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At least 307 records · Page 17Linked to original sources

[Clavicular hook plate in the treatment of dislocation of acromioclavicular joint and fracture of distal clavicle].

OBJECTIVE: To evaluate the curative effects of AO clavicular hook plate in the treatment of dislocation of acromioclavicular joint and fracture of distal clavicle. METHODS: We retrospectively analyzed the clinical data of 39 patients with acromioclavicular joint dislocation or distal clavicle fractures treated with clavicular hook plate: 16 suffered from dislocation of acromioclaviculr joint, 18 suffered from far end collarbone fractures, and 5 patients had both symptoms. RESULTS: The 39 patients were followed up for 12 months averagely. All patients got good reduction and fixation. The acromioclavicular joint subluxation, breakage, and loosening of the clavicular hook plate were not observed. The acromioclavicular joint recovered quickly. CONCLUSION: AO clavicular hook plate is a good choice for acromioclavicular joint dislocation and distal clavicular fracture.

Acromioclavicular Joint↗

[Post-traumatic osteolysis of the distal end of the clavicle. Contribution of MRI].

The authors describe a case of post-traumatic osteolysis of the clavicle. The clinical and roentgenographic aspects are well known. But regarding the lytic X ray aspect, another diagnosis, particularly a tumor may be evoked. Scintigraphy and computed tomograms can take a part in the diagnosis. But scanograms are uneasy to do in this region. The MRI allows to delimit the lesion, and the hypointense signal in T1 and T2 weighted sequences directs to a fibrosis in the area between the end of the clavicle and the acromion. In this case report, the relation between the MRI findings and the pathological aspects was good.

Adult↗

Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting.

We reviewed a series of fifty patients who had a non-union of a fracture of the clavicle. Twenty-one patients (42 per cent) who had a symptomatic non-union of the middle of the shaft of the clavicle were treated with open reduction, internal fixation with a modified Hagie intramedullary pin, and autogenous bone-grafting, and those patients form the basis for the report. The average duration of follow-up was thirty-five months (range, five months to eleven years). Healing occurred in twenty (95 per cent) of the twenty-one patients. Intramedullary fixation has several advantages compared with other treatments, such as fixation with a plate and screws. It can be performed through a cosmetically acceptable incision in the Langer line; less dissection of the soft tissues is needed; and, after healing, the pin can be removed through a small incision under local anesthesia.

Adult↗

Reflex sympathetic dystrophy after clavicle fracture: case report.

Reflex sympathetic dystrophy (RSD) of the anterior chest wall is a rare entity. A MEDLINE search in all languages of the world's literature from 1966 to the present yielded no report of the association of clavicle fracture with this pain syndrome. Two cases are presented and the anatomic variations of the supraclavicular nerves in relation to the clavicle are discussed.

Accidents, Traffic↗

[Fixation of multi-fragment fracture of the clavicle using an external stabilizer "Zespol"].

After a short presentation of the treatment methods of clavicle shaft fracture and the atypical use of Zespol stabilization in other than union of long bones shaft operation, the treated patient with ++multi-fragment clavicle shaft fracture with indications for operative reposition and fragments osteosynthesis has been presented. The Zespol plate and 4 screws were used above the skin as an external stabilizer for immobilization of the fragments. A good result was achieved: bone union and full mobility of the joints.

Aged↗

Osteoma cutis associated with disordered ossification of the clavicle. A case report.

Congenital multiple osteomas of the skin associated with disordered ossification of the clavicle occurred in a four-year-old boy. There were no clinical and laboratory findings of pseudohypoparathyroidism, pseudopseudohypoparathyroidism, or fibrodysplasia ossificans progressiva in this case. The clavicular bony mass was excised in segments. Samples of the cutaneous osteomas were removed for histologic study. On microscopic examination, the specimen from the clavicle consisted of trabecular bone in hyaline cartilage, resembling enchondral ossification, but the specimen from the osteoma cutis revealed a mature membraneous bone without cartilage.

Child, Preschool↗

[Osteosynthesis of the clavicle using an external fixator].

Twenty-four fractures or nonunions of the clavicle were treated by a Hoffmann external fixator, for selected indications. No vascular or pleural complications were observed. All clavicles healed, after a mean duration of 52 days.

Adolescent↗

[Congenital pseudoarthrosis of the clavicle].

A case of congenital pseudarthrosis of the clavicle is presented. Congenital pseudarthrosis of the clavicle is a rare entity that has poorly been documented in the pediatric literature. The etiology and pathogenesis still remain obscure. The clinical and radiological appearances are characteristic. Differential diagnosis lies between postpartum fracture, posttraumatic pseudarthrosis, cleidocranial dysostosis and neurofibromatosis.

Clavicle↗

Condensing osteitis of the clavicle: case report and review of the literature.

