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Background: Clavicle fractures are a common type of fracture that often occurs after high-energy trauma. The treatment methods for clavicle fractures remain controversial. Both locking compression and hook plates are recommended.
Case Summary: A 44-year-old male suffered an injury during skiing. Radiography revealed a right-sided distal clavicular fracture. The fracture was treated using a hook plate due to its small size. During the surgical procedure, Kirschner wires were used to drill holes in the acromion. The end of the hook plate was inserted into the hole rather than below the edge of the acromion.
Conclusion: One year later, imaging revealed complete healing of the fracture, and the hook plate was removed. The patient was satisfied with the course and treatment results. Additionally, a new classification system was proposed based on the degree of injury to the distal clavicle joint surface. The incidence of postoperative complications associated with the use of hook plates for clavicular fracture treatment is relatively high. Complications can be reduced by changing the hook plate placement.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11926940 | PMC |
http://dx.doi.org/10.12998/wjcc.v13.i18.103777 | DOI Listing |
Knee Surg Sports Traumatol Arthrosc
August 2025
Department of Orthopaedic Surgery & Musculoskeletal Trauma, University Hospital of Larissa, School of Health Sciences, University of Thessaly, Larissa, Greece.
Purpose: Common surgical techniques for managing acute acromioclavicular (AC) injuries include reconstruction of the coracoclavicular (CC) ligaments using tendon grafts or high-strength artificial looping materials, as well as fixation with a hook plate. This study presents a thorough analysis of the outcomes of anatomical reconstruction of both the CC and AC ligaments using a single-strand semitendinosus tendon graft.
Methods: All patients with acute AC joint dislocation who underwent anatomical reconstruction of the CC and AC ligaments between 2017 and 2022 were included in this retrospective analysis.
Z Orthop Unfall
August 2025
Department of Orthopaedic, Shanghai Fourth People's Hospital Affiliated to Tongji University, Shanghai, China.
Unstable distal clavicle fractures are clinically common, and there is no consensus regarding gold-standard treatment. The purpose of this study was to report on a new surgical technique for the treatment of unstable distal clavicle fracture with modified coracoclavicular (CC) stabilization using a ligament augmentation and reconstruction system (LARS) of an artificial ligament, and to compare the clinical and radiographic outcomes with hook-plate fixation.Thirty patients with unstable distal clavicle fractures were treated with modified coracoclavicular (CC) stabilization using either a ligament augmentation and reconstruction system (LARS) or open reduction internal fixation with a hook plate.
View Article and Find Full Text PDFPalaeontology
November 2024
Bristol Palaeobiology Group, School of Earth Sciences, University of Bristol, Life Sciences Building, Tyndall Avenue, Bristol BS8 1TQ, UK.
Early vertebrate evolution has been characterized as a gradual shift from passive to more active feeding modes. However, this evolutionary scenario is contingent on poorly constrained inferences of the feeding ecology of extinct stem-gnathostomes. Heterostracans are among the earliest members of the gnathostome stem-lineage.
View Article and Find Full Text PDFZhongguo Xiu Fu Chong Jian Wai Ke Za Zhi
August 2025
Department of Orthopaedics, the First Affiliated Hospital, Fujian Medical University, Fuzhou Fujian, 350005, P. R. China.
Objective: To compare the effectiveness of clavicular hook plate fixation in the treatment of acromioclavicular joint dislocation and distal clavicle fractures.
Methods: A clinical data of 90 patients, who underwent clavicular hook plate fixation between January 2014 and June 2023, was retrospectively analyzed. There were 40 patients with distal clavicle fractures (fracture group) and 50 with acromioclavicular joint dislocations (dislocation group).
Int J Surg Case Rep
September 2025
Institute of Orthopedics and Traumatology, Military Hospital 175, Ho Chi Minh City 70000, Viet Nam. Electronic address:
Introduction: Triple-segment injury of the clavicular axis involving simultaneous medial clavicle (MC) fracture with sternoclavicular (SC) and acromioclavicular (AC) dislocations is extremely rare and poses significant diagnostic and management challenges. Early recognition and tailored intervention are critical to optimize functional outcomes.
Presentation Of Case: We report a case of a 70-year-old male with a history of prior contralateral clavicle fixation, who sustained a triple-segment injury following a motorcycle accident.