Outcome of arthroscopy-assisted treatment for distal clavicle fractures

Mochizuki, Yuta; Kaneko, Takao; Kawahara, Keisuke; Toyoda, Shinya; Musha, Yoshiro

doi:10.1007/s00402-019-03219-2

Cited by 15 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The 15 included articles consisted of 8 retrospective cases series reporting on a single fixation technique, 7,13 –17,27,32 5 prospective case series that reported on a single fixation technique, 4,12,19,24,31 and 2 retrospective comparative studies. 9,34 All but 1 study 14 provided data on union rates and functional outcome scores, and this study was excluded when deriving a mean.…”

Section: Resultsmentioning

confidence: 99%

“…9,34 All but 1 study 14 provided data on union rates and functional outcome scores, and this study was excluded when deriving a mean. Additionally, 2 studies 15,17 denoted concomitant injuries as an exclusion criterion in their data-gathering process, which was considered when evaluating concomitant injuries.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to the Constant score, 4 studies each utilized the University of California Los Angeles Shoulder Score, 7,14,31,32 and the SSV. 9,12,13,27 The visual analog scale for pain score, 13,14,34 the American Shoulder and Elbow Surgeons Subjective Shoulder Scale 4,14,17 and the DASH score 4,9,13 were used in 3 papers each. The Simple Shoulder Test was used in 2 papers, 19,34 and the Penn Shoulder Score 4 and the QuickDASH 17 were each used in 1 study.…”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of Arthroscopic Fixation of Unstable Distal Clavicle Fractures: A Systematic Review

Yagnik¹,

Seiler²,

Vargas³

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

Background: Surgical management of unstable distal clavicle fractures (DCFs) remains controversial. Traditional open techniques result in acceptable union rates but are fraught with complications. In response to these limitations, arthroscopic techniques have been developed; however, clinical outcome data are limited. Purpose: The primary purpose was to systematically evaluate the clinical and radiographic outcomes of arthroscopic fixation of unstable DCFs. The secondary purpose was to characterize the overall complication rate, focusing on major complications and subsequent reoperations. Study Design: Systematic review; Level of evidence, 4. Methods: A systematic review of the literature was performed following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines and included a search of the PubMed, Web of Science, Cochrane Register of Controlled Trials, EMBASE, and Scopus databases. English-language studies between 2008 and 2019 that reported on outcomes of patients with DCFs who underwent operative fixation using an arthroscopic or arthroscopically assisted surgical technique were included. Data consisted of patient characteristics, fracture type, surgical technique, concomitant injuries, union rates, functional outcomes, and complications. Results: A total of 15 studies consisting of 226 DCFs treated using an arthroscopically based technique were included in the systematic review. The majority of fractures were classified as Neer type II. Most (97%) of the fractures underwent arthroscopic fixation using a cortical button coracoclavicular stabilization surgical technique. Bony union was reported in 94.1% of the fractures. Good to excellent outcomes were recorded in most patients at the final follow-up. The Constant-Murley score was the most widely used functional outcome score; the pooled mean Constant score was 93.06 (95% CI, 91.48-94.64). Complications were reported in 14 of the 15 studies, and the overall complication rate was 27.4%. However, only 12% of these were considered major complications, and only 6% required a reoperation for hardware-related complications. Conclusion: Arthroscopic fixation of DCFs resulted in good functional outcomes with union rates comparable to those of traditional open techniques. While the overall complication profile was similar to that of other described techniques, there was a much lower incidence of major complications, including hardware-related complications and reoperations.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of Arthroscopic Fixation of Unstable Distal Clavicle Fractures: A Systematic Review

Yagnik¹,

Seiler²,

Vargas³

et al. 2021

Orthopaedic Journal of Sports Medicine

View full text Add to dashboard Cite

show abstract

“…They performed this surgery on 14 patients and obtained bony union within 3 months in all patients except one patient who experienced delayed union. Recently, Mochizuki et al 60) reported on the treatment of 45 patients with Neer type 2B distal clavicle fractures with the following procedures: (1) an arthroscopically assisted procedure with a synthetic conoid ligament reconstruction using ZipTight (Zimmer Biomet, Warsaw, USA) and (2) fracture site fixation with K-wires. Bony union was achieved in all patients and there were no cases of nonunion or major complications.…”

Section: Arthroscopic Techniquementioning

confidence: 99%

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

Kim

et al. 2020

Clin Orthop Surg

View full text Add to dashboard Cite

The management of distal (lateral third) clavicle fractures can be challenging because of difficulty in distinguishing subtle variations in the fracture pattern, which may be suggestive of potential fracture instability. 1) An analysis of the frequency of distal clavicle fractures by age and sex has revealed that they occur most often in men between 30 and 50 years of age and secondarily in individuals (both men and women) over 70 years of age. 2) Distal clavicle fractures are less common than clavicle midshaft fractures and account for 10%-30% of all clavicle fractures. Roughly 30%-45% of all clavicle nonunion fractures occur distally. [3][4][5][6][7][8] Distal clavicle fractures may be treated conservatively or surgically, and there is no gold standard or consensus in the field. Importantly, however, conservative treatment of distal clavicle fractures may result in nonunion or pseudoarthrosis; therefore, surgical treatment is recommended when these fractures are unstable. Various strategies for surgical treatment of distal clavicle fractures have been reported, including precontoured locking plate fixation, hook plate fixation, coracoclavicular (CC) fixation (using a suture anchor, suture button device, or screw), ten-

show abstract

“…One arthroscopic study utilized an artificial ligament stabilized with a washer in the clavicle 18 and one open technique study a tendon allograft stabilized with a peek screw in the clavicle. 19 Supplementary internal fixation in addition to CC stabilization was used in 6 out of 13 open technique studies in the form of interfragmentary sutures, 12,20,21 interfragmentary wire, 22 AC joint tension band with sutures, 23 or KW 24 ; and in 3 out of 8 arthroscopic studies using either interfragmentary sutures, 25 AC joint fixation with KW, 26 or fiberwire. 27…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

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

Panagopoulos

Solou

Nicolaides

et al. 2024

JSES Reviews, Reports, and Techniques

View full text Add to dashboard Cite

This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

show abstract

Outcome of arthroscopy-assisted treatment for distal clavicle fractures

Cited by 15 publications

References 19 publications

Outcomes of Arthroscopic Fixation of Unstable Distal Clavicle Fractures: A Systematic Review

Outcomes of Arthroscopic Fixation of Unstable Distal Clavicle Fractures: A Systematic Review

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

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

Contact Info

Product

Resources

About