Type II Distal Clavicle Fractures

Kona, J; Bosse, Michael J.; Staeheli, J W; Rosseau, R L

doi:10.1097/00005131-199004020-00002

Cited by 144 publications

(15 citation statements)

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“…Kona et al [17] reported an unacceptably high complication rate (47%) with the use of K-wires and advised against its use. Flinkkila et al [1] compared K-wire fixation to hook plate fixation.…”

Section: Discussionmentioning

confidence: 99%

“…The indirect reduction method requires extensive dissection around the fracture and bore holes through the clavicle and the coracoid process. Erosion of these structures and fracture of the clavicle and the coracoid are well recognized complications [17,23,24]. Especially in case of the rigid fixation with the Bosworth screw, and in lesser extent with the other devices, the rotation of the clavicle is disabled requiring partial immobilization of the shoulder until fracture consolidation with the potential of implant breakage and a longer revalidation period.…”

Section: Discussionmentioning

confidence: 99%

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Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview

Tiren

Bemmel

Swank

et al. 2012

Journal of Orthopaedic Surgery and Research

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BackgroundThe clavicle hook plate achieves like most other operative techniques, a high percentage of union and a low percentage of complications however concerns about long term complications still exist, particularly the involvement of the acromioclavicular joint.MethodsTo evaluate the results and long term effects in use of this plate we performed a retrospective analysis with a mean follow up of 65 months (5.4 years) of 28 consecutive patients with acute displaced lateral clavicle fractures, treated with the clavicle hook plate.ResultsShort term functional results in all patients were good to excellent. All but one patient had a united fracture (96%). Nine patients (32%) developed impingement symptoms and in 7 patients (25%) subacromial osteolysis was found. These findings resolved after plate removal. Twenty-four patients were re-evaluated at a mean follow-up period of 5.4 years. The Constant-Murley score was 97 and the DASH score was 3.5. Four patients (14%) developed acromioclavicular joint arthrosis of which one was symptomatic. Three patients (11%) had extra articular ossifications of which one was symptomatic. There was no relation between the impingement symptoms, subacromial osteolysis and development of acromioclavicular joint arthrosis or extra articular ossifications.ConclusionsThe clavicle hook plate is a good primary treatment option for the acute displaced lateral clavicle fracture with few complications. At mid term the results are excellent and no long term complications can be addressed to the use of the plate.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview

Tiren

Bemmel

Swank

et al. 2012

Journal of Orthopaedic Surgery and Research

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“…K-wires with cerclage have a high rate of infection and nonunion due to migration of the K-wires [5]. …”

Section: Discussionmentioning

confidence: 99%

“…Since Neer [3, 4] first described fixing these fractures with two transarticular K-wires, many techniques and methods have been described for fixation. This indirectly suggests that these methods do not always yield the desired results [5]. In the last decade, the hook plate—originally developed by Balser to treat acromioclavicular dislocations—has been used as treatment for this difficult fracture [6].…”

Section: Introductionmentioning

confidence: 99%

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Tiren

Vroemen

2013

J Orthopaed Traumatol

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BackgroundUntil now there have been no prospective studies describing the results of using the superior clavicle plate with lateral extension in patients with displaced lateral clavicle fractures (Neer type 2). The purpose of this study was to evaluate the results of applying this plate for this specific type of fracture.Materials and methodsIn this prospective study, seven patients (mean age 43, M:F; 6:1) with a fresh displaced lateral clavicle fracture were evaluated with a mean follow-up of 10 months. Analysis included functional and subjective outcome, time until union, time until return to work, and complications.ResultsAll patients achieved clinical and radiological union within 6–12 weeks. Full range of motion as well as a return to work was achieved in most cases within 2 weeks. The mean Constant score was 98 (range 90–100), the DASH score was 3.6 (range 0–11.4), and the Shoulder Rating Questionnaire score was 97 (range 96–100). No major complications were encountered. Three patients required plate removal: two because of a prominent and subcutaneous plate and one because of an intra-articular screw.ConclusionsIn this study, use of the superior clavicle plate with lateral extension yielded excellent results in the treatment of this difficult fracture. In particular, patients acquired full range of motion within 2 weeks, reflecting the stability of the osteosynthesis achieved with this implant.

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“…21 K-wire fixation have high complication rate like pin migration and superficial pin tract infection. 22,15 In the study done by Lee et al, they compared the tension band wiring with hook plate fixation and they found early return to daily activities can be achieved by hook plate fixation. In their study they had 30% complications in tension band wiring fixation group.…”

mentioning

confidence: 99%

Neer Type II Distal End Clavicular Fracture: Outcome with Clavicular Hook Plate Fixation

Panthi¹,

Shrestha

Gaihre

et al. 2020

Europasian J Med Sci.

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Background: Distal end clavicular fractures are rare type of injuries seen in adult population. These fractures are unstable because of various deforming forces. Clavicular hook plate aligns the clavicle along with ligaments. The aim of this study is to observe the outcome of displaced distal end clavicular fracture managed with hook plate fixation.Methods: Twenty five patients with displaced distal end clavicular fractures (Neer type II) were evaluated retrospectively from November 2018 to September 2020. Functional outcome were assessed via Constant and Murley score at one year final follow-up.Results: 60% of patient had excellent outcome, 32% of patient had good outcome and 8% of patient had fair outcome at final follow-up. Mean Constant and Murley score was 86. Four patients developed subacromial osteolysis which resolved at final follow-up. One patient had extra-articular ossification whereas none of the patient developed non-union and AC joint arthrosis.Conclusion: Clavicular hook plate provides stable fixation of distal end clavicular fracture with few complications and is cost-effective.Keywords: Clavicular Hook Plate; Complications; Distal End Clavicular Fractures; Subacromial Osteolysis

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Type II Distal Clavicle Fractures

Cited by 144 publications

References 0 publications

Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview

Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Neer Type II Distal End Clavicular Fracture: Outcome with Clavicular Hook Plate Fixation

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