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Clavicle hook plate fixation for distal-third clavicle fracture (Neer type II): comparison of clinical and radiologic outcomes between Neer types IIA and IIB

Authors
 Wonyong Lee  ;  Chong-Hyuk Choi  ;  Yun-Rak Choi  ;  Kyung-Han Lim  ;  Yong-Min Chun 
Citation
 JOURNAL OF SHOULDER AND ELBOW SURGERY, Vol.26(7) : 1210-1215, 2017 
Journal Title
 JOURNAL OF SHOULDER AND ELBOW SURGERY 
ISSN
 1058-2746 
Issue Date
2017
MeSH
Adult ; Bone Plates* ; Clavicle/injuries* ; Clavicle/surgery ; Female ; Fracture Fixation, Internal* ; Fractures, Bone/diagnostic imaging ; Fractures, Bone/surgery* ; Humans ; Injury Severity Score ; Male ; Middle Aged ; Range of Motion, Articular ; Recovery of Function ; Retrospective Studies ; Treatment Outcome ; Young Adult
Keywords
Distal clavicle fracture ; Neer type ; coracoclavicular distance ; hook plate ; plate fixation ; unstable
Abstract
BACKGROUND: The purpose of this study was to investigate clinical and radiologic outcomes of clavicle hook plate fixation for distal-third clavicle fracture (Neer type II) and to compare the clinical and radiologic outcomes and complications between Neer type IIA and type IIB. METHODS: We retrospectively reviewed 35 patients who underwent open reduction and internal fixation with AO hook locking compression plate (LCP) for distal clavicle fracture, including 13 patients with Neer type IIA and 22 patients with type IIB. Visual analog scale pain score, shoulder scores (subjective shoulder value, University of California-Los Angeles shoulder score, American Shoulder and Elbow Surgeons score), and active range of motion were evaluated to determine clinical outcome. Coracoclavicular distance was measured, and that of the injured side at last follow-up was compared with that of the uninjured side to evaluate radiologic outcomes. RESULTS: AO hook LCP fixation for distal-third clavicle fracture (Neer type II) produced satisfactory radiologic outcomes, including high union rates (100%) and coracoclavicular distance maintenance, as well as satisfactory clinical outcomes, including visual analog scale score for pain, shoulder scores (subjective shoulder value, University of California-Los Angeles shoulder score, American Shoulder and Elbow Surgeons score), and active range of motion. There were no significant differences between Neer type IIA and type IIB. With regard to complications, 22.9% of patients experienced shoulder stiffness and 17.1% had subacromial erosion; however, there were no significant differences between the 2 groups. CONCLUSION: The AO hook LCP is a suitable choice for Neer type IIA and type IIB distal-third clavicle fracture fixation.
Full Text
https://www.sciencedirect.com/science/article/pii/S105827461630619X
DOI
10.1016/j.jse.2016.11.046
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Won Yong(이원용)
Lim, Kyung Han(임경한) ORCID logo https://orcid.org/0000-0003-1535-3258
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
Choi, Yun Rak(최윤락)
Choi, Chong Hyuk(최종혁) ORCID logo https://orcid.org/0000-0002-9080-4904
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/160273
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