Displaced medial end clavicular fractures treated with an inverted distal clavicle plate contoured through 90 degrees

Titchener, Andrew; See, Abbas; Rensburg, Lee Van; Tytherleigh-Strong, Graham

doi:10.1016/j.jse.2018.08.047

Cited by 17 publications

(31 citation statements)

References 20 publications

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“…Medial end clavicle fractures are notoriously difficult to identify on plain X-rays. 7,9 The results of our study appear to confirm this and may explain why the incidence of 10.6%, that we found, is significantly higher than that previously reported in other plain X-ray studies. [1][2][3][4] Whilst we used CT scans to diagnose polytrauma and more clinically challenging patients, this only accounted for 25% of the cases.…”

Section: Discussionsupporting

confidence: 91%

The incidence of medial end clavicle fractures is higher than had previously been considered

et al. 2020

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Background Previous X-ray epidemiological studies have estimated the incidence of medial end clavicle fractures to account for 2–3% of all clavicle fractures. Materials and methods At our institution X-rays of every patient attending the Emergency Department are reviewed at a Virtual Fracture Clinic by a Consultant Orthopaedic Surgeon. Patients with a fracture are referred to the Shoulder and Elbow Fracture Clinic. Patients without a fracture are contacted and, if there are on-going concerns, are referred to the Shoulder and Elbow Fracture Clinic. Over an 18-month period we identified every patient that attended our Emergency Department that had sustained a clavicle fracture. Results In total 558 clavicle fractures were identified (139 (24.9%) – lateral, 360 (64.5%) – middle, 59 (10.6%) – medial). Of the 59 medial end fractures, 31 (52.5%) were identified on presentation at the Emergency Department, 13 (22%) at the Virtual Fracture Clinic, 6 (10.2%) on computed tomography scan at the Shoulder and Elbow Fracture Clinic and 9 (15.3%) were admitted directly to the trauma unit. Conclusion The results of this study suggest that the incidence of medial end clavicle fractures in the general population is higher than had previously been considered. Level of evidence IV

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Section: Discussionsupporting

confidence: 91%

The incidence of medial end clavicle fractures is higher than had previously been considered

et al. 2020

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“…They reported good outcomes for surgical intervention as indicated by a 96% return to sport and no intraoperative or postoperative complications [18]. Titchener et al [23] reported excellent outcomes in all eight patients (mean age of 31.3 years) with medial clavicle fractures treated with an inverted distal clavicle plate. Our preferred method for fixation of a medial-third clavicle fracture is with plate and screws.…”

Section: Discussionmentioning

confidence: 98%

“…Titchener et al . [23] reported excellent outcomes in all eight patients (mean age of 31.3 years) with medial clavicle fractures treated with an inverted distal clavicle plate. Our preferred method for fixation of a medial-third clavicle fracture is with plate and screws.…”

Section: Discussionmentioning

confidence: 99%

Medial clavicle shaft fractures in children and adolescents: differences from adults and management

Whyte

Veerkamp²,

Parikh³

2022

Journal of Pediatric Orthopaedics B

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Clavicle fractures are a common injury in the pediatric and adolescent population. Most fractures are located in the middle third of the clavicle. There has been no information in the literature regarding the management of extra-physeal medial clavicle shaft fractures in this population. The objective of this study is to evaluate demographic and injury characteristics, management options and clinical outcomes of medial clavicle fractures in children and adolescents and differentiate them from those in adults. A retrospective review was performed at a single institution to identify patients with medial clavicle shaft fractures. Radiographs, clinical features and patient-reported outcomes (QuickDASH) were analyzed. Eight patients were identified with medial clavicle fractures. Two fractures could not be diagnosed on anteroposterior radiographs. Both operative (four patients) and nonoperative (four patients) treatment had excellent radiographic and clinical outcomes, irrespective of initial displacement. Compared to high-energy and life-threatening injuries in adults, these fractures in children and adolescents were sports-related and isolated fractures. Conservative treatment should be considered for medial clavicle fractures in children and adolescents. These fractures are distinct from their adult counterparts and do not lead to increased morbidity or mortality.

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“…The authors concluded that these plates had advantages including decreased loss of reduction secondary to screw toggling and higher stability during early motion. Moreover, Tokiyoshi [ 12 ], Wang et al [ 13 ] and Titchener et al [ 14 ] reported the use of an inverted distal clavicle anatomic locking plate for acute medial clavicle fractures. They showed that this plating method allowed for safe rigid fixation.…”

Section: Discussionmentioning

confidence: 99%

Medial clavicle pseudarthrosis successfully treated with an inverted distal clavicle locking plate

Sasaki

Lee

Igarashi

et al. 2019

Annals of Medicine and Surgery

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Introduction Medial clavicle fractures are rare injuries. Symptomatic nonunion arises up to 8% of medial clavicle fractures when treated conservatively. Presentation of case A 53-year-old man sustained a left medial clavicle fracture and was treated conservatively at another hospital. Nine months after his initial injury, he was referred to our institution. We diagnosed pseudarthrosis of the medial clavicle. We performed open reduction and internal fixation using an inverted distal clavicle locking plate. At the 1-year follow-up, radiographs showed bone union. Discussion This is the first reported case of medial clavicle pseudarthrosis treated with an inverted distal clavicle anatomical locking plate. There are several advantages in using this plate. Conclusion This method is a good treatment option.

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Displaced medial end clavicular fractures treated with an inverted distal clavicle plate contoured through 90 degrees

Cited by 17 publications

References 20 publications

The incidence of medial end clavicle fractures is higher than had previously been considered

The incidence of medial end clavicle fractures is higher than had previously been considered

Medial clavicle shaft fractures in children and adolescents: differences from adults and management

Medial clavicle pseudarthrosis successfully treated with an inverted distal clavicle locking plate

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