Indications The most common indications for use of the hook plate are for cases of displaced distal clavicle fractures in which the coracoclavicular (CC) ligaments (trapezoid and conoid) provide insufficient connection between the coracoid and the clavicle, thus allowing the…
Introduction Distal clavicle fractures, also known as lateral clavicle fractures, account for approximately 25% of all clavicle fractures, the second most common subset after midshaft fractures. This fracture is unique because of its high potential for nonunion, potential effects on…
Introduction Recent literature recommends consideration of surgical treatment for completely displaced and/or significantly shortened middle-third clavicle fractures. In certain fracture patterns, intramedullary clavicle fracture fixation has been shown to be an effective option for treatment while offering the potential advantages…
Indications Indications for clavicle fixation include open fractures, skin tenting or soft tissue compromise, significant displacement >2 cm, shortening >2 cm, clinical deformity, significantly associated scapular winging from malrotation, segmental fractures, “floating shoulder” injuries and those with significant comminution. Patient…
Introduction Clavicle fractures are among the most common bony injuries in the body, representing 2.5%–10% of all adult fractures and over 40% of shoulder girdle fractures. , Common injury mechanisms include skiing, mountain biking, American football, soccer/European football, as well…
Indications The authors prefer this technique for symptomatic medial clavicular nonunions type 1 or acute displaced fractures (relative indication) (type 1B) (see Chapter 4 , Fig. 4.4 ). For this fracture morphology, the hook plate provides resistance to the anterior…
Relevant Anatomy The clavicle is the first long bone to ossify. However, the epiphysis at the medial end of the clavicle is the last of the long bones to appear and is the last epiphysis to close. It does not…
Indications Sternoclavicular joint dislocations occur secondary to trauma or develop spontaneously in patients with collagen disorders, such as Ehler-Danlos syndrome. They are anatomically classified as either anterior or posterior, and further classified as acute or chronic. Joint reconstruction is generally…
Authors’ Preferred Surgical Technique: Figure-of-Eight Sternoclavicular Joint Reconstruction Using Autograft Tendon Rationale As described in the previous chapter, a variety of techniques have been described to treat the unstable sternoclavicular joint (SCJ). The figure-of-eight technique was developed after biomechanical testing…
Relevant Anatomy The sternoclavicular joint (SCJ) is a saddle-shaped, diarthrodial synovial joint that provides the only bony articulation between the axial skeleton and upper extremity. It is an important fulcrum for the movement of the shoulder girdle, as translation and…