Lateral Clavicle Fracture Fixation Using a Superiorly Placed Locking Plate

JBJS Essential Surgical Techniques
Edmund Ieong, Nicholas Antonio Ferran

Abstract

Clavicle fractures are common injuries that account for 4% of all fractures, and approximately 21% of clavicle fractures are lateral. Studies have demonstrated that displaced lateral clavicle fractures with disruption of the coracoclavicular ligaments have nonunion rates as high as 28%. Many surgical techniques for fixation of lateral-end clavicle fractures have been proposed. More recently, locking plate technology has led to the development of superiorly placed locking plates, which are used when the distal fragment is large enough and which offer greater biomechanical stability in osteoporotic or metaphyseal bone. Our surgical technique for use of a compression plate for an unstable and displaced lateral clavicle fracture consists of the following steps. Step 1: identification of the fracture pattern and surgical planning. Step 2: setup of the operating room with the image intensifier in an optimum position for satisfactory intraoperative images. Step 3: approach, through a bra-strap incision centered over the fracture. Step 4: reduction of the fracture and temporary stabilization. Step 5: implant selection based on sizing and patient anatomy. Step 6: application of the plate of choice and fixation with a combination of prox...Continue Reading

References

Jul 15, 2004·The Journal of Bone and Joint Surgery. American Volume·C Michael RobinsonAlison E Wakefield
Feb 29, 2008·Journal of Shoulder and Elbow Surgery·Sergio Luiz ChecchiaLuciana A Silva
Jul 2, 2008·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Nicolas PujolPhilippe Hardy
Mar 27, 2010·Journal of Shoulder and Elbow Surgery·Steven M KleinMark A Mighell
Aug 26, 2011·Clinical Orthopaedics and Related Research·Jaron R AndersenMark A Mighell
Nov 9, 2011·Journal of Shoulder and Elbow Surgery·Olivier A van der MeijdenPeter J Millett

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.