Anatomical study of the clavicle: endomedullary morphology
Background The treatment of clavicle fractures remains controversial. The objective of this study was to investigate the possibility of clavicular intramedullary fixation by nailing through an anatomic study combined with CT scan studies. Methods For the anatomic study, 20 clavicles of donated bodie...
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| Veröffentlicht in: | Surgical and radiologic anatomy (English ed.) 2014-01, Vol.36 (1), p.11-15 |
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| creator | Mathieu, Pierre-Alain Marcheix, Pierre-Sylvain Hummel, Vincent Valleix, Denis Mabit, Christian |
| description | Background
The treatment of clavicle fractures remains controversial. The objective of this study was to investigate the possibility of clavicular intramedullary fixation by nailing through an anatomic study combined with CT scan studies.
Methods
For the anatomic study, 20 clavicles of donated bodies to science (10 men, 10 women, 10 right, 10 left) were used. We measured the length of the clavicle, lateral epiphysis diameter, mean diaphysis diameter, medial epiphysis diameter, lateral width, lateral radius of curvature, medial width and medial radius of curvature. Intramedullary cavity diameter (anteroposterior and superoinferior) and calibration were measured by CT scan study on 20 clavicles.
Results
Average length was 152 mm for men and 140 mm for women. The anteroposterior curvature was most pronounced. The medullary canal had a gradually decreasing size from the distal portion to the middle segment, but never disappeared.
Conclusion
Evaluation of morphological data can clarify the specifications of an intramedullary nail: flexibility of the nail to match clavicle curvature and a locking system to ensure primary stability. Intramedullary fixation by nailing in displaced fractures of the middle portion of the clavicle is a minimally invasive surgical technique, with excellent functional and cosmetic results. |
| doi_str_mv | 10.1007/s00276-013-1140-2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1490740348</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1490740348</sourcerecordid><originalsourceid>FETCH-LOGICAL-c438t-7f57481ac14e0a07de26d7b0e2bd46f04366b30a92634a0b94333b4d44849c6a3</originalsourceid><addsrcrecordid>eNp1kD1PwzAQhi0EoqXwA1hQJBYWw_kjttMNVXxJlVhgthzHaVMlcYkTpP57XKUghMR0wz333t2D0CWBWwIg7wIAlQIDYZgQDpgeoSmhMsMqJfIYTSFjgAkwNUFnIWwAICVEnaIJZZLumSma37em901lTZ2Efih2iS-Tfu0SW5vPytZunri28I0rhro23S5pfLdd-9qvdufopDR1cBeHOkPvjw9vi2e8fH16WdwvseVM9ViWqeSKGEu4AwOycFQUMgdH84KLEjgTImdgMioYN5BnnDGW84JzxTMrDJuhmzF32_mPwYVeN1WwLp7TOj8ETXgGkgPjKqLXf9CNH7o2XhcpKdJUpVJEioyU7XwInSv1tqua-JwmoPdi9ShWR7F6L1bTOHN1SB7yKONn4ttkBOgIhNhqV677tfrf1C-kEYED</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1476558576</pqid></control><display><type>article</type><title>Anatomical study of the clavicle: endomedullary morphology</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Mathieu, Pierre-Alain ; Marcheix, Pierre-Sylvain ; Hummel, Vincent ; Valleix, Denis ; Mabit, Christian</creator><creatorcontrib>Mathieu, Pierre-Alain ; Marcheix, Pierre-Sylvain ; Hummel, Vincent ; Valleix, Denis ; Mabit, Christian</creatorcontrib><description>Background
The treatment of clavicle fractures remains controversial. The objective of this study was to investigate the possibility of clavicular intramedullary fixation by nailing through an anatomic study combined with CT scan studies.
Methods
For the anatomic study, 20 clavicles of donated bodies to science (10 men, 10 women, 10 right, 10 left) were used. We measured the length of the clavicle, lateral epiphysis diameter, mean diaphysis diameter, medial epiphysis diameter, lateral width, lateral radius of curvature, medial width and medial radius of curvature. Intramedullary cavity diameter (anteroposterior and superoinferior) and calibration were measured by CT scan study on 20 clavicles.
Results
Average length was 152 mm for men and 140 mm for women. The anteroposterior curvature was most pronounced. The medullary canal had a gradually decreasing size from the distal portion to the middle segment, but never disappeared.
