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At least 289 records · Page 16Linked to original sources
PubMed1990

Nonoperative treatment of Neer type II distal clavicle fractures: a prospective study.

The first prospective series of nonoperatively treated Neer type II fractures of the lateral third of the clavicle with concomitant rupture of the coracoclavicular ligaments is reported. Among ten patients with an average follow-up of 14.3 months, there were seven healed fractures and three nonunions. None of the three patients with a nonunion desired surgery. Six of the seven patients with healed fractures were satisfied. Eight of the ten patients returned to full activities, although all three patients with nonunions experienced at least occasional discomfort in the affected shoulder. Based on the results in this series of patients, the authors conclude that nonoperative treatment is an effective alternative to surgical management of Neer type II distal clavicle fractures.

Adolescent↗
PubMed1999

Open clavicle fractures: a case report.

Open fractures of the clavicle are rare, whereas closed fractures are quite common. Presented here is a case report of a grade IIIA open clavicle fracture. After reviewing the literature, there appears to be little information on the treatment or outcome of these fractures. One can only surmise that the outcome and complications are similar to those of other open fractures.

Adult↗
PubMed1999

Posterior fracture through the sternoclavicular physis associated with a clavicle fracture: a case report and literature review.

Three reported cases of fractures in teenagers of the medial clavicle associated with a posterior disruption at the sternoclavicular joint have similar findings. The medial fragment is rotated 90 degrees to the coronal plane. The medial fragment is usually stripped of its periosteum. Treatment requires open reduction and internal fixation of the clavicle fracture. We are reporting similar findings in a fourth case.

Adolescent↗
PubMed1999

Osteomyelitis of the clavicle. A case report.

Osteomyelitis of the clavicle is a rare complication of subclavian vein catheterization. The authors report the case of a patient with osteomyelitis in the right clavicle after subclavian venipuncture.

Adult↗
PubMed1999

Hypertrophic osteitis of the medial end of the clavicle.

A 9-year-old boy had a spontaneous onset of enlargement of the medial end of the clavicle due to extensive sclerosis and periosteal reaction. There was no clinical or laboratory evidence of infection. Biopsy revealed an inflammatory exudate, and histochemical staining for Langerhans'-cell histiocytosis was negative. Hypertrophic sclerosis causing painful enlargement of the medial end of the clavicle in isolation should be distinguished from condensing osteitis and chronic recurrent multifocal osteomyelitis. An early biopsy to exclude neoplasia is recommended.

Biopsy, Needle↗
PubMedDate not supplied

Fractures of the clavicle and injuries of the sub-clavian artery. Report of 10 cases.

During four years, the authors have observed ten lesions of the sub-clavian artery associated with a fracture of the clavicle. The clinical picture in one case out of two was that of an acute ischemia of the upper limb. The surgical repair has been performed in 8 cases. The thoracic approach was necessary three times. The clavicle was resected in most cases. The prognosis of these lesions depends on the rapidity of their recognition, and of their treatment, and on the fact whether the brachial plexus is involved or not

Accidents, Traffic↗
PubMed2000

Results of fixation of clavicle alone in managing floating shoulder.

AIM OF STUDY: A retrospective review on the outcomes of four floating shoulder, ipsilateral scapular neck and clavicular fractures, treated with open reduction and internal fixation of the clavicle alone using plate and screws. METHODS: All patients were evaluated by interview, physical examination and radiological examination at an average follow up period of 3.3 years (range: 2-4 years). Functional outcomes were rated using Rowe's score. RESULTS: Radiological union of both fractures occurred at an average of 2.8 months (range: 8-12 weeks). Excellent result was seen in three cases and good in one. CONCLUSION: Plating of clavicle alone restored stability of shoulder and allowed early range of motion exercises. All cases gained good and excellent function.

Adult↗
PubMed2002

Radiographic identification using the clavicle of an individual missing from the Vietnam conflict.

A case is reported in which radiographic comparison of a clavicle was used to establish the identification of a civilian missing from the Vietnam conflict. While the use of radiographic comparison of skeletal features is not a newly developed technique for personal identification purposes, this case outlines a unique set of circumstances surrounding the disappearance of an individual during the Vietnam conflict and his eventual identification. A radiographic comparison of a right clavicle was critical in the identification process of this individual almost 34 years after he was reported missing. The use of digital technology for radiographic comparison greatly facilitated the process.

Adult↗
PubMed2001

Variation of the arthroscopic Mumford procedure for resecting the distal clavicle.

Fifty-seven patients had arthroscopic Mumford procedures for acromioclavicular (AC) pain unresponsive to conservative treatment. Thirty-nine of these patients had concomitant rotator cuff repairs. All had significant improvement of distal clavicular pain. Neither the amount nor the completeness of the distal clavicle resection affected the results. One patient with a significant retained lateral clavicular spike required additional surgery for excision. Arthroscopic distal clavicle resection is a safe and effective method of alleviating AC pain.

Acromioclavicular Joint↗
PubMedDate not supplied

Operative treatment of clavicle fractures in children: a review of 21 years.

Between 1980 and 2000, 15 children (14 boys and 1 girl) underwent surgical treatment of a fractured clavicle at the authors' hospital. Eight patients were treated for midshaft fracture, two had medial fractures, and five had fractures to the lateral end, one of which occurred in combination with true disruption of the acromioclavicular joint. The indications for operative treatment of clavicle fractures are rare, in some cases debatable, and surgery is usually necessary only in older children. If surgically treated, the results are satisfactory without major complications. In the authors' experience intramedullary stabilization with elastic nails is the method of choice in most cases.

