BACKGROUND Clavicle fractures are common injuries of the shoulder girdle and occasionally result in nonunion or symptomatic malunion. When present, these chronic injuries can result in considerable shoulder dysfunction. A number of surgical techniques have been described for the management of these injuries. Current literature suggests that supplemental bone grafting may not be necessary in all...

Excision of the distal clavicle (DCE) is a commonly carried out surgical procedure used in the management of acromioclavicular joint pathology. Although successful outcomes after both open and arthroscopic distal clavicle excision occur in a high percentage of patients, treatment failures have been reported, creating a difficult clinical scenario for the treating orthopedic surgeon. The most co...

OBJECTIVE The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and fracture union on shoulder function. METHODS Seventy clavicle fractures were non-surgically treated in the Orthopedics Department at the Tuanku Ja'...

Aims Clavicle fracture nonunions are extremely rare in children. The aim of this systematic review was to assess what factors may predispose children to form clavicle fracture nonunions and evaluate the treatment methods and outcomes. Methods We performed a systematic review according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, aiming to find papers repor...

BACKGROUND The 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. METHODS To evaluate the results and long term effects in use of this plate we performed a retrospective analysis with a mean fo...

INTRODUCTION Clavicle fractures are common injuries, representing 35 to 45% of fractures of the shoulder girdle. Fifteen to 25% of those involve the distal portion of the clavicle. Previously, non-operative management of midshaft clavicle fractures was based on the premise that even grossly malunited fractures had a minimal impact on functional outcomes. However, level I evidence supports the i...

BACKGROUND Clavicle non-unions can occur after both conservative and operative treatment failure. Here, we investigated the outcome of patients with delayed fracture healing or non-unions of the clavicle. Patients underwent revision surgery by plate osteosynthesis of the clavicle with or without bone grafting. Our aim was to determine rates of bone healing and the functional long-term outcome. ...

Distal clavicle fractures in adolescent patients may benefit from surgical intervention depending on fracture pattern, age of the patient, and other variables. Less-invasive techniques allowing earlier mobilization, decreased pain, and no requirement for hardware removal are attractive. A technique of double-button suture fixation is useful for the treatment of distal clavicle fractures in the ...

A case of congenital pseudarthrosis of the clavicle is presented. Congenital pseudarthrosis of the clavicle is a rare entity that has poorly been documented in the pediatric literature. The etiology and pathogenesis still remain obscure. The clinical and radiological appearances are characteristic. Differential diagnosis lies between postpartum fracture, posttraumatic pseudarthrosis, cleidocran...