“…Outcomes following nonoperative treatment were reported for 39 patients 3 , 22 , 23 , 24 , 35 and after operative treatment for 96 patients. 3 , 5 , 7 , 14 , 15 , 16 , 19 , 27 , 30 , 34 , 37 Figure 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram. …”
Section: Resultsmentioning
confidence: 99%
“…The most common mechanism of injury was a motor vehicle or motorbike accident (36%) followed by sports (25%) and bicycle (23%) injuries. 3 , 5 , 7 , 15 , 16 , 19 , 28 , 30 , 34 About 75% of patients had a computed tomography scan in conjunction with a plain radiograph. 3 , 7 , 14 , 15 , 27 , 34 , 35 All studies, except one, 30 defined the medial end of the clavicle to be either the medial 1/5 or 1/3 of the clavicle.…”
Section: Resultsmentioning
confidence: 99%
“… 3 , 5 , 7 , 15 , 16 , 19 , 28 , 30 , 34 About 75% of patients had a computed tomography scan in conjunction with a plain radiograph. 3 , 7 , 14 , 15 , 27 , 34 , 35 All studies, except one, 30 defined the medial end of the clavicle to be either the medial 1/5 or 1/3 of the clavicle. Twelve studies 3 , 5 , 7 , 14 , 15 , 19 , 22 , 23 , 24 , 27 , 35 , 37 defined fracture displacement using either the Robinson (>100% translation of major fracture fragments), 22 Throckmorton (>10 mm displacement), 33 or AB (no contact between fracture ends) 35 classification systems ( Table I ) with 3 studies having no definition.…”
Section: Resultsmentioning
confidence: 99%
“…Twelve studies 3 , 5 , 7 , 14 , 15 , 19 , 22 , 23 , 24 , 27 , 35 , 37 defined fracture displacement using either the Robinson (>100% translation of major fracture fragments), 22 Throckmorton (>10 mm displacement), 33 or AB (no contact between fracture ends) 35 classification systems ( Table I ) with 3 studies having no definition. 16 , 30 , 34 The operative group, which included the treatment of 5 nonunions 7 , 16 , 27 and 8 physeal fractures, 27 , 34 had an overall mean follow-up of 23 months (range, 3-124 months). In 2 studies with nonoperatively treated patients, 3 , 35 the mean follow-up was 38 months (range, 6-67 months).…”
“…Outcomes following nonoperative treatment were reported for 39 patients 3 , 22 , 23 , 24 , 35 and after operative treatment for 96 patients. 3 , 5 , 7 , 14 , 15 , 16 , 19 , 27 , 30 , 34 , 37 Figure 1 PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) flow diagram. …”
Section: Resultsmentioning
confidence: 99%
“…The most common mechanism of injury was a motor vehicle or motorbike accident (36%) followed by sports (25%) and bicycle (23%) injuries. 3 , 5 , 7 , 15 , 16 , 19 , 28 , 30 , 34 About 75% of patients had a computed tomography scan in conjunction with a plain radiograph. 3 , 7 , 14 , 15 , 27 , 34 , 35 All studies, except one, 30 defined the medial end of the clavicle to be either the medial 1/5 or 1/3 of the clavicle.…”
Section: Resultsmentioning
confidence: 99%
“… 3 , 5 , 7 , 15 , 16 , 19 , 28 , 30 , 34 About 75% of patients had a computed tomography scan in conjunction with a plain radiograph. 3 , 7 , 14 , 15 , 27 , 34 , 35 All studies, except one, 30 defined the medial end of the clavicle to be either the medial 1/5 or 1/3 of the clavicle. Twelve studies 3 , 5 , 7 , 14 , 15 , 19 , 22 , 23 , 24 , 27 , 35 , 37 defined fracture displacement using either the Robinson (>100% translation of major fracture fragments), 22 Throckmorton (>10 mm displacement), 33 or AB (no contact between fracture ends) 35 classification systems ( Table I ) with 3 studies having no definition.…”
Section: Resultsmentioning
confidence: 99%
“…Twelve studies 3 , 5 , 7 , 14 , 15 , 19 , 22 , 23 , 24 , 27 , 35 , 37 defined fracture displacement using either the Robinson (>100% translation of major fracture fragments), 22 Throckmorton (>10 mm displacement), 33 or AB (no contact between fracture ends) 35 classification systems ( Table I ) with 3 studies having no definition. 16 , 30 , 34 The operative group, which included the treatment of 5 nonunions 7 , 16 , 27 and 8 physeal fractures, 27 , 34 had an overall mean follow-up of 23 months (range, 3-124 months). In 2 studies with nonoperatively treated patients, 3 , 35 the mean follow-up was 38 months (range, 6-67 months).…”
“…Correa et al (15) showed that using a reconstruction plate to treat medial-end clavicle fractures made it possible to obtain satisfactory clinical effects. Sidhu et al, Ding et al and Sloan et al used clavicular hook plates and contralateral lateral clavicle locking plates to treat medial-end clavicle fractures (4,16,17). All achieved good effects on postoperative follow-up.…”
The present study examined the effectiveness of the method of inversing the distal clavicle anatomic locking plate to treat medial-end clavicle fractures. This involved retrospectively analyzing six cases of medial-end clavicle fractures treated using the method of inversing the distal clavicle anatomic locking plate between September 2013 and December 2015. These cases included five men and one woman with an average age of 46.3±10.6 years old and a range of 24-66 years old. Among these cases, one was type A, two were type C, and three were type D, based on the Throckmorton type classification. All patients had fresh closed fractures, which were caused by direct injury. A regular postoperative follow-up was performed and the therapeutic efficacy was evaluated systematically with reference to the Rockwood and Disability of the Arm, Shoulder and Hand (DASH) score standards. All six cases had a follow-up visit, which was between 10 and 14 months with an average of 12.0±2.2 months. All patients exhibited osseous healing and functional recovery without incision infection, nerve vascular injury, chest injury, fracture nonunion, or other complications. According to the Rockwood and DASH score standards, evaluation of the curative effect showed that five cases were excellent and one case was good, and the associated rate for achieving good or excellent outcomes was 100%. All of the DASH scores were <10. These results indicated that the effect of the treatment of medial-end clavicle fractures by the method of inversing the distal clavicle anatomic locking plate was reliable, and the functional recovery of patients was good, making this method worthy of clinical promotion.
Case:
A 29-year-old man presented with a displaced medial clavicle fracture. Surgical repair was performed using a precontoured plate designed for the contralateral distal clavicle, and medial fixation was accomplished at the sternum. The patient had no complications and demonstrated full strength and range of motion at the 8-month follow-up.
Conclusion:
Medial clavicle fractures with a small medial fragment can be immobilized using a plate designed for the contralateral distal clavicle that crosses the sternoclavicular joint to obtain medial fixation in the sternum. This technique may provide a viable treatment modality for this unique fracture pattern.
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