The treatment of lateral clavicle fractures
This study assesses the results of surgical treatment of 15 displaced Neer type II fractures of the lateral clavicle in 15 patients, which occurred between November 1988 and March 1995 and which were followed up for a mean period of 4.6 years (range 2–9 years). The patients fell into two groups, one...
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| Veröffentlicht in: | Injury 2000-04, Vol.31 (3), p.175-179 |
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| creator | Webber, Mark C.B Haines, John F |
| description | This study assesses the results of surgical treatment of 15 displaced Neer type II fractures of the lateral clavicle in 15 patients, which occurred between November 1988 and March 1995 and which were followed up for a mean period of 4.6 years (range 2–9 years). The patients fell into two groups, one ‘acute group’ and one ‘non-union’ group.
Patients treated initially by a non-operative approach had suffered prolonged morbidity and time off work prior to and after surgery. The ultimate result was good. The fixation used was a Dacron arterial graft as a sling around the clavicle and coracoid process. Delayed (non-union) cases were augmented with bone graft and inter-fragmentary screw fixation. All fractures eventually united.
We question the place of prolonged non-operative management in the treatment of displaced Neer type II fractures of the lateral clavicle. |
| doi_str_mv | 10.1016/S0020-1383(99)00276-4 |
| format | Article |
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Patients treated initially by a non-operative approach had suffered prolonged morbidity and time off work prior to and after surgery. The ultimate result was good. The fixation used was a Dacron arterial graft as a sling around the clavicle and coracoid process. Delayed (non-union) cases were augmented with bone graft and inter-fragmentary screw fixation. All fractures eventually united.
We question the place of prolonged non-operative management in the treatment of displaced Neer type II fractures of the lateral clavicle.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/S0020-1383(99)00276-4</identifier><identifier>PMID: 10704582</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Biological and medical sciences ; Bone Screws ; Bone Transplantation - methods ; Clavicle - diagnostic imaging ; Clavicle - injuries ; Clavicle - surgery ; Female ; Follow-Up Studies ; Fracture Fixation - methods ; Fracture Healing ; Fractures, Ununited - surgery ; Humans ; Injuries of the limb. Injuries of the spine ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications ; Radiography ; Range of Motion, Articular ; Shoulder Joint - physiopathology ; Time Factors ; Traumas. Diseases due to physical agents</subject><ispartof>Injury, 2000-04, Vol.31 (3), p.175-179</ispartof><rights>2000 Elsevier Science Ltd</rights><rights>2000 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c390t-58f7b890c2310f094457985fc8b0740aa440581f05596be319499642444d818d3</citedby><cites>FETCH-LOGICAL-c390t-58f7b890c2310f094457985fc8b0740aa440581f05596be319499642444d818d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020138399002764$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1306560$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10704582$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Webber, Mark C.B</creatorcontrib><creatorcontrib>Haines, John F</creatorcontrib><title>The treatment of lateral clavicle fractures</title><title>Injury</title><addtitle>Injury</addtitle><description>This study assesses the results of surgical treatment of 15 displaced Neer type II fractures of the lateral clavicle in 15 patients, which occurred between November 1988 and March 1995 and which were followed up for a mean period of 4.6 years (range 2–9 years). The patients fell into two groups, one ‘acute group’ and one ‘non-union’ group.
Patients treated initially by a non-operative approach had suffered prolonged morbidity and time off work prior to and after surgery. The ultimate result was good. The fixation used was a Dacron arterial graft as a sling around the clavicle and coracoid process. Delayed (non-union) cases were augmented with bone graft and inter-fragmentary screw fixation. All fractures eventually united.
