clavicle

Summary

Summary: A bone on the ventral side of the shoulder girdle, which in humans is commonly called the collar bone.

Top Publications

  1. Chun J, Kim S. Modified tension band fixation for unstable distal clavicle fractures. J Trauma. 2011;70:E88-92 pubmed publisher
    Optimal surgical treatment of unstable distal clavicle fractures is controversial, and various fixation options are available...
  2. Mudd C, Quigley K, Gross L. Excessive complications of open intramedullary nailing of midshaft clavicle fractures with the Rockwood Clavicle Pin. Clin Orthop Relat Res. 2011;469:3364-70 pubmed publisher
    Intramedullary clavicle fixation is a potential alternative to plate fixation...
  3. Wijdicks F, Houwert R, Dijkgraaf M, De Lange D, Meylaerts S, Verhofstad M, et al. Rationale and design of the plate or pin (POP) study for dislocated midshaft clavicular fractures: study protocol for a randomised controlled trial. Trials. 2011;12:177 pubmed publisher
    ..To describe the rationale and design of a future study comparing results of plate fixation and Elastic Stable Intramedullary Nailing (ESIN) with a Titanium Elastic Nail (TEN) for adults with a dislocated midshaft clavicular fracture...
  4. Virtanen K, Malmivaara A, Remes V, Paavola M. Operative and nonoperative treatment of clavicle fractures in adults. Acta Orthop. 2012;83:65-73 pubmed publisher
    Traditionally, clavicle fractures have been treated nonoperatively. However, many recent studies have concentrated on the results of operative treatment...
  5. Lim C, Lee H, Schatz J, Alvaro F, Boyle R, Bonar S. Case report: periosteal osteosarcoma of the clavicle. Skeletal Radiol. 2012;41:1011-5 pubmed publisher
    ..We present a case of a periosteal osteosarcoma of the clavicle, a highly unusual site and representing one of only two such cases documented in the English literature...
  6. Rabe S, Oliver G. Clavicular fracture in a collegiate football player: a case report of rapid return to play. J Athl Train. 2011;46:107-11 pubmed publisher
    ..To present the case of surgical treatment and rehabilitation of a midshaft clavicular fracture in a National Collegiate Athletic Association Division I football athlete...
  7. O Neill B, Hirpara K, O Briain D, McGarr C, Kaar T. Clavicle fractures: a comparison of five classification systems and their relationship to treatment outcomes. Int Orthop. 2011;35:909-14 pubmed publisher
    We compared five classification systems for clavicle fractures. The aim of this study was to evaluate the prognostic value of each system...
  8. Houwert R, Wijdicks F, Steins Bisschop C, Verleisdonk E, Kruyt M. Plate fixation versus intramedullary fixation for displaced mid-shaft clavicle fractures: a systematic review. Int Orthop. 2012;36:579-85 pubmed publisher
    The optimal surgical approach for displaced midshaft clavicle fracture remains controversial...
  9. Takase K, Kono R, Yamamoto K. Arthroscopic stabilization for Neer type 2 fracture of the distal clavicle fracture. Arch Orthop Trauma Surg. 2012;132:399-403 pubmed publisher
    The distal clavicle fractures are divided into three types according to Neer's classification. Types 1 and 3 fractures are treated with a sling to immobilize the upper extremity. However, the treatment of type 2 fractures is controversial...

More Information

Publications62

  1. Hohmann E, Hansen T, Tetsworth K. Treatment of Neer type II fractures of the lateral clavicle using distal radius locking plates combined with TightRope augmentation of the coraco-clavicular ligaments. Arch Orthop Trauma Surg. 2012;132:1415-21 pubmed
    Neer type II lateral clavicle fractures are inherently unstable and debate continues regarding optimal treatment...
  2. Good D, Lui D, Leonard M, Morris S, McElwain J. Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): a functional outcome study. J Shoulder Elbow Surg. 2012;21:1045-8 pubmed publisher
    Controversy exists with the use of the acromioclavicular hook plate for the treatment of lateral-third clavicle fractures (Neer type II)...
  3. Favre P, Kloen P, Helfet D, Werner C. Superior versus anteroinferior plating of the clavicle: a finite element study. J Orthop Trauma. 2011;25:661-5 pubmed publisher
    Fixation plate positioning remains controversial in clavicle fracture reconstruction. Biomechanical studies favor a superior plate placement and clinical series report very low mechanical complications for anteroinferior plate placement...
