Distal Clavicle Fractures (Subscribe)  

This article describes a minimally invasive technique used for the treatment of distal clavicle fractures. The technique uses a double-button device that stabilizes the fracture and does not require subsequent hardware removal.
Kyle E. Swanson, MD; Britta L. Swanson, PhD ORTHOPEDICS 2009; 32:509

Nonunion is a relatively common outcome of nonoperative treatment of unstable distal clavicle fractures. Although not all nonunions are symptomatic, a comparative study showed that patients treated nonoperatively had higher incidences of local complications, residual shoulder dysfunction, and nonunion than those treated by open reduction and internal fixation. Therefore, many...

Section from Rockwood and Wilkins' fractures in children By Charles A. Rockwood, Kaye E. Wilkins, James H. Beaty, James R. Kasser

We retrospectively assessed the union and shoulder function following hook plate fixation in 18 patients with Neer type 2 fractures of the lateral end of the clavicle. The average age was 40 (range 22–62) years, and the mean follow-up was 25 (range 6–48) months. Fifteen patients had acute fractures and...

comprise 12-15% of clavicular fractures & are subclassified according to location of CC ligaments relative to fracture fragments;
- Subclassification:
- Minimal displacement (Type I)
- Frx Medial to CC Ligaments (Type II)
- Articular Surface...

Section in The Shoulder By Charles A. Rockwood, Frederick A. Matsen, III, Michael A. Wirth, Steven B. Lippitt
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Distal clavicle fracture case discussion in Mastercases Shoulder and Elbow Surgery P 54. Larry D. Field, Felix H. Savoie

comment on the article by AD Tambe et al.
Percutaneous fixation using a malleolar screw, a cannulated screw or a simple K-wire is a minimally invasive procedure. Also these procedures have the advantage of ease of application, simplicity, cheapness and high rate of union
Oguz Cebesoy Int Orthop. 2007 February; 31(1): 129.

We report an 11-year-old child with fracture of the distal clavicle who was denied conservative treatment because the medial end of the clavicle was anchored into the trapezius muscle fiber by an extreme posterior displacement. Surgical reduction was indicated.
M Itokazu, M Yoshida, Y Itoh, M Hukuta, K Kikuike Journal of Orthopaedic Surgery 2001, 9(1):...