Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle

Beirer, Marc; Zyskowski, Michael; Crönlein, Moritz; Pförringer, Dominik; Schmitt‐Sody, Marcus; Sandmann, Gunther H.; Huber‐Wagner, Stefan; Biberthaler, Peter; Kirchhoff, Chlodwig

doi:10.1007/s00167-015-3875-2

Cited by 21 publications

(11 citation statements)

References 40 publications

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“…In our patient population we evaluated and addressed 37.5% of accompanying pathologies. This is comparable to a study conducted by Beirer et al, who performed a diagnostic arthroscopy in every fracture of the lateral clavicle included in their study [14]. Accompanying pathologies were found in 46.4% of cases [14].…”

Section: Discussionsupporting

confidence: 87%

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3-Year results of arthroscopic management of lateral clavicle fractures

et al. 2020

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Section: Discussionsupporting

confidence: 87%

“…This is comparable to a study conducted by Beirer et al, who performed a diagnostic arthroscopy in every fracture of the lateral clavicle included in their study [14]. Accompanying pathologies were found in 46.4% of cases [14]. In 28.6% of these cases the accompanying pathologies were diagnosed and treated accordingly.…”

Section: Discussionsupporting

confidence: 85%

3-Year results of arthroscopic management of lateral clavicle fractures

et al. 2020

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“…The demonstrated results are in context with the literature. In fact, Beirer et al focused on concomitant intra-articular glenohumeral injuries in displaced Fx of the lateral clavicle [17]. The authors found in 13 of 28 patients, additional intra-articular injuries during arthroscopy, completing the actual open reduction and internal fixation.…”

Section: Discussionmentioning

confidence: 99%

“…Besides the fact that scapular Fx are a predictor for a great number of concomitant life-threatening injuries, isolated scapula body Fx have great potential to cause significant pain and to decrease the normal function of the shoulder girdle. Previous research has shown that concomitant intra-articular injuries of the glenohumeral joint in acromioclavicular joint injuries and in lateral clavicula fractures present an incidence of up to 46%, thus should be treated operatively to avoid significant loss of function in the glenohumeral joint [16,17].…”

Section: Introductionmentioning

confidence: 99%

Concomitant Intra-Articular Glenohumeral Lesions in Fractures of the Scapula Body

Zyskowski

Pesch

Greve

et al. 2020

JCM

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Background: Scapula body fractures are rare injuries with an incidence of 1% of all fractures accounting for 3% to 5% of all upper extremity fractures. Fractures of the scapula commonly result from high-energetic trauma and fall from great height. While several studies focused on concomitant injuries of chest and head as well as the cervical spine, up to now in the common literature, no study exists analyzing the prevalence of concomitant intra-articular glenohumeral injury following extra-articular scapular fracture. Objectives: The aim of this study was to analyze the prevalence of concomitant intra-articular glenohumeral injuries in acute fractures of the scapula by performing magnetic resonance imaging (MRI) of the shoulder joint. Study Design and Methods: This prospective cohort study was performed at our academic Level I trauma center from November 2014 to October 2016. According to our clinical algorithm, all patients suffering from an acute scapula body fracture primarily underwent computed tomography (CT) for assigning the fracture according to the Orthopedic Trauma Association (OTA)-classification and therapy planning. In addition, 3 T MRI-scans of all patients were performed within seven days after trauma. Results: Twenty-one (16 male/5 female, mean age 53 years (25–83 y) patients with scapula body fractures (OTA 14.A3.2 80.1%, OTA 14.A3.1 4.8%, OTA14.B3.1 4.8%, OTA14.C3 9.5%) were enrolled. MRI revealed 11 acute intra-articular injuries in 8 of 21 patients (38%). In all 21 patients, hematoma of the rotator cuff and periarticular muscles was present. Three patients (14.3%) presented a partial bursa sided tear of the supraspinatus tendon, whereas in 5 (23.8%), a partial articular sided supraspinatus tendon tear and in 2 (9.5%) patients, a subtotal tear was observed. One patient (4.8%) showed a complete transmural supraspinatus tendon tear. Conclusions: Traumatic concomitant glenohumeral injuries in scapula body fractures seem to be more frequent than generally expected. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce the postoperative complication rate following scapula body fractures.

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“…This eliminates a separate distant surgical site with potential for infection as well as an additional site of postoperative pain. Glenohumeral injuries associated with clavicle fractures have been reported to be as high as 46%, 18 and arthroscopy enables treatment of concomitant shoulder pathology at the same setting. This technique allows for a minimally invasive harvest-site incision, yet the arthroscopic assistance permits maximal visualization of the harvest site to ensure sufficient harvest of potential graft as well as avoiding iatrogenic injury to the rotator cuff and articular cartilage.…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic-Assisted Bone Graft Harvest From the Proximal Humerus for Distal Third Clavicle Fracture Nonunion

Tenpenny

Caldwell

Rivera-Rosado

et al. 2020

Arthroscopy Techniques

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Clavicle fracture nonunion can lead to persistent pain and loss of shoulder function. Distal clavicle fractures have the greatest risk of nonunion and are often treated surgically. Bone grafting plays a vital role in the treatment of distal clavicle nonunion. Although multiple options for bone graft exist, the iliac crest has long been considered the gold standard for harvest. Despite its extensive use, multiple complications have been associated with iliac crest bone graft harvest. We advocate a surgical technique for arthroscopic bone graft harvest from the proximal humerus with open reduction and internal fixation of an ipsilateral distal clavicle nonunion.

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Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle

Abstract: IV.

Cited by 21 publications

References 40 publications

3-Year results of arthroscopic management of lateral clavicle fractures

3-Year results of arthroscopic management of lateral clavicle fractures

Concomitant Intra-Articular Glenohumeral Lesions in Fractures of the Scapula Body

Arthroscopic-Assisted Bone Graft Harvest From the Proximal Humerus for Distal Third Clavicle Fracture Nonunion

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