• Title/Summary/Keyword: Clavicle

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Acromioclavicular Joint Dislocation Associated with Clavicular Fracture and Brachial Plexus Injury (쇄골 골절을 동반한 동측 견봉쇄골 관절 탈구 치험(1례 보고))

  • Lee Kwang-Won;Kim, Kyou-Hyeun;Park Jong-Hyeun;Hwang In-Sik;Choy Won-Sik
    • Clinics in Shoulder and Elbow
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    • v.1 no.1
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    • pp.128-131
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    • 1998
  • Fracture of the clavicle and dislocation of the acromioclavicular joint occur commonly as separate injuries. However, complete acromioclavicular dislocation with an ipsilateral clavicle fracture is quite rare. We experienced a case of acromioclavicular joint dislocation associated with fracture of clavicle and brachial plexus injury treated by open reduction and internal fixation.

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Operative Treatment of Posteriorly Displaced Fracture of the Distal Clavicle in Child - A Case Report - (후방으로 전위된 소아 쇄골 원위부 골절의 수술적 치료 - 1예 보고 -)

  • Park, Hyun-Soo;Chung, Tae-Won;Rha, Jong-Deuk;Jang, Youn-Soo;Lee, Byung-Hoon
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.207-210
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    • 2006
  • We presented a case of posteriorly displaced fracture of the distal clavicle in Child. The closed reduction was failed due to posteriorly displaced proximal fragment and interpositon of trapezius muscle and periosteum. We found that periosteal sleeve and coracoclaviclar ligament and acromioclavicular ligament was intact. The open reduction should be considered for the treatment of the irreducible posteriorly displaced fracture of the distal clavicle in child.

Radiofrequency Thermal Ablation in Painful Myeloma of the Clavicle

  • Gharaei, Helen;Imani, Farnad;Vakily, Masoud
    • The Korean Journal of Pain
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    • v.27 no.1
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    • pp.72-76
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    • 2014
  • A 57-year-old male patient had myeloma. He had severe pain in the left clavicle that did not respond to radiotherapy; therefore, it was treated with radiofrequency thermal ablation (RFTA). Under fluoroscopic guidance, two RF needles at a distance of 1.5 cm from each other were inserted into the mass and conventional radiofrequency ($90^{\circ}C$ and 60 seconds) at two different depths (1 cm apart) was applied. Then, 2 ml of 0.5% ropivacaine along with triamcinolone 40 mg was injected in each needle. The visual analogue pain score (VAS from 0 to 10) was decreased from 8 to 0. In the next 3 months of follow-up, the patient was very satisfied with the procedure and the mass gradually became smaller. There were no complications. This study shows that RFTA could be a useful method for pain management in painful osteolytic myeloma lesions in the clavicle

Minimal incision Wolter Plate Fixation on the Displaced Lateral End Fracture of the Clavicle and the Acromioclayicular Dislocation (견봉쇄골탈구와 원위쇄골골절에서 소절개를 이용한 Wolter금속판 내고정술)

  • Ko, Sang-Hun
    • Clinics in Shoulder and Elbow
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    • v.5 no.1
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    • pp.23-28
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    • 2002
  • Purpose Displaced lateral end fracture of clavicle and acromioclavicular dislocation type Ⅲ∼Ⅵ may be required surgical treatment. Material and Methods : From May 1998 to March 2001, we operated with Welter plate with minimal incision by one surgeon. Immediately, pendulum and passive exercise was initiated after surgery. The shoulder function was evaluated using UCLA score. Average follow up was on 28(12∼45) months. Results : All 11 patients were regained satisfactory function. Average UCLA score was 31.9(29~35) at last follow up. Conclusion . The merit of Welter plate fixation with minimal incision is simple technique, reduced surgical time, smaller scar than large plate, strong fixation, early exercise, reduced implant failure. The disadvantage is expensive, skin irritatatation by long hook. But Welter plate fixation with minimal incision is a good method of internal fixation and excellent clinical result in surgical treatment of type H displaced lateral end fracture of the clavicle and type Ⅲ∼Ⅵ acromioclavicular dislocation.

Distal Clavicle Tunnel Widening after Coracoclavicular Ligament Reconstruction with Semitendinous Tendon: A Case Report (반건양 건을 이용한 오구쇄골 인대 재건술후 발생한 원위부 쇄골 터널 확장: 증례 보고)

  • Yoo Jae-Chul;Kim Seung-Yun;Lim Tae-Gang;Jeong Ju-Seon;Song Baek-Yong
    • Clinics in Shoulder and Elbow
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    • v.8 no.2
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    • pp.131-134
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    • 2005
  • Distal clavicle tunnel widening was observed in coracoclavicular ligament reconstruction with semitendinous tendon autografts in a patient with acromioclavicular joint injury. Acromioclavicular joint separation, in a 44 years-old man was treated by coracoclavicular ligament reconstruction. We have performed x-ray evaluation on 2years 10months after surgery. The immediate postoperative tunnel size was measured 4.5mm in diameter. At postoperative 2years 10month the tunnel diameter was from 9.3 to 11.4mm. But the weightbearing clavicle view showed no significant acromioclavicular joint separation. Moreover the patient complained only minor intermittent shoulder discomfort.

