Transacromial erosion of a locked subacromial hook plate: Case report and review of literature

Hoffler, C. Edward; Karas, Spero G.

doi:10.1016/j.jse.2009.10.019

Cited by 58 publications

(48 citation statements)

References 9 publications

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“…A portion of the hook may enter the posterior aspect of the AC ligaments, which may then compromise the proper healing of these structures. Similarly, HPs must be removed, and the period during which the plate is implanted might be characterized by the development of serious complications, such as the upward cutting of the hook through the acromion, 29) subacromial osteolysis, 30) fracture, 31) AC joint osteoarthritis, subacromial impingement, rotator cuff tears, 5) and plate bending. 24) Even when there is timely removal of the plate, the patient may be subjected to an increased risk of fracture of the distal clavicle after low-energy trauma.…”

Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Lee¹,

Kim²,

Kook³

2017

Clinics in Shoulder and Elbow

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Background: This study was conducted to compare the clinical and radiological outcomes of the locking hook plate fixation (HP) technique and the single tight rope (TR) technique applied for acute high-grade acromioclavicular (AC) joint separations. Methods: Between 2009 and 2014, 135 consecutive patients with acute AC joint separation Rockwood types III, IV, and V were subjected to surgical reconstruction. One hundred fourteen patients (84.4%) were available for retrospective evaluation. Of them, 62 and 52 were treated using the single TR group and clavicular HP group techniques, respectively. The visual analogue scale, Constant, American Shoulder and Elbow Surgeons (ASES), and Taft scores were used for clinical assessment. Postoperative shoulder range of motion was also assessed. An anteroposterior radiograph of the coracoclavicular distance (CCD) was obtained to evaluate the radiographic signs of recurrence. Results: The TR group patients had better Constant, ASES, and Taft scores than the HP group patients. The loss of reduction in terms of the CCD did not differ between groups. Subacromial osteolysis was observed in 34.6% of the cases in the HP group. However, there were no significant differences in the clinical outcomes between the patients with and without osteolysis in the HP group. Subcoracoid osteolysis, drill tunnel widening, and metal displacement were observed in 3.2%, 22.6%, and 4.8% of the cases in the TR group, respectively. Conclusions: The single TR technique was relatively more effective at treating acute high-grade AC joint injuries than the HP fixation technique (level of evidence: therapeutic; retrospective comparative study, Level III). (Clin Shoulder Elbow 2017;20(3):153-161)

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Section: Discussionmentioning

confidence: 99%

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Lee¹,

Kim²,

Kook³

2017

Clinics in Shoulder and Elbow

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“…Subacromial impingement is often reported; acromial erosions or distal clavicle fracture may occur due to altered biomechanics. (10,11) Loss of reduction may also occur, although it is much less common than traditional techniques. Second surgery for hardware removal is also advocated after complete healing.…”

Section: Discussionmentioning

confidence: 99%

Comparative Analysis of Autograft Technique and Clavicular Hook Plate in Grade 3 Acromioclavicular Dislocations

Bade¹,

Saini²

2016

jemds

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OBJECTIVETo evaluate clinical outcome of clavicular hook plate and autograft technique in the surgical treatment of Rockwood Grade-III acromioclavicular joint dislocation. METHODSFifteen patients were operated using standard clavicular hook plate and another fifteen patients were operated using autograft technique. After a minimum follow-up of one year, clinical assessment was done using Constant-Murley Score. Statistical evaluation was done using SPSS ver. 21.0. RESULTSMean age group was 31.44±7.8 years. Average constant shoulder score for the hook plate group was 81.3 (Range 74-89) and that for autograft technique group was 91.7 (Range 88-97). CONCLUSIONAutograft technique was found to be superior in terms of functional outcome when compared to clavicular hook plate. Such superiority can be attributed to the biologic nature of coracoclavicular ligament reconstruction in the autograft technique. HOW TO CITE THIS ARTICLE:Bade RN, Saini O. Comparative analysis of autograft technique and clavicular hook plate in grade 3 acromioclavicular dislocations.

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“…Some authors have advocated a hook plate with good results and few complications, 4 but actually many complications have been reported, including hook impingement, rotator cuff damage, acromial osteolysis, and hook cut-out. 6,7 Clavicle fracture at the medial end of the plate is a rare complication of clavicular hook plate and few reports have been published. Flinkkila et al 3 first reported a fracture at the medial end of the hook plate using in a distal clavicle fracture.…”

Section: Discussionmentioning

confidence: 99%

Rare complication of clavicular hook plate: clavicle fracture at the medial end of the plate

Ding

et al. 2011

Journal of Shoulder and Elbow Surgery

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Transacromial erosion of a locked subacromial hook plate: Case report and review of literature

Cited by 58 publications

References 9 publications

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Clinical and Radiological Outcomes of Acute Acromioclavicular Joint Dislocation: Comparison of Hook Plate Fixation with Single Tight Rope Technique

Comparative Analysis of Autograft Technique and Clavicular Hook Plate in Grade 3 Acromioclavicular Dislocations

Rare complication of clavicular hook plate: clavicle fracture at the medial end of the plate

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