Next article Search Articles Instructions for authors  Access Statistics | Citation Manager  
CASE REPORT  
[LN]

 Article Access Statistics
    Viewed2410    
    Printed103    
    Emailed1    
    PDF Downloaded10    
    Comments [Add]    
    Cited by others 3    

Recommend this journal


Click on image for details.

 Locking plates for displaced fractures of the lateral end of clavicle: Potential pitfalls

Soha Sajid1, Ross Fawdington2, Maneesh Sinha1
1 Department of Trauma and Orthopaedics, Russells Hall Hospital, Dudley, United Kingdom
2 Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

Correspondence Address:
Soha Sajid
Trauma and Orthopaedic Department, Russells Hall Hospital, Dudley Group of Hospitals, Dudley, DY1 2HQ
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.106226

Get Permissions

Year : 2012  |  Volume : 6  |  Issue : 4  |  Page : 126-129

 
SEARCH
Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles

  Article in PDF (775 KB)
Email article
Print Article
Add to My List
Roughly a quarter of all clavicle fractures occur at the lateral end. Displaced fractures of the lateral clavicle have a higher rate of nonunion. The management of fractures of the lateral clavicle remains controversial. Open reduction internal fixation with a superiorly placed locking plate is a recently developed technique. However, there are no randomized controlled trials to evaluate the efficacy of this procedure. We present a series of four cases which highlight the technical drawbacks with this method of fixation for lateral clavicle fractures. Two cases show that failure of the plate to negate the displacing forces at the fracture site can lead to plate pullout. Two cases illustrate an unusual complication of an iatrogenic injury to the acromioclavicular joint capsule which led to joint instability and dislocation. We advise caution in using this method of fixation. Recent studies have described the success of lateral clavicle locking plate fixation augmented with a coracoclavicular sling. This augmentation accounts for the displacing forces at the fracture site. We would recommend that when performing lateral clavicle locking plate fixation, it should be reinforced with a coracoclavicular sling to prevent plate failure by lateral screw pullout.






[FULL TEXT] [PDF]*
 

 


Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06

 

 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 
 
 Reader Comments
 Email Alert *
  *
 * Requires registration (Free)
 
 CASE REPORT
 



Soha Sajid1, Ross Fawdington2, Maneesh Sinha1
1 Department of Trauma and Orthopaedics, Russells Hall Hospital, Dudley, United Kingdom
2 Department of Trauma and Orthopaedics, University Hospital of North Staffordshire, Stoke-on-Trent, United Kingdom

Correspondence Address:
Soha Sajid
Trauma and Orthopaedic Department, Russells Hall Hospital, Dudley Group of Hospitals, Dudley, DY1 2HQ
United Kingdom
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0973-6042.106226

Get Permissions

Roughly a quarter of all clavicle fractures occur at the lateral end. Displaced fractures of the lateral clavicle have a higher rate of nonunion. The management of fractures of the lateral clavicle remains controversial. Open reduction internal fixation with a superiorly placed locking plate is a recently developed technique. However, there are no randomized controlled trials to evaluate the efficacy of this procedure. We present a series of four cases which highlight the technical drawbacks with this method of fixation for lateral clavicle fractures. Two cases show that failure of the plate to negate the displacing forces at the fracture site can lead to plate pullout. Two cases illustrate an unusual complication of an iatrogenic injury to the acromioclavicular joint capsule which led to joint instability and dislocation. We advise caution in using this method of fixation. Recent studies have described the success of lateral clavicle locking plate fixation augmented with a coracoclavicular sling. This augmentation accounts for the displacing forces at the fracture site. We would recommend that when performing lateral clavicle locking plate fixation, it should be reinforced with a coracoclavicular sling to prevent plate failure by lateral screw pullout.






[FULL TEXT] [PDF]*


        
Print this article     Email this article  


Sitemap | What's New | Copyright and Disclaimer
© 2006 - International Journal of Shoulder Surgery
| Published by Wolters Kluwer - Medknow Online since 1st September '06