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Results for “Clavicle”

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At least 19 recordsLinked to original sources
PubMed1992

Osteolysis of the distal clavicle in a woman. Case report and review of the literature.

An unusual case of osteolysis of the distal clavicle in a woman is presented. Although almost 100 cases of osteolysis of the distal clavicle have been reported in the literature, none have occurred in females (Neer and Rockwood, 1984). After acute acromioclavicular dislocation, surgical reduction was carried out by transferring the coracoid process to the clavicle. Three years later the osteolysis of the outer clavicle appeared to be related to pain and functional impairment of the joint. The pain is quite tolerable and surgical excision of the distal clavicle has not yet been necessary.

Accidents, Traffic↗
PubMed1992

Condensing osteitis of the clavicle: magnetic resonance imaging as an adjunct method for differential diagnosis.

Condensing osteitis of the clavicle is a benign disorder leading to osteosclerosis of the medial end of the clavicle. The differential diagnosis between condensing osteitis of the clavicle and ischaemic necrosis of the medial clavicular epiphysis (Friedrich's disease), osteoid osteoma, and low grade osteomyelitis can be difficult. In the case history reported here, magnetic resonance imaging was a useful non-invasive procedure for the diagnosis of condensing osteitis of the clavicle.

Adult↗
PubMed1977

Sternocostoclavicular hyperostosis: painful swelling of the sternum, clavicles, and upper ribs. Report of two new cases.

Five patients had persistent, pulling pain in the sternum, clavicles, and upper ribs that was exacerbated by cold and dampness. Clublike, symmetrical enlargement of the clavicles was seen and, in two patients, venous congestion of the upper half of the body. All patients had a constantly elevated erythrocyte sedimentation rate. Radiologically there was symmetrical hyperostosis of the sternal and middle portions of the clavicles, synostosis of the sternoclavicular joints, a widened and thickened sternum, and varying degrees of involvement of the upper ribs. X-ray findings did not change over several years. Phlebography showed bilateral subclavian vein occlusion in three patients and unilateral occlusion in one. Biopsies of the clavicles showed a characteristic hyperostotic sclerosis of the spongiosa. The cause of this sternocostoclavicular hyperostosis is unknown, but clinical, radiologic, and histologic findings indicate that it may represent a distinct, hitherto undescribed entity.

Aged↗
PubMedDate not supplied

[Fractures of the clavicle in neonates].

One hundred and twenty-five newborn infants (6.26%) with clavicular fractures were detected among 1995 neonates seen at the maternity hospital over a period of 16 months. Physical and only exceptionally X-ray examinations were performed. Clinical picture with the subsequent occurrence of callus were pathognomonic signs. The following parameters were taken into consideration for this study: infant's birth weight, sex, risk factors, way of delivery, delivery line, Apgar score, seasonal distribution and complications. Newborn infants with clavicle fracture were infants whose weight was more than 3500 g (3763.36 +/- 360.58 g, chi 2 = 65.605, P < 0.05), most frequently from mothers with the second childbirth (48.8%), babies born in a normal and natural way (58.4%), and in 71. 33% of the cases with some risk factors and Apgar score more than 7. One thousand seven hundred and forty-two out of a total of 1995 neonates had birth weight less than 4000 g and in 92 of these 1742 infants (5.29%) clavicular fractures were found, while in 253 newborn infants with birth weight more than 4000 g, 33 neonates (13.05%) had clavicular fractures. Clavicle fractures were more frequently found among the infants with birth weight more than 4000 g (P < 0.05). Three out of a total number of infants had paresis plexus brachialis, two of which belonged to the group of children with clavicle fractures. This study suggests that the approach to the childbirth conducting should be changed, so that the percentage of clavicle fractures can be reduced or noticed in time by help of more frequent and systematic clinical examinations.(ABSTRACT TRUNCATED AT 250 WORDS)

Birth Injuries↗
PubMed1992

Growth of the mandible following replacement of the mandibular condyle with the sternal end of the clavicle: an experimental investigation in Macaca mulatta.

