bending the hook arthroscopically in clavicle hook plate fixation for distal clavicle fractures

Reduction of subacromial osteolysis by bending the hook arthroscopically in clavicle hook plate fixation for distal clavicle fractures

Retrospective comparative study of arthroscopy assisted loop-plate suture technique and a Hook plate for the treatment of distal clavicle fractures

Komplikationsmanagement in der operativen Versorgung der Klavikulafraktur

Contact Info

Product

Resources

About