Outcome of distal clavicular fracture separations and dislocations in immature skeleton

Nenopoulos, Savvas; Gigis, Ioannis; Chytas, Anastasios; Beslikas, Theodoros; Nenopoulos, Alexandros; Christoforidis, John

doi:10.1016/j.injury.2010.09.036

Cited by 26 publications

(26 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The injuries more commonly occur at the physeal region (pseudodislocation) or less commonly at the AC joint (true dislocation) [ 1 ]. The case presented here is clinically similar to type IV Dameron and Rockwood classification of AC injury in which there is a posterior displacement of the fracture end through the fibers of the trapezius muscle [ 9 ]. The difference between our case and true type IV AC dislocation is that in our case, the fracture was entirely through the metaphysis with no involvement of the joint or the physis of the distal clavicle as shown in the radiographs and CT cuts.…”

Section: Discussionmentioning

confidence: 77%

A Posteriorly Displaced Distal Metaphyseal Clavicular Fracture (Type IV AC Joint Dislocation-Like) in Children: A Case Report and Literature Review Study

Kotb

Yong

Abdelgawad

2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

Fractures of the lateral end of the clavicle are common in pediatric patients; most of these fractures occur at the physeal level representing Salter Harris injuries. The vast majority of fractures of the lateral end of the clavicle are managed nonoperatively. In this report, we describe a unique type of fracture of the distal end of the clavicle in the pediatric patients in which the fracture occurs in the metaphyseal lateral clavicle with the proximal edge of the fracture displaced posteriorly through the trapezius muscle causing obvious deformity. It is similar in pathology to type IV AC joint dislocation. In this study we report this injury in eleven-year-old boy. Literature review showed that similar injuries were described before three times (two of them in pediatric patients). Due to the significant clinical deformity of this category with entrapment of the bone through the trapezius muscle, reduction (open or closed) of the fracture is the recommended treatment.

show abstract

Section: Discussionmentioning

confidence: 77%

A Posteriorly Displaced Distal Metaphyseal Clavicular Fracture (Type IV AC Joint Dislocation-Like) in Children: A Case Report and Literature Review Study

Kotb

Yong

Abdelgawad

2016

Case Reports in Orthopedics

View full text Add to dashboard Cite

show abstract

“…Although limb functioning was not affected in any of the treatments indicated, this author observed that seven of these patients presented shoulder deformity and recommended that surgery should be performed for esthetic reasons when large displacements and shortening of the fragments were present. Nenopoulos et al 5 observed that the functional results were excellent, independent of the treatment indicated and chosen. However, the patient's age and degree of displacement are factors that should be taken into account in deciding on treatments that aim to achieve good esthetic results.…”

Section: Discussionmentioning

confidence: 98%

“…The fractures were classified from I to V as described by Nenopoulos et al 5 : group I – greenstick fractures; group IIa – transverse fractures without displacement; group IIb – displaced transverse fractures; group IIIa – oblique fractures without displacement; group IIIb – displaced oblique fractures; group IV – comminuted fractures; and group V – acromioclavicular dislocation ( Fig. 1 ).…”

Section: Methodsmentioning

confidence: 99%

Distal clavicle fractures in children

Labronici

Silva

Franco

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

View full text Add to dashboard Cite

ObjectiveTo analyze fractures of the distal clavicle region in pediatric patients.MethodsTen patients between the ages of five to eleven years (mean of 7.3 years) were observed. Nine patients were treated conservatively and one surgically. All the fractures were classified using the Nenopoulos classification system.ResultsAll the fractures consolidated without complications. Conservative treatment was used for nine patients, of whom three were in group IIIB, three IIb, two IIa and one IV. The only patient who was treated surgically was a female patient of eleven years of age with a group IV fracture.ConclusionThe treatment indication for distal fractures of the clavicle in children should be based on the patient's age and the displacement of the fragments.

show abstract

“…Furthermore, all fractures in our series were classified according to Nenopolous et al, (14) a modern classification system for distal clavicular fractures in children. All injuries in our series were graded as group 2b, 3b or 5 for which these authors recommend surgery.…”

Section: Discussionmentioning

confidence: 99%

Transclavicular Osseous Sutures for the Treatment of Displaced Distal Clavicular Fractures in Children

Schilcher

Scheer

Adolfsson

2016

Journal of Orthopaedic Trauma

View full text Add to dashboard Cite

Outcome of distal clavicular fracture separations and dislocations in immature skeleton

Cited by 26 publications

References 9 publications

A Posteriorly Displaced Distal Metaphyseal Clavicular Fracture (Type IV AC Joint Dislocation-Like) in Children: A Case Report and Literature Review Study

A Posteriorly Displaced Distal Metaphyseal Clavicular Fracture (Type IV AC Joint Dislocation-Like) in Children: A Case Report and Literature Review Study

Distal clavicle fractures in children

Transclavicular Osseous Sutures for the Treatment of Displaced Distal Clavicular Fractures in Children

Contact Info

Product

Resources

About