  4. Galdi B, Yoon R, Choung E, Reilly M, Sirkin M, Smith W, et al. Anteroinferior 2.7-mm versus 3.5-mm plating for AO/OTA type B clavicle fractures: a comparative cohort clinical outcomes study. J Orthop Trauma. 2013;27:121-5 pubmed publisher
    ..7- and 3.5-mm anteroinferior plating for Arbeitsgemeinschaft für Osteosynthesefragen (AO)/Orthopaedic Trauma Association (OTA) type B clavicle fractures.
  5. Rieser G, Edwards K, Gould G, Markert R, Goswami T, Rubino L. Distal-third clavicle fracture fixation: a biomechanical evaluation of fixation. J Shoulder Elbow Surg. 2013;22:848-55 pubmed publisher
    Approximately 25% of distal clavicle fractures are unstable. Unstable patterns have longer times to union and higher nonunion rates...
  6. Schliemann B, Roßlenbroich S, Schneider K, Petersen W, Raschke M, Weimann A. Surgical treatment of vertically unstable lateral clavicle fractures (Neer 2b) with locked plate fixation and coracoclavicular ligament reconstruction. Arch Orthop Trauma Surg. 2013;133:935-9 pubmed publisher
    The present study evaluates the outcome of patients treated with a combination of locked plate fixation and minimal-invasive coracoclavicular (CC) ligament reconstruction for unstable lateral clavicle fractures type IIb according to Neer.
  7. Martetschläger F, Kraus T, Schiele C, Sandmann G, Siebenlist S, Braun K, et al. Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage. Knee Surg Sports Traumatol Arthrosc. 2013;21:1189-94 pubmed publisher
    The purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2).
  8. Yang S, Lin L, Chang S, Kuo S, Hwang L. Treatment of acute unstable distal clavicle fractures with single coracoclavicular suture fixation. Orthopedics. 2011;34:172 pubmed publisher
    Distal clavicular fractures are less common than fractures involving the middle third of the clavicle. For Neer type IIb distal clavicular unstable fractures associated with disruption of the coracoclavicular ligament, surgical treatment ..
  9. Tiren D, Vroemen J. Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study. J Orthop Traumatol. 2013;14:115-20 pubmed publisher
    Until now there have been no prospective studies describing the results of using the superior clavicle plate with lateral extension in patients with displaced lateral clavicle fractures (Neer type 2)...
  10. Lee S, Lee J, Song D, Choy W. Precontoured locking plate fixation for displaced lateral clavicle fractures. Orthopedics. 2013;36:801-7 pubmed publisher
    Displaced fractures of the lateral end of the clavicle are associated with an increased risk of nonunion with conservative treatment; therefore, operative treatment is recommended...
  11. Millett P, Hurst J, Horan M, Hawkins R. Complications of clavicle fractures treated with intramedullary fixation. J Shoulder Elbow Surg. 2011;20:86-91 pubmed publisher
    Recent studies have demonstrated better outcomes with operative fixation of displaced midshaft clavicle fractures. We hypothesize that the risk of major complication with intramedullary fixation for clavicle fractures will be low.
  12. Chen Y, Zeng B, Chen Y, Wang H, Xue J, Chai Y, et al. Clinical outcomes of midclavicular fractures treated with titanium elastic nails. Can J Surg. 2010;53:379-84 pubmed
    ..Our aim was to evaluate the clinical outcomes of midclavicular fractures treated with titanium elastic nails...
  13. Beitzel K, Sablan N, Chowaniec D, Obopilwe E, Cote M, Arciero R, et al. Sequential resection of the distal clavicle and its effects on horizontal acromioclavicular joint translation. Am J Sports Med. 2012;40:681-5 pubmed publisher
    ..CC) ligament in an open or arthroscopically assisted procedure are often combined with a resection of the distal clavicle to prevent or treat osteoarthritic degenerations of the acromioclavicular (AC) joint...
  14. Garamendi P, Landa M, Botella M, Alemán I. Forensic age estimation on digital X-ray images: Medial epiphyses of the clavicle and first rib ossification in relation to chronological age. J Forensic Sci. 2011;56 Suppl 1:S3-12 pubmed publisher
    ..This research was conducted on digital thorax X-rays to test the usefulness of some radiological changes in the clavicle and first rib...
  15. Assobhi J. Reconstruction plate versus minimal invasive retrograde titanium elastic nail fixation for displaced midclavicular fractures. J Orthop Traumatol. 2011;12:185-92 pubmed publisher
    Nonoperative management of midshaft clavicle fractures (MSCFs) is standard; however, it is now generally accepted that displaced midshaft clavicle fractures benefit from internal fixation...
