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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2021

Open Access 01-12-2021 | Clavicle Fracture | Research article

Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures

Authors: Markus Wurm, Sebastian Siebenlist, Michael Zyskowski, Patrick Pflüger, Peter Biberthaler, Marc Beirer, Chlodwig Kirchhoff

Published in: BMC Musculoskeletal Disorders | Issue 1/2021

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Abstract

Background

Treatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures.

Methods

Patients who presented with a displaced fracture of the medial clavicle between September 2012 and December 2019 were retrospectively enrolled in this study. All patients were operatively treated with open reduction and internal fixation (ORIF) using an anatomically precontoured locking compression plate (LCP) originally designed for the lateral clavicle (Synthes®, Umkirch, Germany). Functional outcome was recorded using the American Shoulder and Elbow Surgeons (ASES) Score, the Munich Shoulder Questionnaire (MSQ), Shoulder Pain and Disability Index (SPADI) and Constant Score.

Results

Overall 18 patients with a mean age of 54.5 ± 23.5 years suffering from a displaced fracture of the medial clavicle were identified. The mean follow-up was 40.9 ± 26.2 months. The mean ASES accounted for 88.3 ± 20.8 points, the mean MSQ was 83.1 ± 21.7 points, the mean SPADI was 85.6 ± 22.5 and a mean normative age- and sex-specific Constant Score of 77.5 ± 19.1 points resulted. No minor or major complications were observed. Radiologic fracture consolidation was achieved in all patients after a mean of 6.4 months.

Conclusion

Surgical treatment of displaced medial clavicle fractures using an anatomically precontoured locking plate originally designed for the lateral clavicle led to very good to excellent clinical and functional results.

Trial registration

No: DRKS00024813, retrospectively registered 19.03.2021 (www.​drks.​de).
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Metadata
Title
Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures
Authors
Markus Wurm
Sebastian Siebenlist
Michael Zyskowski
Patrick Pflüger
Peter Biberthaler
Marc Beirer
Chlodwig Kirchhoff
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2021
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-021-04775-8

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