We question the place of prolonged non-operative management in the treatment of displaced Neer type II fractures of the lateral clavicle.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Bone Screws</subject><subject>Bone Transplantation - methods</subject><subject>Clavicle - diagnostic imaging</subject><subject>Clavicle - injuries</subject><subject>Clavicle - surgery</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Fracture Fixation - methods</subject><subject>Fracture Healing</subject><subject>Fractures, Ununited - surgery</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications</subject><subject>Radiography</subject><subject>Range of Motion, Articular</subject><subject>Shoulder Joint - physiopathology</subject><subject>Time Factors</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0MtKxDAUgOEgijOOPoLShYgi1ZMmaZKVyOANBlw4rkOanmKlF03aAd_eznRQd65C4Dsn4SfkmMIVBZpevwAkEFOm2LnWF8NFpjHfIVOqpI4hSeUumf6QCTkI4R2ASmBsn0woSOBCJVNyuXzDqPNouxqbLmqLqLIdeltFrrKr0lUYFd66rvcYDsleYauAR9tzRl7v75bzx3jx_PA0v13EjmnoYqEKmSkNLmEUCtCcC6mVKJzKQHKwlnMQihYghE4zZFRzrVOecM5zRVXOZuRs3Pvh288eQ2fqMjisKttg2wcjQWtNEzZAMULn2xA8FubDl7X1X4aCWVcym0pmncBobTaVDB_mTrYP9FmN-Z-pMcsATrfABmeroUDjyvDrGKQihYHdjAyHGqsSvQmuxMZhXnp0ncnb8p-ffAMO34A3</recordid><startdate>20000401</startdate><enddate>20000401</enddate><creator>Webber, Mark C.B</creator><creator>Haines, John F</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>20000401</creationdate><title>The treatment of lateral clavicle fractures</title><author>Webber, Mark C.B ; Haines, John F</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c390t-58f7b890c2310f094457985fc8b0740aa440581f05596be319499642444d818d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Bone Screws</topic><topic>Bone Transplantation - methods</topic><topic>Clavicle - diagnostic imaging</topic><topic>Clavicle - injuries</topic><topic>Clavicle - surgery</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Fracture Fixation - methods</topic><topic>Fracture Healing</topic><topic>Fractures, Ununited - surgery</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications</topic><topic>Radiography</topic><topic>Range of Motion, Articular</topic><topic>Shoulder Joint - physiopathology</topic><topic>Time Factors</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Webber, Mark C.B</creatorcontrib><creatorcontrib>Haines, John F</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Webber, Mark C.B</au><au>Haines, John F</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The treatment of lateral clavicle fractures</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2000-04-01</date><risdate>2000</risdate><volume>31</volume><issue>3</issue><spage>175</spage><epage>179</epage><pages>175-179</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>This study assesses the results of surgical treatment of 15 displaced Neer type II fractures of the lateral clavicle in 15 patients, which occurred between November 1988 and March 1995 and which were followed up for a mean period of 4.6 years (range 2–9 years). The patients fell into two groups, one ‘acute group’ and one ‘non-union’ group.
Patients treated initially by a non-operative approach had suffered prolonged morbidity and time off work prior to and after surgery. The ultimate result was good. The fixation used was a Dacron arterial graft as a sling around the clavicle and coracoid process. Delayed (non-union) cases were augmented with bone graft and inter-fragmentary screw fixation. All fractures eventually united.
We question the place of prolonged non-operative management in the treatment of displaced Neer type II fractures of the lateral clavicle.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>10704582</pmid><doi>10.1016/S0020-1383(99)00276-4</doi><tpages>5</tpages></addata></record> |
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| ispartof | Injury, 2000-04, Vol.31 (3), p.175-179 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adolescent Adult Biological and medical sciences Bone Screws Bone Transplantation - methods Clavicle - diagnostic imaging Clavicle - injuries Clavicle - surgery Female Follow-Up Studies Fracture Fixation - methods Fracture Healing Fractures, Ununited - surgery Humans Injuries of the limb. Injuries of the spine Male Medical sciences Middle Aged Postoperative Complications Radiography Range of Motion, Articular Shoulder Joint - physiopathology Time Factors Traumas. Diseases due to physical agents |
| title | The treatment of lateral clavicle fractures |
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