Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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The Use of Hook Plate on the Management of Unstable Neer II Lateral End Fracture of The Clavicle

불안정한 Neer II형 원위쇄골 골절의 치료에서 Hook 금속판의 이용

  • Ko, Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine) ;
  • Cho, Sung-Do (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine) ;
  • Park, Moon-Soo (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine) ;
  • Ryu, SuGoo (Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan, College of Medicine)
  • 고상훈 (울산대학교 의과대학 정형외과학교실) ;
  • 조성도 (울산대학교 의과대학 정형외과학교실) ;
  • 박문수 (울산대학교 의과대학 정형외과학교실) ;
  • 류석우 (울산대학교 의과대학 정형외과학교실)
  • Published : 2003.12.01
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Abstract

Purpose: Unstable Neer type II lateral end fracture of clavicle may be required operation. The purpose of this study is the effectiveness of the use of Hook plate in the management of unstable Neer type II fractures. We preliminary reported the results of Unstable Neer type II lateral end fracture of clavicle using by Hook plate. Material and Methods: From May 1998 to May 2002, we operated 6 cases unstable Neer type II lateral end fracture of clavicle with Hook plate by one surgeon. We checked radiologic evaluation and disappearance of pain per 1 week, and evaluated improvement of range of motion per 2 week. And we followed up at each interval 3 months,6 months, 12 months and after that per 6months interval, at that each time we checked stress radiogram of shoulder and functional evaluation. The shoulder function was evaluated using Modified Shoulder Rating Scale (MSRC) for Distal Clavicle Fracture and UCLA score. Average follow up was on 37.2 (12∼57) months. Results: All 6 patients were regained satisfactory function. Average MSRC for distal clavicle fracture was 17.3 (15∼20) and average UCLA score was 33.2 (31∼35) at last follow up. Conclusion: There are many advantage of the use of Hook plate on management of unstable Neer II distal clavicle fracture in spite of several disadvantage. There have not yet been reported in our country. So we obtained good to excellent clinical result in surgical treatment of 6 cases on type II displaced lateral end fracture of the clavicle. But we think that more cases will be review and longer follow up will be needed in the future.

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References

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Cited by

  1. Hook Plate Fixation for Unstable Distal Clavicle Fractures: A Prospective Study vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.006
  2. Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring vol.29, pp.2, 2016, https://doi.org/10.12671/jkfs.2016.29.2.107
  3. Operative Treatment of Distal Clavicle Fracture with Acromioclavicular Joint Injury vol.14, pp.1, 2011, https://doi.org/10.5397/CiSE.2011.14.1.059