Anatomy of the clavicle and the intramedullary nailing of midclavicular fractures

Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists
Jonas AndermahrJuergen Koebke

Abstract

Intramedullary fixation is used increasingly to treat clavicular fractures. Anatomical variations in the clavicle of relevance to this procedure are analyzed. The length, diameters and curvature of the clavicle were measured in 196 specimens from the dissecting room. The calcium bone density was analyzed in 300 cross-sectional samples of 100 specimens. The thickness of cortical and medullary bone of 70 slices was analyzed from freshly plastinated clavicles with implants in place. The female clavicle was shorter, less curved, and had a lower concentration of calcium than the male clavicle. Measurement of cortical thickness showed a mean value of 1.05 +/- 0.23 mm at the most sternal measuring point, 2.05 +/- 0.29 mm at the midpoint of the clavicle, and 0.95 +/- 0.35 mm at the acromial end. The thinnest regions were the medial ventral cortex and the dorsal acromial cortex. These measurements explain clinical observations on nail perforation. The diameter of the medullary canal measured 6.7 +/- 2.6 mm at its narrowest part, so that reaming (i.e., predrilling the medullary canal) prior to 3.5 mm titanium nail insertion is not necessary. The main difficulties encountered when placing a nail are secondary to the S-curvature of the cla...Continue Reading

References

Jun 1, 1979·Acta Orthopaedica Scandinavica·A E Ljunggren
May 1, 1978·Injury·M A Ali Khan, H K Lucas
Nov 1, 1975·Injury·M Sankarankutty, B W Turner
Feb 1, 1987·Acta Orthopaedica Scandinavica·K AndersenJ Lauritzen
Aug 1, 1983·The Journal of Pharmacy and Pharmacology·P D DePalma, D M Ackerman
Mar 1, 1995·Journal of Shoulder and Elbow Surgery·W M Heinz, G W Misamore
May 1, 1994·Journal of Biomechanics·F C van der Helm
Mar 1, 1993·RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin·D von MallekJ Mockenhaupt
Apr 1, 1993·Journal of Biomechanics·M A HarringtonH S Schwartz
Feb 5, 1999·Surgical and Radiologic Anatomy : SRA·J AndermahrK E Rehm
Oct 24, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A JubelK E Rehm
Mar 5, 2003·Clinical Orthopaedics and Related Research·Axel JubelKlaus E Rehm
Apr 18, 2003·Journal of Shoulder and Elbow Surgery·J Gordon Edelson
Jun 27, 2003·Clinics in Sports Medicine·Kyle Anderson
Dec 1, 1963·The Surgical Clinics of North America·J V BASMAJIAN
Dec 11, 2003·British Journal of Sports Medicine·A JubelK E Rehm

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Citations

Dec 8, 2006·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·M C MüllerC Rangger
Sep 13, 2011·Der Unfallchirurg·M DezulovicM Muenzberg
Jul 26, 2011·Annals of Biomedical Engineering·F S GayzikJ D Stitzel
Jan 10, 2012·Computer Methods in Biomechanics and Biomedical Engineering·Zuoping LiJeff R Crandall
Jun 4, 2013·Surgical and Radiologic Anatomy : SRA·Pierre-Alain MathieuChristian Mabit
Oct 30, 2013·Surgical and Radiologic Anatomy : SRA·Taweechok WisanuyotinPolasak Jeeravipoolvarn
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·P R KingA Ikram
Sep 13, 2015·The Kaohsiung Journal of Medical Sciences·Ying-Chun WangCheng-Chang Lu
May 1, 2012·Journal of Shoulder and Elbow Surgery·Abdo BachouraSrinath Kamineni
Jan 24, 2012·Journal of Shoulder and Elbow Surgery·Abdo BachouraSrinath Kamineni
Nov 9, 2011·Journal of Shoulder and Elbow Surgery·Olivier A van der MeijdenPeter J Millett
Mar 12, 2011·Journal of Shoulder and Elbow Surgery·Daniel K PalmerMontri D Wongworawat
Aug 12, 2009·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Jack Hurov
Aug 19, 2007·Journal of Biomechanics·Sonia DupreyJean-Pierre Verriest
Oct 22, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Amit BernatAlexander Van Tongel
Jan 14, 2010·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Zubin J DaruwallaHannan Mullett
Aug 21, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Andreas M HingsammerPhilipp Fürnstahl
Feb 3, 2015·International Journal for Numerical Methods in Biomedical Engineering·Megan Pendergast, Razvan Rusovici
Jul 3, 2013·Computer Methods and Programs in Biomedicine·Yuan-Chiao Lu, Costin D Untaroiu
May 25, 2016·Orthopedics·Jeremy M BurnhamSrinath Kamineni
Dec 30, 2015·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Simon LambertLukas Kamer
Dec 25, 2015·Journal of Shoulder and Elbow Surgery·Micah NaimarkBrian T Feeley
Sep 23, 2008·The Orthopedic Clinics of North America·Won Kim, Michael D McKee
Feb 24, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·W LiuY Hao
Feb 14, 2012·The Journal of Emergency Medicine·Benjamin Jacob StraussRodrick Lim
Apr 7, 2010·Acta Orthopaedica·Robert J HillenC Michael Robinson
Feb 6, 2017·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Jazmine R AiraMark A Frankle
Mar 16, 2017·The Anatomical Record : Advances in Integrative Anatomy and Evolutionary Biology·Joan VicianoRuggero D'Anastasio
Mar 26, 2010·Journal of Orthopaedic Trauma·Ping-Cheng LiuCheng-Chang Lu
Oct 25, 2013·The Open Orthopaedics Journal·Thomas D DonnellyMohammad Waseem
Feb 3, 2009·The Journal of Bone and Joint Surgery. American Volume·L A Kashif KhanC Michael Robinson
Aug 3, 2019·Journal of Anatomy·Matthew A CraneAdam K Huttenlocker
Sep 4, 2019·International Orthopaedics·Mohamed Faheem KotekarM Shantharam Shetty
Aug 22, 2017·Strategies in Trauma and Limb Reconstruction·Valentino CoppaAntonio Gigante
May 27, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Josef K EichingerJason A Grassbaugh
Jul 9, 2020·Expert Review of Medical Devices·Paul Reginald King, Robert Patrick Lamberts
Feb 12, 2017·Surgical and Radiologic Anatomy : SRA·Marcin WiśniewskiMichał Szpinda

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