  16. Duan X, Zhong G, Cen S, Huang F, Xiang Z. Plating versus intramedullary pin or conservative treatment for midshaft fracture of clavicle: a meta-analysis of randomized controlled trials. J Shoulder Elbow Surg. 2011;20:1008-15 pubmed publisher
    ..Intramedullary pinning and conservative treatments have also been commonly used. We hypothesized that intramedullary pinning and conservative treatments have the same treatment results compared with plating...
  17. Stegeman S, Nacak H, Huvenaars K, Stijnen T, Krijnen P, Schipper I. Surgical treatment of Neer type-II fractures of the distal clavicle: a meta-analysis. Acta Orthop. 2013;84:184-90 pubmed publisher
    Type-II distal clavicle fractures according to the Neer classification are generally operated because of the high non-union rate after non-operative treatment...
  18. Lurie S, Wand S, Golan A, Sadan O. Risk factors for fractured clavicle in the newborn. J Obstet Gynaecol Res. 2011;37:1572-4 pubmed publisher
    To disclose potential risk factors for sustaining a fractured clavicle in the newborn.
  19. Ren K, Wu S, Shi X, Zhao J, Liu X. Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia. Arch Orthop Trauma Surg. 2012;132:883-9 pubmed publisher
    The aim of this study is to systematically review the published literature from East Asia on the clinical, pathological, and epidemiological characteristics of primary clavicle tumor and tumorous lesions.
  20. Andersen J, Willis M, Nelson R, Mighell M. Precontoured superior locked plating of distal clavicle fractures: a new strategy. Clin Orthop Relat Res. 2011;469:3344-50 pubmed publisher
    The ideal management of fractures of the distal third of the clavicle remains a topic of debate. Locked plating is a new treatment method but is not yet widely studied.
  21. Li Y, Shi S, Ou Yang Y, Liu T. Minimally invasive treatment for Neer IIb distal clavicle fractures with titanium cable. J Trauma. 2011;71:E37-40 pubmed publisher
    Neer IIB distal clavicle fracture is associated with disruption of the coracoclavicular ligament and a variable degree of displacement...
  22. Banerjee R, Waterman B, Padalecki J, Robertson W. Management of distal clavicle fractures. J Am Acad Orthop Surg. 2011;19:392-401 pubmed
    Most clavicle fractures heal without difficulty. However, radiographic nonunion after distal clavicle fracture has been reported in 10% to 44% of patients...
  23. Madsen W, Yaseen Z, Lafrance R, Chen T, Awad H, Maloney M, et al. Addition of a suture anchor for coracoclavicular fixation to a superior locking plate improves stability of type IIB distal clavicle fractures. Arthroscopy. 2013;29:998-1004 pubmed publisher
    The purpose of this study was to determine the effect of coracoclavicular (CC) fixation on biomechanical stability in type IIB distal clavicle fractures fixed with plate and screws.
  24. Singh R, Rambani R, Kanakaris N, Giannoudis P. A 2-year experience, management and outcome of 200 clavicle fractures. Injury. 2012;43:159-63 pubmed publisher
    b>Clavicle fractures can cause pain and functional impairment if not managed appropriately...
  25. Mirzatolooei F. Comparison between operative and nonoperative treatment methods in the management of comminuted fractures of the clavicle. Acta Orthop Traumatol Turc. 2011;45:34-40 pubmed publisher
    ..To evaluate the outcome and satisfaction of closed treatment versus open reduction and internal fixation in comminuted clavicular fractures...
  26. Vanbeek C, Boselli K, Cadet E, Ahmad C, Levine W. Precontoured plating of clavicle fractures: decreased hardware-related complications?. Clin Orthop Relat Res. 2011;469:3337-43 pubmed publisher
    Operative treatment of displaced midshaft clavicle fractures reportedly decreases the risk of symptomatic malunion, nonunion, and residual shoulder disability...
  27. Kulshrestha V, Roy T, Audige L. Operative versus nonoperative management of displaced midshaft clavicle fractures: a prospective cohort study. J Orthop Trauma. 2011;25:31-8 pubmed publisher
    To compare results of primary internal fixation of acute displaced midshaft clavicle fractures with those managed nonoperatively in terms of fracture union and functional outcome.
  28. Jou I, Chiang E, Lin C, Lin C, Wang P, Su W. Treatment of unstable distal clavicle fractures with Knowles pin. J Shoulder Elbow Surg. 2011;20:414-9 pubmed publisher
    Unstable distal clavicle fractures often need surgical treatment. This report describes a new intramedullary extra-articular Knowles pin fixation method to treat these unstable fractures.