This study was designed to investigate the long-term effects of transplanted clavicles to the temporomandibular joint (TMJ) in juvenile monkeys. Sixteen juvenile female monkeys (Macaca mulatta) were used in this experiment. Eight animals were used as controls and were allowed to grow undisturbed for an 18-month period (group control). Eight animals were divided into two groups and underwent bilateral condylar excision via extraoral vertical ramus osteotomies. Four of these animals had their condylar segments removed and immediately replaced to serve as surgical controls (group condyle). The other four underwent condylar replacement with the sternal end of their clavicles (group SCJ). Standardized lateral cephalometric radiographs with the aid of tantalum bone markers were used to evaluate maxillary and mandibular growth. One-way analysis of variance (ANOVA) was used to determine the significance of differences between groups. All animals showed good mandibular function and a class I molar relationship following an 18-month evaluation period. Statistical analysis showed there was no significant difference in maxillary or mandibular growth between any of the three groups. The results of this investigation show that the sternal end of the clavicle may be a viable option in mandibular condylar transplant surgery.

Analysis of Variance↗
PubMed1992

Arthroscopic resection of the outer end of the clavicle from a superior approach: a critical, quantitative, radiographic assessment of bone removal.

The technique of arthroscopic resection of the outer end of the clavicle through a superior approach is evaluated to determine whether adequate bone removal can be achieved. Furthermore, the results are compared with open resection. Twelve patients with osteolysis of the outer end of the clavicle refractory to conservative treatment underwent resection: six open and six arthroscopically through a superior approach. The distances from the acromial side of the AC joint to the lateral edge of the clavicle at its superior and inferior cortices were measured before and after surgery on anteroposterior radiographs. Bone removal was assessed by the difference between pre- and postoperative measurements. Satisfactory bone removal was possible arthroscopically and averaged 17 mm. This compared favorably with 18-mm average bone removal in the open group. Comparable pain relief and function were achieved in both groups. However, pain relief was achieved on average 3.4 months earlier in the arthroscopic group. Hospital stay was significantly shortened because the arthroscopic resections were outpatient procedures, whereas the open procedures had an average hospital stay of 3 days.

Acromioclavicular Joint↗
PubMed1978

Retrosternal dislocation of the clavicle producing thoracic outlet syndrome.

Following traumatic retrosternal dislocation of the clavicle, the patient presented with thoracic outlet syndrome 6 months postinjury with swelling and cyanosis of the right upper extremity, and cramps of the right arm and forearm after heavy manual work. When open reduction of the dislocated clavicle failed, the medial half of the clavicle was resected. Four years postoperation, the patient is doing well, and is asymptomatic. A review of the literature, anatomy, mode of injury, mechanism of injury, pathology, clinical picture, diagnosis and treatment are discussed.

Adult↗
PubMed1992

Atraumatic osteolysis of the distal clavicle. A review.

Atraumatic osteolysis of the distal clavicle (AODC) in athletes is a stress failure syndrome of the distal clavicle. It is related to intolerable exercise doses. For some athletes, the acromioclavicular joint is the weak link in the musculoskeletal system. There is never a history of a major injury to the acromioclavicular joint. It occurs principally in young athletes who have a long history of training and performance. It is further characterised by athletes who generally have an associated intense strength training programme. The condition will inexorably progress to decrease the level of performance and later interfere with activities of daily living. If the athlete is unwilling to alter his or her exercise training and performance regimen, she or he will eventually become surgical candidates. The results of excision of the distal clavicle for AODC are good or excellent in virtually all cases. The diagnosis of AODC is confirmed by the history of accumulative exercise doses and the key historical feature of intensive participation in strength training. Local tenderness will be found at the acromioclavicular joint, plain radiographs will show degenerative changes in the vast majority of cases and joint scintigraphy must be positive to confirm the diagnosis.

Acromioclavicular Joint↗
PubMed1979

Pneumothorax complicating a fracture of the clavicle.