Adolescent↗
PubMed2003

[Posttraumatic osteolysis of the distal clavicle].

Posttraumatic osteolysis of the distal clavicle (ODC) is a very rare condition that occurs after acute injury or repetitive microtrauma of the shoulder and which is characterized by persistent shoulder pain, restricted shoulder motion, and progressive osteolytic changes at the outer end of the clavicle. A case of posttraumatic osteolysis of the distal clavicleis presented and the aetiology, diagnosis and treatment are discussed.

Adult↗
PubMedDate not supplied

A comparison of nonoperative and operative treatment of type II distal clavicle fractures.

A retrospective study was performed to compare nonoperative and operative treatments of Type II distal clavicle fractures. From a total of 30 diagnosed patients, 16 were identified as receiving nonoperative treatment and 14 open reduction and coracoclavicular stabilization. The average follow-up was 53.5 months for the nonoperative group and 59.8 months for the operative group. All patients were evaluated postoperatively for pain, range of motion, function, and fracture healing as well as for isokinetic strength. Fractures treated surgically achieved union within six to ten weeks. Nonoperative treatment resulted in seven nonunions. There were no significant differences between the two groups in the mean UCLA, Constant, and ASES scores. Nonunion had no significant effect on functional outcome or strength. This study suggests that Type II distal clavicle fractures can be successfully managed nonoperatively. The high incidence of nonunion does not impede a clinical outcome comparable to that achieved by surgical treatment.

Adult↗
PubMed1990

[Injury of the acromial end of the clavicle imitating dislocation of the acromio-clavicular joint].

Two patients have been presented: a 15-years-old boy with rupture of the clavicular-coracoid ligaments as in total acromioclavicular dislocation, in whom dislocation of that joint did not occur but acromial epiphysiolysis of the clavicle (this patient, was successfully treated surgically) and 5-years-old boy with strain of the clavicular-coracoid ligaments and fracture of the acromial end of the clavicle; he was treated conservatively with remaining of angular dislocation of the distal fragment. The hope for rebuilding of the axis was fulfilled in that child. The anatomical and functional result in both patients is good.

Acromioclavicular Joint↗
PubMed2005

Plate fixation of middle-third fractures of the clavicle in the semi-professional athlete.

From 1995 to 2003, 39 semi-professional athletes (34 men and 5 women) aged 17-34 years (mountain bike racers, soccer players, swimmers and cyclists) with a displaced fracture of the middle-third of the clavicle were treated operatively using rigid plate fixation within one week after the initial trauma. In 90% of the athletes, radiographic union was achieved after 12 weeks. At 6 weeks post-operatively the mean Constant score was 88 points, the mean visual analogue pain score was 3 out of 10 and the average time for return to sports was 45 days. Seventy-five percent of the patients were very satisfied with the end-result and 95% would chose to have the same operation again. In 5% of the cases the end-result was unsatisfactory. The most frequent postoperative complication was wound infection (18% of the cases). Nevertheless, this did not affect the outcome. Other postoperative complications in our athletic population included refracture (5%), transient neurological complications (7%) and non-union (5%), which were equally low in the literature. These data suggest that rigid plate fixation of middle-third clavicle fractures gives good results in the semi-professional athlete and may result in early return to sports activity, at the expense of a significant risk for complications, which would not be considered acceptable in patients with lower functional demands.

Adolescent↗
PubMed2004

A rare case of chondrosarcoma of the clavicle.

Although all types of tumour and tumour-like conditions have been described to occur in the clavicle, they only contribute to less then 0.5% of all skeletal tumours. The incidence of primary chondrosarcoma of the clavicle is extremely rare. To our knowledge it has not been reported in Malaysia. We would like to highlight the possibility of chondrosarcoma as a differential diagnosis for a clavicular lesion.

Bone Neoplasms↗
PubMed1992

[Post-traumatic osteolysis of the distal extremity of the clavicle. Anatomopathological study of 2 cases].

Two patients with post-traumatic osteolysis of the distal end of the clavicle undergoing surgery 5 months and 22 months respectively after the initial trauma were evaluated histopathologically. The lysed zone was replaced by tissue of fibrous appearance, with little blood supply and non-inflammatory, the presence of which could be suspected by magnetic resonance. The synovial membrane, non-inflammatory but hypervascularised, participated in the process but did not appear to be directly responsible for the osteolysis. The osseous tissue of the patient, operated upon early, showed signs of osteoclastic resorption but there was neither stasis, vasodilatation nor signs of osteogenesis. These various findings suggest that post-traumatic osteolysis of the distal end of the clavicle does not result from local ischemic events. These appearances seem identical to those described in multifocal primary osteolysis, the cause of which also remains unknown.

Adult↗
PubMed2006

Congenital pseudarthrosis of the clavicle: the role of CT-scanning.

Congenital pseudarthrosis of the clavicle is a rare entity. It presents on the right side in 90% of the patients, and bilaterally in up to 10%. The authors report the case of a 4-year-old boy who presented with a painful deformity over his right mid-clavicular area. Plain radiographs were inconclusive, although the opposite is true in most cases. A computed tomography (CT) 3-D reconstruction showed a pseudarthrosis of the clavicle, and excluded a neoplastic, infective or traumatic origin. Treatment involved excision of the pseudarthrosis, internal fixation with a contoured reconstruction locking plate, and bone grafting. The authors prefer operative treatment, but this is not universally accepted.

Child, Preschool↗