Distal clavicle fractures: A new classification system

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چکیده

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Management of distal clavicle fractures.

Most clavicle fractures heal without difficulty. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients. Type II distal clavicle fractures, which involve displacement, are associated with the highest incidence of nonunion. Several studies have questioned the clinical relevance of distal clavicle nonunion, however. Nonsurgical and surgical manag...

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Management of distal clavicle fractures.

Management of type II distal clavicle fractures has always been a challenge. Non-operative treatment has a high risk of complications and should be considered only for elderly and frail patients. For younger and active patients there is a wide variety of operative options, each with advantages and disadvantages. According to our unit's experience the first choice could be hook plate fixation, w...

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Distal clavicle fractures in children.

OBJECTIVE To analyze fractures of the distal clavicle region in pediatric patients. METHODS Ten patients between the ages of five to eleven years (mean of 7.3 years) were observed. Nine patients were treated conservatively and one surgically. All the fractures were classified using the Nenopoulos classification system. RESULTS All the fractures consolidated without complications. Conservati...

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Temporary coracoclavicular screw fixation for displaced distal clavicle fractures.

PURPOSE To assess the treatment outcome of temporary coracoclavicular screw fixation for displaced distal clavicle fractures. METHODS From January 1995 to December 2003, 30 consecutive patients with Neer type II displaced distal clavicle fractures were treated with open reduction and internal fixation using a coracoclavicular screw. The screw was removed under local anaesthesia after bony uni...

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Outcome of distal end clavicle fractures treated with locking plates

PURPOSE Fractures of the lateral end of the clavicle are relatively uncommon. These fractures are unstable due to the various deforming forces which act on the fragments as well as the small distal fracture fragment. At most times the deforming forces are not taken into consideration, and the fracture is not fixed securely. In this study, we assessed a fixation technique using the precontoured ...

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ژورنال

عنوان ژورنال: Orthopaedics & Traumatology: Surgery & Research

سال: 2018

ISSN: 1877-0568

DOI: 10.1016/j.otsr.2018.05.015