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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 10/2017

01-10-2017 | Shoulder

Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle

Authors: Marc Beirer, Michael Zyskowski, Moritz Crönlein, Dominik Pförringer, Marcus Schmitt-Sody, Gunther Sandmann, Stefan Huber-Wagner, Peter Biberthaler, Chlodwig Kirchhoff

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 10/2017

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Abstract

Purpose

To detect concomitant intra-articular glenohumeral injuries, in acute displaced fractures of the lateral clavicle, initially missed due to unfeasible clinical evaluation of the acutely injured shoulder.

Methods

All patients suffering from an acute displaced lateral clavicle fracture with indication to surgical treatment underwent diagnostic shoulder arthroscopy prior to open reduction and internal fixation. In case of therapy-relevant intra-articular glenohumeral injuries, subsequent surgical treatment was performed.

Results

Intra-articular injuries were found in 13 of 28 patients (46.4 %) with initially suspected isolated lateral clavicle fracture. Additional surgical treatment was performed in 8 of 28 cases (28.6 %). Superior labral anterior-posterior (SLAP) lesions were observed in 4 of 28 patients (14.3 %; SLAP II a: 1; II b: 1; III: 1; and IV: 1). Lesions of the pulley system were found in 3 of 28 patients (10.7 %; Habermeyer III°). One partial articular supraspinatus tendon avulsion lesion (3.6 %) and one lesion of the subscapularis tendon (3.6 %; Fox and Romeo II°) were observed.

Conclusions

Traumatic concomitant glenohumeral injuries in lateral clavicle fractures seem to be more frequent than expected in general. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce complication rate.

Level of evidence

IV.
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Metadata
Title
Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle
Authors
Marc Beirer
Michael Zyskowski
Moritz Crönlein
Dominik Pförringer
Marcus Schmitt-Sody
Gunther Sandmann
Stefan Huber-Wagner
Peter Biberthaler
Chlodwig Kirchhoff
Publication date
01-10-2017
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 10/2017
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3875-2

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