Displaced medial clavicle fractures: a systematic review of outcomes after nonoperative and operative management

Kang, Laurant; Faulkner, Harrison; Howard, William H.; Low, Adrian K.

doi:10.1016/j.jseint.2022.09.010

Cited by 4 publications

(3 citation statements)

References 39 publications

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“…In the non-operative group (5 studies, 39 patients, mean follow-up of 27 months) there were 5 symptomatic non-unions, 2 malunions and 2 delayed unions. In the surgical group (11 studies, 96 patients, mean follow-up 23 months) there were no reported non-unions, but 27 % of the operated patients required hardware removal [ 9 ].…”

Section: Discussion Review Of the Literature And Conclusionmentioning

confidence: 99%

A rare rotated, medially displaced fracture-dislocation of the medial clavicle – Case report and review of the literature

Afifi,

Waldmann,

Pisano

2023

Trauma Case Reports

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Section: Discussion Review Of the Literature And Conclusionmentioning

confidence: 99%

A rare rotated, medially displaced fracture-dislocation of the medial clavicle – Case report and review of the literature

Afifi,

Waldmann,

Pisano

2023

Trauma Case Reports

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“…In the field of orthopedic surgery, clavicle fractures are a common injury that often requires surgical intervention for proper healing [1]. The clavicle has three parts: body (or diaphysis), sternal end (or medial epiphysis), and acromial end (or lateral epiphysis) [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…Firstly, recent studies have shown that non-operative treatment of displaced midshaft clavicle fractures leads to poorer outcomes than surgical treatment [27,28]. Secondly, advances in surgical techniques and a better understanding of the fracture type have contributed to the increasing preference for surgical management [1]. In addition, plate fixation offers biomechanical advantages, including greater stiffness and flexural strength compared to intramedullary fixation [28,29].…”

Section: Introductionmentioning

confidence: 99%

Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis

Alito,

Fenga,

Tropeano

et al. 2023

Bioengineering

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Clavicle midshaft fractures are mostly treated surgically by open internal reduction with a superior or anteroinferior plate and screws or by intramedullary nailing. Screw positioning plays a critical role in determining the stress distribution. There is a lack of data on the screw position and the appropriate number of cortices required for plate fixation. The aim of this study is to evaluate the mechanical behavior of an anterior plate implanted in a fractured bone subjected to 120° of lateral elevation compared to a healthy clavicle using numerical simulations. Contact forces and moments used were obtained from literature data and applied to the healthy and fractured finite element models. Stresses of about 9 MPa were found on the healthy clavicle, while values of about 15 MPa were calculated on the plate of the fractured one; these stress peaks were reached at about 30° and 70° of elevation when the stress shielding on the clavicle sums all the three components of the solicitation: compression, flexion, and torsion. The stress distribution in a clavicle fracture stabilized with plates and screws is influenced by several factors, including the plate’s position and design, the type of screw, and the biomechanical forces applied during movements.

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Versorgungskonzepte der medialen Klavikula und des Sternoklavikulargelenks

Gleich,

Helfen,

Lampert

2024

Unfallchirurgie

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Displaced medial clavicle fractures: a systematic review of outcomes after nonoperative and operative management

Cited by 4 publications

References 39 publications

A rare rotated, medially displaced fracture-dislocation of the medial clavicle – Case report and review of the literature

A rare rotated, medially displaced fracture-dislocation of the medial clavicle – Case report and review of the literature

Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis

Versorgungskonzepte der medialen Klavikula und des Sternoklavikulargelenks

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