Fracture of Distal End Clavicle: A Review

Overview

Journal J Clin Orthop Trauma

Specialty Orthopedics

Date 2015 May 19

PMID 25983473

Citations 38

Authors

Balaji Sambandam

Rajat Gupta

Santosh Kumar

Lalit Maini

Affiliations

Soon will be listed here.

Abstract

Management of fracture distal end clavicle has always puzzled the orthopaedic surgeons. Now-a-days with a relatively active lifestyle, patients want better results both cosmetically and functionally. Despite so much literature available for the management of this common fracture, there is no consensus regarding the gold standard treatment for this fracture. In this article, we reviewed the literature on various techniques of management for this fracture, both conservative as well as surgical, and their merits and demerits.

Citing Articles

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Coracoclavicular fixation techniques for Neer IIb and "extralateral" fractures of the distal clavicle: a systematic review.

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Biomechanical evaluation of fixation of the coracoclavicular stand-alone cow-hitch suture reconstruction in comparison to two established techniques for highly unstable distal clavicle fractures (Neer type V).

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Distal Radius Plates With Coracoid Suture Anchors for the Fixation of Displaced Lateral End Clavicle Fractures.

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References

Renger R, Roukema G, Reurings J, Raams P, Font J, Verleisdonk E . The clavicle hook plate for Neer type II lateral clavicle fractures. J Orthop Trauma. 2009; 23(8):570-4. DOI: 10.1097/BOT.0b013e318193d878. View

Tsuei Y, Au M, Chu W . Comparison of clinical results of surgical treatment for unstable distal clavicle fractures by transacromial pins with and without tension band wire. J Chin Med Assoc. 2010; 73(12):638-43. DOI: 10.1016/S1726-4901(10)70139-8. View

Klein S, Badman B, Keating C, Devinney D, Frankle M, Mighell M . Results of surgical treatment for unstable distal clavicular fractures. J Shoulder Elbow Surg. 2010; 19(7):1049-55. DOI: 10.1016/j.jse.2009.11.056. View

Daglar B, Delialioglu O, Minareci E, Tasbas B, Bayrakci K, Gunel U . [An alternative fixation method for the treatment of unstable distal clavicle fractures: locked distal radius plate]. Acta Orthop Traumatol Turc. 2009; 43(4):324-30. DOI: 10.3944/AOTT.2009.324. View

Scadden J, Richards R . Intramedullary fixation of Neer type 2 fractures of the distal clavicle with an AO/ASIF screw. Injury. 2005; 36(10):1172-5. DOI: 10.1016/j.injury.2005.05.022. View

Tan H, Zhao J, Qian C, Shi Y, Zhou Q . Clinical results of treatment using a clavicular hook plate versus a T-plate in neer type II distal clavicle fractures. Orthopedics. 2012; 35(8):e1191-7. DOI: 10.3928/01477447-20120725-18. View

Li Y, Shi S, Ou-Yang Y, Liu T . Minimally invasive treatment for Neer IIb distal clavicle fractures with titanium cable. J Trauma. 2011; 71(2):E37-40. DOI: 10.1097/TA.0b013e318213f5a6. View

Levy O . Simple, minimally invasive surgical technique for treatment of type 2 fractures of the distal clavicle. J Shoulder Elbow Surg. 2003; 12(1):24-8. DOI: 10.1067/mse.2003.128564. View

Robinson C, Cairns D . Primary nonoperative treatment of displaced lateral fractures of the clavicle. J Bone Joint Surg Am. 2004; 86(4):778-82. DOI: 10.2106/00004623-200404000-00016. View

10.

Martetschlager F, Kraus T, Schiele C, Sandmann G, Siebenlist S, Braun K . Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage. Knee Surg Sports Traumatol Arthrosc. 2012; 21(5):1189-94. DOI: 10.1007/s00167-012-2089-0. View

11.

Andersen J, Willis M, Nelson R, Mighell M . Precontoured superior locked plating of distal clavicle fractures: a new strategy. Clin Orthop Relat Res. 2011; 469(12):3344-50. PMC: 3210290. DOI: 10.1007/s11999-011-2009-5. View

12.

ALLMAN Jr F . Fractures and ligamentous injuries of the clavicle and its articulation. J Bone Joint Surg Am. 1967; 49(4):774-84. View

13.

Flinkkila T, Ristiniemi J, Lakovaara M, Hyvonen P, Leppilahti J . Hook-plate fixation of unstable lateral clavicle fractures: a report on 63 patients. Acta Orthop. 2006; 77(4):644-9. DOI: 10.1080/17453670610012737. View

14.

Tiren D, Vroemen J . Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study. J Orthop Traumatol. 2013; 14(2):115-20. PMC: 3667379. DOI: 10.1007/s10195-013-0228-0. View

15.

Kashii M, Inui H, Yamamoto K . Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop Relat Res. 2006; 447:158-64. DOI: 10.1097/01.blo.0000203469.66055.6a. View

16.

Schliemann B, Rosslenbroich S, Schneider K, Petersen W, Raschke M, Weimann A . Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction. Arch Orthop Trauma Surg. 2013; 133(7):935-9. DOI: 10.1007/s00402-013-1737-2. View

17.

Kalamaras M, Cutbush K, Robinson M . A method for internal fixation of unstable distal clavicle fractures: early observations using a new technique. J Shoulder Elbow Surg. 2007; 17(1):60-2. DOI: 10.1016/j.jse.2007.04.012. View

18.

Checchia S, Doneux P, Miyazaki A, Fregoneze M, Silva L . Treatment of distal clavicle fractures using an arthroscopic technique. J Shoulder Elbow Surg. 2008; 17(3):395-8. DOI: 10.1016/j.jse.2007.08.011. View

19.

Yu C, Sun Y, Zhao C, Shi D, Wang Y . Treatment of distal clavicle fracture with distal radius volar locking compression plate. Chin J Traumatol. 2009; 12(5):299-301. View

20.

Tiren D, van Bemmel A, Swank D, Van der Linden F . Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview. J Orthop Surg Res. 2012; 7:2. PMC: 3313877. DOI: 10.1186/1749-799X-7-2. View