Treatment of Displaced Fracture of the Distal Clavicle in Children- Report of 2 Cases (소아 쇄골 원위부 전위골절의치료- 2례보고-)

  • Park Tae-Soo;Kim Jong-Heon
    • Journal of Korean Orthopaedic Sports Medicine
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    • v.1 no.2
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    • pp.159-162
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    • 2002
  • We presented two cases of unstable fracture of the distal clavicle in children associating superior displacement of the ipsilateral distal clavicle and widening of the coracoclavicular (CC) interval. They obtained good osteosynthesis and reduction of the CC interval by conservative treatment. The primary conservative treatment should be considered for the treatment of the unstable distal clavicular fracture with widening of the CC interval in children.

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Clinical and Radiological Results of Hook Plate Fixation in Acute Acromioclavicular Joint Dislocations and Distal Clavicle Fractures

  • Oh, Joo Han;Min, Seunggi;Jung, Jae Wook;Kim, Hee-June;Kim, Jae Yoon;Chung, Seok Won;Kim, Joon Yub;Yoon, Jong Pil
    • Clinics in Shoulder and Elbow
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    • v.21 no.2
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    • pp.95-100
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    • 2018
  • Background: The purpose of this study was to evaluate the clinical outcomes and complications of hook plate fixation in acromioclavicular (AC) joint dislocations and distal clavicle fractures. Methods: We retrospectively reviewed a series of 60 consecutive patients with hook plate fixation for AC joint dislocation (group I) and distal clavicle fracture (group II). Groups I and II had 39 and 21 patients, respectively. Clinical results were evaluated using the pain visual analogue scale (VAS), simple shoulder test, and Constant-Murley scores. In addition, subacromial erosion and stiffness were evaluated as complications. Results: At the removal, the pain VAS was $2.69{\pm}1.30$ and $4.10{\pm}2.14$ in groups I and II, respectively, which were significantly different (p=0.003). The simple shoulder test score was $9.59{\pm}1.60$ and $7.81{\pm}2.67$ in groups I and II, respectively, which were also significantly different (p=0.002). Subacromial erosion was significantly more frequent in group II (14/21 patients, 66.7%) than in group I (15/39 patients, 38.5%) (p=0.037), and stiffness was also higher in group II (17/21 patients, 81.0%) than in group I (22/39 patients, 56.4%), but it was not significant. Conclusions: Hook plate fixation showed good clinical and functional results for the treatment of acute unstable AC joint dislocation and distal clavicle fracture. But, in distal clavicle fractures, there are more subacromial erosion and stiffness compare with acute unstable AC joint dislocation.

Evaluation of Usefulness and Availability for Orthopedic Surgery using Clavicle Fracture Model Manufactured by Desktop 3D Printer (보급형 3D 프린터로 제작한 쇄골 골절 모델을 이용한 정형외과 수술에 대한 유용성과 활용가능성 평가)

  • Oh, Wang-Kyun
    • Journal of radiological science and technology
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    • v.37 no.3
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    • pp.203-209
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    • 2014
  • Usefulness and clinical availability for surgery efficiency were evaluated by conducting pre-operative planning with a model manufactured by desktop 3D printer by using clavicle CT image. The patient-customized clavicle fracture model was manufactured by desktop 3D printer of FDM wire laminated processing method by converting the CT image into STL file in Open Source DICOM Viewer Osirix. Also, the model of the original shape before damaged was restored and manufactured by Mirror technique based on STL file of not fractured clavicle of the other side by using the symmetry feature of the human body. For the model, the position and size, degree of the fracture was equally printed out. Using the clavicle model directly manufactured with low cost and less time in Department of Radiology is considered to be useful because it can reduce secondary damage during surgery and increase surgery efficiency with Minimal invasive percutaneous plate osteosynthesis(MIPO).

Long-term outcomes of initially conservatively treated midshaft clavicle fractures

  • Lee, Gwan Bum;Kim, Hyojune;Jeon, In-Ho;Koh, Kyoung Hwan
    • Clinics in Shoulder and Elbow
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    • v.24 no.1
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    • pp.9-14
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    • 2021
  • Background: Recent studies about completely displaced midshaft clavicle fractures have reported that their nonunion/malunion rates were significantly higher in conservatively treated patients compared to surgically treated patients. The purpose of this study was to evaluate the factors associated with treatment decisions for midshaft clavicle fractures and also the factors that affect patient satisfaction with their treatment choice. Methods: We retrospectively reviewed the records of 75 patients who had been diagnosed with a midshaft clavicle fracture and were treated conservatively at a single institution between March 1, 2013, and December 31, 2014. Their medical records were reviewed to investigate the severity of the initial vertical displacement. A telephone survey was carried out to identify the presence of any patient-perceived deformity and determine if the patient eventually underwent surgery and whether the patient would prefer surgery if the injury recurred. Results: Significantly more patients with vertical displacement ≥100% (9/28) eventually underwent surgery compared to patients with vertical displacement <100% (3/32, p=0.028). Patients with vertical displacement ≥100% (13/28) were significantly more likely to prefer surgery compared to patients with vertical displacement <100% (7/32, p=0.044). Among the conservatively treated patients, nine of 32 participants with a patient-perceived deformity and one of 16 without a patient-perceived deformity responded that they would prefer to receive surgery in same situation in the future (p=0.079). Conclusions: Patients with a midshaft clavicle fracture with vertical displacement of ≥100% may eventually require surgical treatment. When conservative treatment is carried out, the long-term patient results may be unsatisfactory due to perceived residual deformities.