Journal Logo

Institutional members access full text with Ovid®

Operative Treatment of Neer Type-II Distal Clavicular Fractures

An Overview of Contemporary Techniques

Hohmann, Erik, MBBS, FRCS, FRCS(Tr&Orth), MD, PhD1,2; Tetsworth, Kevin, MD, FRACS3,4,5,6; Glatt, Vaida, PhD6,7

doi: 10.2106/JBJS.RVW.18.00046
Review Articles
Buy
Disclosures

  • » Deforming forces make it difficult to reduce and maintain reduction of Neer type-II distal clavicular fractures.
  • » Contemporary surgical techniques are associated with high rates of union and good and excellent outcomes.
  • » Plate fixation of distal clavicular fractures does not address horizontal and vertical instability.
  • » Hook-plate fixation has the highest complication rate.
  • » Augmentation of the coracoclavicular ligament is recommended to neutralize the opposing forces.

1Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa

2Department of Orthopaedic Surgery and Sports Medicine, Valiant Clinic/Houston Methodist Group, Dubai, United Arab Emirates

3Department of Orthopaedic Surgery, Royal Brisbane Hospital, Herston, Queensland, Australia

4Department of Surgery, School of Medicine, University of Queensland, Herston, Queensland, Australia

5Queensland University of Technology, Brisbane, Queensland, Australia

6Orthopaedic Research Centre of Australia, Herston, Brisbane, Queensland, Australia

7University of Texas Health Science Center at San Antonio, San Antonio, Texas

E-mail address for E. Hohmann: ehohmann@houstonmethodist.org

Investigation performed at the Department of Orthopaedic Surgery and Sports Medicine, Valiant Clinic/Houston Methodist Group, Dubai, United Arab Emirates

Disclosure: No external funds were received in support of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A433).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: