A Sternoclavicular Joint-Specific Plate for the Displaced Medial-End Clavicle Fracture

Abstract

ObjectivesThis study aimed to introduce a sternoclavicular joint (SCJ)-specific plate for the treatment of medial-end clavicle fracture and evaluate the clinical and radiological results of this method.MethodsFrom January 2006 to December 2020, 31 patients with displaced medial-end clavicle fractures were included in this study, with 8 patients with accompanying SCJ dislocation. Abduction and forward elevation of the shoulder, the Visual Analogue Scale (VAS), and the American Shoulder and Elbow Surgeons Score (ASES) were used for evaluation before index surgery and at the latest follow-up.ResultsAfter an average of 98.5 (range, 13 to 171) months, the mean VAS significantly decreased from 6.8 ± 1.0 preoperatively to 0.9 ± 0.8 at the latest follow-up (P < 0.001). The mean ASES score significantly increased from 34.3 ± 7.8 preoperatively to 90.2 ± 4.9 at the latest follow-up (P < 0.001). The mean abduction of the shoulder significantly increased from 72.1 ± 6.6 preoperatively to 169.5 ± 8.5 at the latest follow-up (P < 0.001). The mean forward elevation of the shoulder significantly increased from 97.1 ± 11.0 preoperatively to 163.1 ± 11.5 at the latest follow-up (P < 0.001). The union of all fractures was achieved, and all implants were removed. No loose or breakage of implants was observed. No vascular or nerve damage occurred during the operation.ConclusionsThis SCJ-specific plate provided excellent long-term results for the treatment of displaced medial-end clavicle fractures and was an alternative implant for medial-end clavicle fractures with or without small or comminuted medial fragments, especially those associated with SCJ dislocation.

Treatment of Symptomatic Medial Clavicle Nonunion with Intramedullary Tendon Allograft

“…Plate fixation seems to be the first option for internal fixation in these fractures 7 with plate options ranging from specially designed anatomic locking plates to distal humerus plates 15 , pilon plates 11 , distal radius 16 , and even distal clavicle plates [16][17][18] . Special sternoclavicular plates 19 and the use of double plates 20 have also been reported.…”

Luxação esternoclavicular posterior: Relato de caso

“…A luxação esternoclavicular é principalmente decorrente de traumas de alta energia 2 , tendo inúmeras abordagens cirúrgicas disponíveis para redução e fixação deste tipo de luxação, incluindo a abordagem por placas e o auto-enxerto de tendões 6,7,8 . Um estudo de baixo nível de evidência aponta uma menor taxa de complicação para a abordagem com placa 9 .…”