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Diseases of the Peripheral Nerve and Mononeuropathies
Published in Philip B. Gorelick, Fernando D. Testai, Graeme J. Hankey, Joanna M. Wardlaw, Hankey's Clinical Neurology, 2020
Diana Mnatsakanova, Charles K. Abrams
Trauma: Fractures or dislocations of the shoulder.Clavicle fracture.
Clavicle fractures
Published in Charles M Court-Brown, Margaret M McQueen, Marc F Swiontkowski, David Ring, Susan M Friedman, Andrew D Duckworth, Musculoskeletal Trauma in the Elderly, 2016
Patrick D.G. Henry, Michael D. McKee
Non-operative management remains the mainstay of treatment for all non-displaced or minimally displaced fractures of both the midshaft and distal clavicle in elderly patients. The decision of when to consider surgery is complex and discussed below, although even displaced fractures may be successfully managed non-surgically in the elderly. Several points should be considered that are unique to the elderly patient with a clavicle fracture being treated non-operatively.
İpsilateral clavicle and humerus diaphysis fractures in newborn after vaginal delivery; a very rare case report
Published in Journal of Obstetrics and Gynaecology, 2022
Metin Celik, Emre Arikan, Sevil Eraslan, Songul Celik Tastan
The risk of clavicle fracture among all deliveries is 0.2–3.5% (Beall and Ross 2001). Neonatal clavicle fractures are mostly in the form of greenstick fracture. Generally, it is diagnosed as a result of x-rays taken due to palpable callus tissue within 7–10 days. Therefore, most diagnoses are recognised at discharge or at the first check-up (Joseph and Rosenfeld 1990). Clavicle fractures are difficult to diagnose as they are commonly confused with brachial plexus palsy, congenital clavicle pseudoarthrosis, and congenital torticollis (Tachdjian 2002). In the study by Lurie S. et al., There is no significant predictable risk factor to avoid clavicle fractures (Lurie et al. 2011). Both cavicular and humerus fractures often heal without any deformity after simple immobilisation (Sherr-Lurie et al. 2011).
Growth of Cutibacterium acnes is common on osteosynthesis material of the shoulder in patients without signs of infection
Published in Acta Orthopaedica, 2018
Anna Both, Till O Klatte, Andreas Lübke, Henning Büttner, Maximilian J Hartel, Lars G Grossterlinden, Holger Rohde
Patients in the clavicle group (n = 34) had suffered a closed clavicle fracture or a closed dislocation of the acromioclavicular (AC) joint due to trauma. In case of a lateral clavicle fracture (n = 7) or dislocation of the AC joint (n = 12), open reduction and fixation with a hook plate was performed. To avoid any complication due to the design of this plate routine removal was considered necessary after 4 months in the case of AC joint dislocation and after 6 months in the case of a lateral clavicle fracture. The other clavicle fractures (n = 15) were treated by open reduction and internal fixation with a standard plate.
Surgical treatment, complications, and reimbursement among patients with clavicle fracture and acromioclavicular dislocations: a US retrospective claims database analysis
Published in Journal of Medical Economics, 2019
Matthew Putnam, Mollie Vanderkarr, Piyush Nandwani, Chantal E. Holy, Abhishek S. Chitnis
Among the 95,243 patients with a clavicle fracture, 14,454 (15.2%) received surgical treatment. Of these 15.2% patients with surgical treatment, most received plates, screws, and pins for their surgery (98.2%). Among the 52,100 patients with AC dislocation, 2,780 (5.3%) received surgical treatment. Of these 5.3% patients with surgical treatment, most received tensioning tie fixation for their surgery (39.0%; Figure 1).