  29. Eden L, Doht S, Frey S, Ziegler D, Stoyhe J, Fehske K, et al. Biomechanical comparison of the Locking Compression superior anterior clavicle plate with seven and ten hole reconstruction plates in midshaft clavicle fracture stabilisation. Int Orthop. 2012;36:2537-43 pubmed publisher
    The purpose of this study was to characterise the biomechanical properties of the seven hole superior anterior clavicle LCP (locking compression plate) and to compare these with the properties of commonly applied implants used for the ..
  30. Tan H, Zhao J, Qian C, Shi Y, Zhou Q. Clinical results of treatment using a clavicular hook plate versus a T-plate in neer type II distal clavicle fractures. Orthopedics. 2012;35:e1191-7 pubmed publisher
    ..T-plate fixation is another surgical method of treatment for unstable clavicle fractures, and its clinical efficacy has been demonstrated...
  31. Wijdicks F, Houwert M, Dijkgraaf M, de Lange D, Oosterhuis K, Clevers G, et al. Complications after plate fixation and elastic stable intramedullary nailing of dislocated midshaft clavicle fractures: a retrospective comparison. Int Orthop. 2012;36:2139-45 pubmed publisher
    The incidence of operative treatment of dislocated midshaft clavicle fractures (DMCF) is rising due to unsatisfactory results after non-operative treatment...
  32. Wijdicks F, van der Meijden O, Millett P, Verleisdonk E, Houwert R. Systematic review of the complications of plate fixation of clavicle fractures. Arch Orthop Trauma Surg. 2012;132:617-25 pubmed publisher
    The number of displaced midshaft clavicle fractures treated surgically is increasing and plate fixation is often the treatment modality of choice...
  33. McKee R, Whelan D, Schemitsch E, McKee M. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012;94:675-84 pubmed publisher
    ..have suggested benefits following primary operative fixation of substantially displaced midshaft fractures of the clavicle. We reviewed randomized clinical trials of operative versus nonoperative treatment of these fractures, and pooled ..
  34. Rijal L, Sagar G, Joshi A, Joshi K. Modified tension band for displaced type 2 lateral end clavicle fractures. Int Orthop. 2012;36:1417-22 pubmed publisher
    Displaced type 2 lateral end clavicle fractures have a tendency to delayed union or non-union. Various methods of stabilisation of the displaced lateral end fractures are described...
  35. Ding M, Hu J, Ni J, Lv H, Song D, Shu C. Iatrogenic subclavian arteriovenous fistula: rare complication of plate osteosynthesis of clavicle fracture. Orthopedics. 2012;35:e287-9 pubmed publisher
    ..subclavian arteriovenous fistula is rare and has not been reported as a complication of plate osteosynthesis of clavicle fracture...
  36. Liu Q, Miao J, Lin B, Lian K. Surgical treatment for unstable distal clavicle fracture with micromovable and anatomical acromioclavicular plate. Int J Med Sci. 2012;9:301-5 pubmed publisher
    Between 2006 and 2009, 18 patients of distal clavicle fracture were treated with micro-movable and anatomical acromioclavicular plate (MAAP) in our department...
  37. Hsu T, Hsu S, Chen H, Wang S. Comparison of hook plate and tension band wire in the treatment of distal clavicle fractures. Orthopedics. 2010;33:879 pubmed publisher
    Tension band wire and hook plating for the treatment of distal clavicle fractures are each associated with clinical benefits and complications...
  38. Tiren D, van Bemmel A, Swank D, van der Linden F. Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview. J Orthop Surg Res. 2012;7:2 pubmed publisher
    The clavicle hook plate achieves like most other operative techniques, a high percentage of union and a low percentage of complications however concerns about long term complications still exist, particularly the involvement of the ..
  39. Drosdowech D, Manwell S, Ferreira L, Goel D, Faber K, Johnson J. Biomechanical analysis of fixation of middle third fractures of the clavicle. J Orthop Trauma. 2011;25:39-43 pubmed publisher
    ..This biomechanical study compares four different techniques of fixation of middle third clavicular fractures...
  40. Seijas R, Santana Suarez R, Garcia Balletbo M, Cusco X, Ares O, Cugat R. Delayed union of the clavicle treated with plasma rich in growth factors. Acta Orthop Belg. 2010;76:689-93 pubmed
    Nonunion is an uncommon complication of fracture of the clavicle; it is usually treated surgically. The use of biological treatments in this type of condition is increasingly more common because of their ease of application...
  41. Bajuri M, Maidin S, Rauf A, Baharuddin M, Harjeet S. Functional outcomes of conservatively treated clavicle fractures. Clinics (Sao Paulo). 2011;66:635-9 pubmed
    The main aim of the study was to analyze the outcomes of clavicle fractures in adults treated non-surgically and to evaluate the clinical effects of displacement, fracture patterns, fracture location, fracture comminution, shortening and ..
