Linked Life Data

9132949

Source:http://linkedlifedata.com/resource/pubmed/id/9132949

Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
1
pubmed:dateCreated
1997-4-30
pubmed:abstractText
Fractures of the distal third of the clavicle tend to develop delayed union or nonunion when treated conservatively. Correct diagnosis of fracture instability and/or associated lesions of the ligamentous structures of the acromioclavicular joint is mandatory for adequate fracture treatment. When classical radiographs fail to demonstrate instability, stress roentgenographs of both shoulders are indicated. From 1985 to 1994, 66 adult patients with a fracture of the distal clavicle were treated at our institution. Fracture classification was performed according to Jäger/Breitner. Fractures were unstable in 36 cases (54.5%). An associated lesion of the acromioclavicular joint was present in 8 patients presenting with an unstable fracture. Fracture instability was due to an associated fracture of the coracoid process in two cases. Stable fractures were treated conservatively. Thirty-three unstable fractures were treated surgically. Plate fixation was performed when at least three screws could be placed in the distal fragment. When the distal fragment was small or associated with acromioclavicular joint involvement, it was stabilized by PDS banding of the clavicle to the coracoid process and reconstruction of the ligaments. Results were evaluated retrospectively by questionnaire, clinically and by radiological examination. Fifty patients (76%) were reexamined. The outcome was good or excellent in 96% of unstable fractures that had been treated surgically. Results after conservative treatment of unstable fractures (n = 3) were poor. Conservative treatment of stable fractures resulted in all cases in a good-to-excellent result. For fractures of the distal clavicle, good results can be achieved when the instability is recognized and adequately treated. The association of a distal clavicular fracture and an acromioclavicular ligament disruption should be added as a separate subtype in the existing classification of distal clavicular fractures. PDS banding is a valuable alternative for fractures with small peripheral fragment or associated acromioclavicular disruption.
pubmed:language
ger
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jan
pubmed:issn
0177-5537
pubmed:author
pubmed:issnType
Print
pubmed:volume
100
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
17-23
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1997
pubmed:articleTitle
[Therapy and outcome of lateral clavicular fractures].
pubmed:affiliation
Klinik für Unfallchirurgie, Marburg a. d. Lahn.
pubmed:publicationType
Journal Article, English Abstract