scholarly journals Clavicle hook plate technique and its functional results in the treatment of acromioclavicular joint dislocation

2015 ◽  
Vol 5 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Mehmet Ali Baran ◽  
Yaşar Mahsut Dinçel ◽  
Ozan Beytemür ◽  
Sever Çağlar ◽  
Oktay Adanır ◽  
...  
2020 ◽  
Vol 34 (1) ◽  
pp. e20-e25 ◽  
Author(s):  
Sravya P. Vajapey ◽  
Matthew R. Bong ◽  
Richard D. Peindl ◽  
Michael J. Bosse ◽  
Thuan V. Ly

Injury ◽  
2011 ◽  
Vol 42 ◽  
pp. S1
Author(s):  
M. Terra ◽  
P.H.A.F. Nagel ◽  
A. Noor ◽  
G.F. Giannakopoulos ◽  
W.P. Zuidema

2019 ◽  
Vol 09 (04) ◽  
pp. 101-111
Author(s):  
Hironari Tamiya ◽  
Shusaku Umemoto ◽  
Yasuyoshi Akimoto ◽  
Takayuki Kyo ◽  
Kazushige Gamo ◽  
...  

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Qi Sun ◽  
Ming Cai ◽  
Xiaoming Wu

Abstract Background Os acromiale can be potentially missed or misdiagnosed as acromion fracture, and this can affect treatment determination if it is complicated with an ipsilateral shoulder injury. The clavicle hook plate is a widely used technique for distal clavicle injuries, leading to transacromial erosion, particularly when in the presence of os acromiale. Case presentation A 70-year-old man and a 78-year-old man who had limited mobility and severe pain in their right shoulders following falls attended the emergency center. Both patients were diagnosed with os acromiale with CT or MRI and acute distal clavicle fracture or acromioclavicular joint dislocation. Following a comprehensive evaluation, os acromiale may limit the application of a clavicle hook plate due to potential transacromial erosion. The distal clavicle fracture with ipsilateral os acromiale received treatment with a volar radius locking T plate, and the acromioclavicular joint dislocation with ipsilateral os acromiale was reconstructed using suture anchors. Both yielded satisfactory outcomes and voided transacromial erosion. Conclusions Ipsilateral os acromiale may be a relative contraindication to the clavicle hook plate. An axillary lateral radiograph is recommended to detect potential os acromiale in patients using a hook plate.


2019 ◽  
Vol 158 (02) ◽  
pp. 221-226
Author(s):  
Xuhua Wu ◽  
Gang Wang ◽  
Ke Rong ◽  
Qingquan Xia ◽  
Minfeng Gan ◽  
...  

Abstract Objective To introduce a new technique using real-size 3D-printed acromioclavicular joint models as preoperative tools for treating acromioclavicular (AC) joint dislocation. Methods Both the injured AC joint and the mirrored normal side AC joint are 3D printed into real-size models. A proper hook plate is selected and pre-bended to fit the normal side AC joint. The bended plate is then used to perform a reduction operation on a real-size injured AC joint model and the result is compared with the mirrored normal AC joint model to see if the reduction is accurate. Results It is easy to select and bend a clavicle hook plate to achieve an accurate reduction with the help of a 3D printing technique. Conclusion With this technique, surgeons can achieve an accurate reduction of the injured AC joint with a clavicle hook plate which might be helpful to reduce the risk of complications.


2020 ◽  
Author(s):  
ding xu ◽  
Peng Luo ◽  
Yulong Shi ◽  
Weikang Wang ◽  
Weijun Guo ◽  
...  

Abstract Background The purpose of this study was to research the effect of different hook depths on the efficacy and complications of AC dislocation treatment with hook plate, and to provide valuable reference for clinical treatment.Method We retrospectively analyzed the prospectively collected data from 305 consecutive patients with AC joint dislocation between April 2013 and May 2017 at our institute. We defined〝hook tip depth〞as the position of the hook tip relative to the acromion at the coronal plane. According to the division where the tip of the hook was located, the cases were divided into Group A, Group B, Group C, and D group. All patients were required to conform to regular follow up postoperatively. Dislocation and implant maintenance are assessed by routine shoulder imaging. Functional results were evaluated using Constant-Murley criteria.Results A total of 305 cases were included in follow-up and 27 cases were lost. We used Constant-Murley criteria to evaluate functional results. The score of Group B was significantly higher than group A and group C (P<0.01). For evaluation of acromioclavicular joint reduction, we used CCD in imaging to evaluate. There was significant difference between the three groups. Joint reduction was obtained in all patients. Postoperative infection and hardware failure did not present. There were no fractures of acromion and coracoids process. There were 83 cases of shoulder pain, 93 cases of SIS and 124 cases of subacromial erosion. The incidence of complications in group A was significantly higher than group B and group C.Conclusions The relative position of the hook tip and acromion can significantly affect the efficacy and complications of the clavicular hook plate in the treatment of acromioclavicular joint dislocation. During surgery, we should control the depth of hook tip and try our best to put the tip of the hook into the area of group B to achieve an ideal postoperative effect and avoid the occurrence of various complications.


2012 ◽  
Vol 37 (1) ◽  
pp. 77-82 ◽  
Author(s):  
Justus Gille ◽  
Gerhard Heinrichs ◽  
Andreas Unger ◽  
Helge Riepenhof ◽  
Jan Herzog ◽  
...  

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