Fractures of the clavicle, while common, are associated with few serious complications. The authors report the case of a 29-year-old man with a simple fracture of the middle third of the clavicle that was associated with a 30% pneumothorax. The force and mechanism of the injury, severe pleuritic pain and reduced breath sounds suggested the diagnosis which was confirmed roentgenographically. The possibility of pneumothorax must be considered in any patient with a fracture of the clavicle, especially in the unconscious patient who has sustained multiple injuries.

Adult↗
PubMed1977

Hematogenous osteomyelitis of the clavicle in children.

Recognition of acute hematogenous osteomyelitis of the clavicle can be difficult. The condition may even to confused with fracture or malignancy. Treatment with parenteral antibiotics must be continuous for at least three weeks. If there is evidence of abscess formation, incision and drainage is indicated. If surgery is performed, a thorough debridement or partial resection may be required to prevent recurrence. If inadequately treated, the process becomes chronic. Resection of involved portion of the clavicle has been effective in the chornic stage of the disease. In the young child the resected segment often regenerates and the clavicle completely reconstitutes itself.

Acute Disease↗
PubMed1977

[Contribution to the osteolysis in distal end of the clavicle (author's transl)].

A case of rare osteolysis of the distal clavicle end is reported. Our 36-years old male patients also suffered from a well-discernible Hyperlipoproteinemia, type II/a after Fredrickson. A short view of the various forms of clavicle osteolysis is given. Their differentialdiagnostical and ethiological relations are discussed.

Adult↗
PubMed1976

Complications of fractures of the clavicle.

Most fractures of the clavicle unite without incident. The number and diversity of the methods of treatment in use suggest that in most cases good results are obtained despite medical supervision. Yet occasionally complications do arise. This paper describes two such cases and reviews the literature in search of a common factor to account for these complications. Cases presenting with early and late complications of fractures of the clavicle are described and the literature on the subject reviewed. The incidence of complications is highest in cases of direct violence to the shoulder region producing comminuted fractures. Surgical management is outlined in general terms. It is suggested that more prolonged and rigorous immobilization of cases "at risk" may reduce the incidence of non-union and prevent late neurovascular complications.

Adolescent↗
PubMedDate not supplied

Post-traumatic reactive and resorptive lesions of the medial end of the clavicle.

Three soldiers presented with a painful swelling of the sternoclavicular area. Computed tomography (CT) studies showed sclerosis as well as lysis of the medial end of the clavicle with adjacent soft-tissue swelling. Bone biopsy revealed new bone formation and inflammatory reaction; cultures were negative, no tumor cells were found. The patients recovered after antibiotic treatment. Although the CT findings cannot completely rule out a malignant lesion, these changes in the medial end of the clavicle in young people may suggest trauma as the etiology.

Clavicle↗
PubMedDate not supplied

Non-union of the clavicle in a child. A case report.

A case of symptomatic non-union of the clavicle occurred in a 12-year-old boy. Differential diagnosis roentgenographic and histologic observations, including the results of resection of the non-union site and stablization of the proximal clavicle using the coraco-acromial ligament demonstrated that this rare condition can be restored to full asymptomatic function without any internal metallic fixation devices.

Child↗
PubMed1976

Dynamic fixation of the avulsed clavicle.

A new operative approach is presented for treatment of the fractured distal end of the clavicle, which is associated with a disruption of the coracoclavicular ligaments. Three cases are presented in which open reduction and the clayicle held in the corrected position by transfer of the coracoid process with its attached muscles onto the clavicle was followed by complete recovery.

Adolescent↗
PubMed1976

Posttraumatic osteolysis of the distal clavicle with emphasis on early radiologic changes.

Erosion of progressive resorption of the distal clavicle following trauma has been described but merits greater attention due to its frequency. Six cases of posttraumatic osteolysis of the distal clavicle are reported with emphasis on early radiographic detection. Soft tissue swelling, deminerlization, and loss of the subarticular cortex at the injured clavicular tip antecede the more commonly recognized gross erosion. Recognition of this early stage, with consequent immobilization, may shorten the course of this process and decrease the prolonged disability. The pathogenesis of the process is discussed and illustrated.

Adult↗
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↗
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↗