  42. Namdari S, Ganley T, Baldwin K, Rendon Sampson N, Hosalkar H, Nikci V, et al. Fixation of displaced midshaft clavicle fractures in skeletally immature patients. J Pediatr Orthop. 2011;31:507-11 pubmed publisher
    There is ongoing debate in the adult literature regarding fixation of displaced, closed midshaft clavicle fractures. Functional outcomes of treatment of these fractures in skeletally immature patients have not been previously investigated.
  43. Quinn R, Drenga J. Case reports: concurrent bilateral nontraumatic fractures of the clavicle. Clin Orthop Relat Res. 2006;447:252-5 pubmed
    The differential diagnosis of a fractured clavicle includes acute traumatic fracture, stress fracture, pathologic fracture secondary to radiation exposure, neoplasm, infection, or metabolic bone disease, and fracture-like conditions such ..
  44. Russo R, Visconti V, Lorini S, Lombardi L. Displaced comminuted midshaft clavicle fractures: use of Mennen plate fixation system. J Trauma. 2007;63:951-4 pubmed
    ..However, it is often difficult stabilizing small fragments, and there are several complications. The aim of this study was to assess an alternative technique using a Mennen plate...
  45. Jubel A, Andermahr J, Schiffer G, Rehm K. [Technique of intramedullary osteosynthesis of the clavicle with elastic titanium nails]. Unfallchirurg. 2002;105:511-6 pubmed
    ..Surgery was performed in supine position. The ventral cortex of the proximal clavicle was opened using a 2.5 mm drill. The nail was advanced laterally under fluoroscopic control...
  46. Beall M, Ross M. Clavicle fracture in labor: risk factors and associated morbidities. J Perinatol. 2001;21:513-5 pubmed
    Neonatal clavicle fracture has been previously reported to occur in association with shoulder dystocia, suggesting liability on behalf of the obstetrician...
  47. Ruiz Santiago F, López Milena G, Chamorro Santos C, Tristán Fernández J. Levator claviculae muscle presenting as a hard clavicular mass: imaging study. Eur Radiol. 2001;11:2561-3 pubmed
    ..To our knowledge, this is the first report where the anomalous muscle shows this clinical presentation...
  48. Scadden J, Richards R. Intramedullary fixation of Neer type 2 fractures of the distal clavicle with an AO/ASIF screw. Injury. 2005;36:1172-5 pubmed
    Neer 2 fractures of the distal clavicle are notorious for their high rates of non-union and numerous methods of fixation are recommended...
  49. Kabak S, Halici M, Tuncel M, Avsarogullari L, Karaoglu S. Treatment of midclavicular nonunion: comparison of dynamic compression plating and low-contact dynamic compression plating techniques. J Shoulder Elbow Surg. 2004;13:396-403 pubmed
    ..001). The addition of internal fixation of the clavicle with DCP or LC-DCP to application of autogenous corticocancellous chips, or sculptured graft on nonunion areas in ..
  50. ElMaraghy A, Devereaux M, Ravichandiran K, Agur A. Subacromial morphometric assessment of the clavicle hook plate. Injury. 2010;41:613-9 pubmed publisher
    b>Clavicle hook plates are an effective plate fixation alternative for distal clavicle fractures and severe acromioclavicular joint dislocations...
  51. Wang S, Wong C. Extra-articular knowles pin fixation for unstable distal clavicle fractures. J Trauma. 2008;64:1522-7 pubmed publisher
    Unstable distal clavicle fractures may benefit from surgical treatment. This report described a new method with transacromial extra-articular Knowles pin fixation to treat these unstable fractures...
  52. Verborgt O, Pittoors K, Van Glabbeek F, Declercq G, Nuyts R, Somville J. Plate fixation of middle-third fractures of the clavicle in the semi-professional athlete. Acta Orthop Belg. 2005;71:17-21 pubmed
    ..bike racers, soccer players, swimmers and cyclists) with a displaced fracture of the middle-third of the clavicle were treated operatively using rigid plate fixation within one week after the initial trauma...
  53. Rosenheimer J, Loewy J, Lozanoff S. Levator claviculae muscle discovered during physical examination for cervical lymphadenopathy. Clin Anat. 2000;13:298-301 pubmed
    ..The mass was unilateral and easily palpable along the superior border near the median aspect of the clavicle. Plain film radiography, performed to determine whether the mass represented an enlarged jugulo-omohyoid lymph ..