Displaced fractures of the lateral end of the clavicle are associated with an increased risk of nonunion with conservative treatment; therefore, operative treatment is recommended. Various operative treatments have been suggested, but no consensus exists regarding a gold standard for the surgical treatment of this type of fracture. The purpose of this study was to evaluate clinical and radiolog...

We present two patients with complaints of shoulder pain after an epileptic seizure. Both patients had a posterior dislocation fracture of the shoulder. After reviewing the literature the following conclusions can be drawn: (1) A posterior shoulder dislocation fracture is rare. (2) One should not underestimate the muscular forces in seizure disorders and be alert for dislocation fractures of th...

Shoulder pain is the third most common presenting complaint to the primary care practice. Age is a factor which plays an important role in predicting injuries. Clavicular fractures are usually traumatic. Shoulder dislocations are more common in teens to the fourth decade. Other conditions which can give rise to acute shoulder pain are impingement syndrome, frozen shoulder, and bursitis. Diagnos...

Acute proximal humeral fractures in the elderly are generally treated non-operatively if alignment is acceptable and in stable fracture patterns. When operative treatment is indicated, surgical fixation is often difficult or impossible to obtain. Hemiarthroplasty has long been the standard of care. However, with its reliance on tuberosity healing, functional outcomes and patient satisfaction ar...

Background: The aim of this study was to evaluate functional outcome and complications with a long term followup (minimum of 2 years post-operative) in patients with mid-shaft clavicle fractures treated with precontoured lockingplates.Methods: We included 41 patients. Goniometric measurement of shoulder range of motion (ROM) was performed,as well as functional evaluation using the rating scale ...

Hemiarthroplasty has been recommended for 3- and 4-part fractures of the proximal humerus. Outcomes are most affected by final implant and tuberosity position. Reports of outcome and management of head-split fractures with humeral head replacement are lacking. The purpose of this study was to report the outcomes after humeral head replacement and the radiographic characteristics identified in h...

Background:  Clavicle fractures are common and usually heal without complications. In this study, we evaluated the outcomes of non-operative versus operative management of displaced fractures.   Methods:  In a prospective clinical trial study, sixty-five patients with displaced clavicle mid-shaft fractures were nonrandomly divided in two treatment groups. The first group underwent non-operative...

This article reports on a technique to treat unstable type II distal clavicle fractures using fracture-specific plates and coracoclavicular augmentation with a suture button. Six patients with clinically unstable type II distal clavicle fractures underwent treatment using the above technique. All fractures demonstrated radiographic union at 9.6 (8.4-11.6) weeks with a mean follow-up of 15.6 (12...