Osteitis condensans of the clavicle is a benign, often painful disorder of unknown etiology manifested by bony sclerosis of the clavicular head with an uninvolved sternoclavicular joint. The case presented demonstrates the characteristic scintigraphic findings of osteitis condensans of the clavicle. A review of the published pathologically proven cases reveals this disorder to have distinctive clinical and radiological features that allow differentiation from infection, neoplasia, and arthritides in most instances. The frequent observation, as in this case, of devitalized bone and marrow fibrosis with remodeling of cancellous bone suggests that osteonecrosis may play an important role in the pathogenesis of this disorder.

Adult↗

External fixation of the clavicle for fracture or non-union in adults.

A technique of osteosynthesis of the clavicle with Hoffmann external fixation was used to treat twenty patients for selected indications, including an open fracture, inability of a patient to tolerate prolonged conservative treatment, or a painful non-union. No vascular or pleural complication was observed. The average time that the external fixator was retained was fifty-one days. All of the clavicles united well. Mobility of the shoulder returned to normal in all patients.

Clavicle↗

[Treatment of dislocations of the acromial end of the clavicle].

Based upon an analysis of observations of 93 patients treated for dislocation of the acromial end of the clavicle and a study of long-term results of the treatment of 68 of them, the authors recommend using the method of a one-step closed setting the acromial end of the clavicle followed by a percutaneous transarticular fixation of the clavicular-acromial junction with the Kirschner wire and plaster bandage for 6 weeks.

Acromioclavicular Joint↗

Stabilization of the clavicle in acromioclavicular separation.

The authors describe the case of a 19-year-old male who fell on his left shoulder suffering a complete Type 3 separation of the acromioclavicular joint. They describe the management of the patient and note that early excision of the meniscus and the outer end of the clavicle minimizes disability and morbidity. They also point out that rehabilitation of the muscles of the shoulder stabilizes the clavicle and restores the patient to pre-injury status.

Acromioclavicular Joint↗

[Osteotomy and osteosynthesis of the clavicle in brachial plexus surgery].

During the operative revision of the brachial plexus lesion the exposure is sometimes not wide enough without an osteotomy of the clavicle. The authors developed, therefore, a special technique consisting of internal fixation with a lag-screw prior to the oblique osteotomy of the clavicle. At the end of the operation stable internal fixation can be achieved within a few minutes. This internal fixation proved to be stable, even for passive mobilization in total plexus lesions in sixteen cases over a follow-up time over five years. Primary bone healing always occurred. The technique is described.

Bone Plates↗

Severe complication of surgical treatment of congenital pseudarthrosis of the clavicle.

Congenital pseudarthrosis of the clavicle, as observed in a review of the literature, is a rare condition of uncertain etiology which usually presents on the right side. Four of 10 cases were treated by surgical repair of the pseudarthrosis with excision of the non-union and internal fixation with a Steinmann pin and cancellous bone graft. A major postoperative complication in one case consisted of an acute massive neuropraxia of the brachial plexus (recognized 6 hours postoperatively), and was successfully treated by immediate removal of the internal fixation. Ten months postoperatively, the patient was experiencing only minimal weakness of the right opponens muscle. Roentgenograms at this time showed that the pseudarthrosis had healed but with angulation of the clavicle.

Child↗

Posttraumatic osteolysis of the distal ends of the clavicle. Report of three cases.

Three cases of posttraumatic osteolysis of the lateral end of the clavicle are described. Two of the patients were judo participants who fell on their shoulder. They were treated primarily as partial acromio-clavicular joint dislocations. The third patient was a woman who fell from her bicycle and was treated surgically by a Knowless nail because of acromio-clavicular dislocation. The clinical and radiological findings of osteolysis developed slowly. The joint line was typically widened in the radiographs. The disorder settled spontaneously within one year. Further judo training was possible without symptoms. Distal osteolysis of the clavicle is a rare condition and it may well occur during injury at sport.

Acromioclavicular Joint↗

[Bloodless treatment of fractures of the clavicle using O-shaped soft bandages].

The authors, on the basis of the clinico-radiographic revieping of 45 patients suffering from clavicle fracture and treated through "O"-shaped soft bandage, state the results obtained: they particularly point out the advantages of such method in the fractures of clavicle 3rd medium, with single rima in patients aged between 10 and 70.

Adolescent↗

Pseudarthrosis of the clavicle. A case report.

Congenital pseudarthrosis of the clavicle is a rare condition usually affecting the right side. The causation is unknown, but it is probably due to an environmental factor such as fetal position and excessive pressure from the subclavian artery. The embryology of the clavicle is discussed, and the differential diagnosis and treatment are described. A case occurring in a 12-year-old girl is reported.

Child↗