Conclusion
Evaluation of morphological data can clarify the specifications of an intramedullary nail: flexibility of the nail to match clavicle curvature and a locking system to ensure primary stability. Intramedullary fixation by nailing in displaced fractures of the middle portion of the clavicle is a minimally invasive surgical technique, with excellent functional and cosmetic results.</description><identifier>ISSN: 0930-1038</identifier><identifier>EISSN: 1279-8517</identifier><identifier>DOI: 10.1007/s00276-013-1140-2</identifier><identifier>PMID: 23728517</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Anatomy ; Anatomy & physiology ; Clavicle - anatomy & histology ; Clavicle - diagnostic imaging ; Clavicle - surgery ; Female ; Fracture Fixation, Intramedullary ; Fractures ; Humans ; Imaging ; Male ; Medicine ; Medicine & Public Health ; Morphology ; Original Article ; Orthopedics ; Radiology ; Reference Values ; Surgery ; Tomography, X-Ray Computed</subject><ispartof>Surgical and radiologic anatomy (English ed.), 2014-01, Vol.36 (1), p.11-15</ispartof><rights>Springer-Verlag France 2013</rights><rights>Springer-Verlag France 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c438t-7f57481ac14e0a07de26d7b0e2bd46f04366b30a92634a0b94333b4d44849c6a3</citedby><cites>FETCH-LOGICAL-c438t-7f57481ac14e0a07de26d7b0e2bd46f04366b30a92634a0b94333b4d44849c6a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00276-013-1140-2$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00276-013-1140-2$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23728517$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mathieu, Pierre-Alain</creatorcontrib><creatorcontrib>Marcheix, Pierre-Sylvain</creatorcontrib><creatorcontrib>Hummel, Vincent</creatorcontrib><creatorcontrib>Valleix, Denis</creatorcontrib><creatorcontrib>Mabit, Christian</creatorcontrib><title>Anatomical study of the clavicle: endomedullary morphology</title><title>Surgical and radiologic anatomy (English ed.)</title><addtitle>Surg Radiol Anat</addtitle><addtitle>Surg Radiol Anat</addtitle><description>Background
The treatment of clavicle fractures remains controversial. The objective of this study was to investigate the possibility of clavicular intramedullary fixation by nailing through an anatomic study combined with CT scan studies.
Methods
For the anatomic study, 20 clavicles of donated bodies to science (10 men, 10 women, 10 right, 10 left) were used. We measured the length of the clavicle, lateral epiphysis diameter, mean diaphysis diameter, medial epiphysis diameter, lateral width, lateral radius of curvature, medial width and medial radius of curvature. Intramedullary cavity diameter (anteroposterior and superoinferior) and calibration were measured by CT scan study on 20 clavicles.
Results
Average length was 152 mm for men and 140 mm for women. The anteroposterior curvature was most pronounced. The medullary canal had a gradually decreasing size from the distal portion to the middle segment, but never disappeared.
Conclusion
Evaluation of morphological data can clarify the specifications of an intramedullary nail: flexibility of the nail to match clavicle curvature and a locking system to ensure primary stability. Intramedullary fixation by nailing in displaced fractures of the middle portion of the clavicle is a minimally invasive surgical technique, with excellent functional and cosmetic results.</description><subject>Anatomy</subject><subject>Anatomy & physiology</subject><subject>Clavicle - anatomy & histology</subject><subject>Clavicle - diagnostic imaging</subject><subject>Clavicle - surgery</subject><subject>Female</subject><subject>Fracture Fixation, Intramedullary</subject><subject>Fractures</subject><subject>Humans</subject><subject>Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morphology</subject><subject>Original Article</subject><subject>Orthopedics</subject><subject>Radiology</subject><subject>Reference Values</subject><subject>Surgery</subject><subject>Tomography, X-Ray