Multiple meta-analyses have been performed to compare surgical and conservative interventions for treating displaced midshaft clavicular fractures. But conclusions are discordant.The purposes of current study were (1) to conduct a systematic review of meta-analyses comparing surgical and conservative interventions for the treatment of displaced midshaft clavicular fractures, (2) to help decisio...

The aim of our study was to evaluate the shoulder function after clavicular hook plate fixation of acute acromioclavicular dislocations (Rockwood type III) in a population group consisting exclusively of high-demand military personnel. This prospective study was carried out at a tertiary care military orthopaedic centre during 2012-2013 using clavicular hook plate for management of acromioclavi...

BACKGROUND Clavicular hook plates are effective fixation devices for distal clavicle fractures and severe acromioclavicular joint dislocations. However, increasing number of studies has revealed that subacromial portion of the hook may induce acromial bony erosion, shoulder impingement, or even rotator cuff damage. By sonographic evaluation, we thus intended to determine whether the presence of...

BACKGROUND During conventional plate fixation of comminuted midshaft fracture of the clavicle, wedge-shaped fragments often need to be fixed with lag screws. A new procedure, which included intramedullary K-wire assistance in reduction, binding fragments by suture, and eventually bridging plate fixation, was compared with conventional techniques. HYPOTHESIS This new procedure is more effectiv...

BACKGROUND The determination of the adequate depth of superior vena cava cannulae during minimally invasive cardiac surgery is important for warranting venous drainage and preventing complications during cardiopulmonary bypass. We investigated whether preoperative cardiac computed tomography might be useful for predicting the optimal depth of superior vena cava cannulae. METHODS The patients ...

guidelines. Ethical ap not required as this st direct patient contact o Editor: Johannes Mayr. Received: January 6, 2015; revised: February 3, 2015; accepted: February 5, 2015. From the Department of Orthopaedic Surgery (JW, Z-MG, Y-HW), Tianjin Hospital; Graduate School (X-HM), Tianjin University of Traditional Chinese Medicine; and Department of Orthopaedic Surgery (J-GZ), Clinical College of...

Stress fractures are usually a rare incidence, but if it occurs, its more common in the lower limbs. Upper limb stress comparatively quite rare, wherein clavicular particularly uncommon. There have been very few reported cases of clavicle fractures, and patients with nervous tics, post radical neck dissection rarely due to sports. We report case fracture 55-year old female, who has suffering fr...

a mass in the anterior part of his right shoulder. Examination revealed a well-circumscribed lesion over the central one-third of the right clavicle, measuring approximately 8 × 7 cm. The mass was firm, nonpulsatile and immobile, appearing to be contiguous with, and fixed to, the clavicle. A plain radiograph of the clavicle is shown in Fig. 1 and a representative magnetic resonance image in Fig...

Though rarely reported, neoplasms of the clavicle occur, and their symptoms can be mistaken for more common shoulder conditions. We present the case of a benign clavicular neoplasm, rarely seen in adults, presenting with pain, and eventual pathologic fracture in a 49 year-old. A 49 year-old male firefighter underwent arthroscopic rotator cuff repair for shoulder pain after magnetic resonance im...