Computed</subject><issn>0930-1038</issn><issn>1279-8517</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kD1PwzAQhi0EoqXwA1hQJBYWw_kjttMNVXxJlVhgthzHaVMlcYkTpP57XKUghMR0wz333t2D0CWBWwIg7wIAlQIDYZgQDpgeoSmhMsMqJfIYTSFjgAkwNUFnIWwAICVEnaIJZZLumSma37em901lTZ2Efih2iS-Tfu0SW5vPytZunri28I0rhro23S5pfLdd-9qvdufopDR1cBeHOkPvjw9vi2e8fH16WdwvseVM9ViWqeSKGEu4AwOycFQUMgdH84KLEjgTImdgMioYN5BnnDGW84JzxTMrDJuhmzF32_mPwYVeN1WwLp7TOj8ETXgGkgPjKqLXf9CNH7o2XhcpKdJUpVJEioyU7XwInSv1tqua-JwmoPdi9ShWR7F6L1bTOHN1SB7yKONn4ttkBOgIhNhqV677tfrf1C-kEYED</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Mathieu, Pierre-Alain</creator><creator>Marcheix, Pierre-Sylvain</creator><creator>Hummel, Vincent</creator><creator>Valleix, Denis</creator><creator>Mabit, Christian</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Anatomical study of the clavicle: endomedullary morphology</title><author>Mathieu, Pierre-Alain ; Marcheix, Pierre-Sylvain ; Hummel, Vincent ; Valleix, Denis ; Mabit, Christian</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c438t-7f57481ac14e0a07de26d7b0e2bd46f04366b30a92634a0b94333b4d44849c6a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Anatomy</topic><topic>Anatomy & physiology</topic><topic>Clavicle - anatomy & histology</topic><topic>Clavicle - diagnostic imaging</topic><topic>Clavicle - surgery</topic><topic>Female</topic><topic>Fracture Fixation, Intramedullary</topic><topic>Fractures</topic><topic>Humans</topic><topic>Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morphology</topic><topic>Original Article</topic><topic>Orthopedics</topic><topic>Radiology</topic><topic>Reference Values</topic><topic>Surgery</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mathieu, Pierre-Alain</creatorcontrib><creatorcontrib>Marcheix, Pierre-Sylvain</creatorcontrib><creatorcontrib>Hummel, Vincent</creatorcontrib><creatorcontrib>Valleix, Denis</creatorcontrib><creatorcontrib>Mabit, Christian</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biological Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mathieu, Pierre-Alain</au><au>Marcheix, Pierre-Sylvain</au><au>Hummel, Vincent</au><au>Valleix, Denis</au><au>Mabit, Christian</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Anatomical study of the clavicle: endomedullary morphology</atitle><jtitle>Surgical and radiologic anatomy (English ed.)</jtitle><stitle>Surg Radiol Anat</stitle><addtitle>Surg Radiol Anat</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>36</volume><issue>1</issue><spage>11</spage><epage>15</epage><pages>11-15</pages><issn>0930-1038</issn><eissn>1279-8517</eissn><abstract>Background
The treatment of clavicle fractures remains controversial. The objective of this study was to investigate the possibility of clavicular intramedullary fixation by nailing through an anatomic study combined with CT scan studies.
Methods
For the anatomic study, 20 clavicles of donated bodies to science (10 men, 10 women, 10 right, 10 left) were used. We measured the length of the clavicle, lateral epiphysis diameter, mean diaphysis diameter, medial epiphysis diameter, lateral width, lateral radius of curvature, medial width and medial radius of curvature. Intramedullary cavity diameter (anteroposterior and superoinferior) and calibration were measured by CT scan study on 20 clavicles.
Results
Average length was 152 mm for men and 140 mm for women. The anteroposterior curvature was most pronounced. The medullary canal had a gradually decreasing size from the distal portion to the middle segment, but never disappeared.
Conclusion
Evaluation of morphological data can clarify the specifications of an intramedullary nail: flexibility of the nail to match clavicle curvature and a locking system to ensure primary stability. Intramedullary fixation by nailing in displaced fractures of the middle portion of the clavicle is a minimally invasive surgical technique, with excellent functional and cosmetic results.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>23728517</pmid><doi>10.1007/s00276-013-1140-2</doi><tpages>5</tpages></addata></record> |
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| ispartof | Surgical and radiologic anatomy (English ed.), 2014-01, Vol.36 (1), p.11-15 |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Anatomy Anatomy & physiology Clavicle - anatomy & histology Clavicle - diagnostic imaging Clavicle - surgery Female Fracture Fixation, Intramedullary Fractures Humans Imaging Male Medicine Medicine & Public Health Morphology Original Article Orthopedics Radiology Reference Values Surgery Tomography, X-Ray Computed |
| title | Anatomical study of the clavicle: endomedullary morphology |
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