Zhao XL, Liu YQ, Wang JG, Liu YC, Zhou JX, Wang BY, Zhang YJ. Distal clavicle fractures treated by anteroinferior plating with a single screw: Two case reports. World J Clin Cases 2023; 11(30): 7502-7507 [PMID: 37969449 DOI: 10.12998/wjcc.v11.i30.7502]
Corresponding Author of This Article
Yi-Jun Zhang, MM, Chief Doctor, Full Professor, Department of Orthopaedic Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, No. 41 Linyin Road, Kundulun District, Baotou 014010, Inner Mongolia Autonomous Region, China. 18047211187@189.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Xin-Lei Zhao, Yan-Qing Liu, Jian-Guo Wang, You-Cai Liu, Jia-Xuan Zhou, Bei-Yu Wang, Yi-Jun Zhang, Department of Orthopaedic Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, Baotou 014010, Inner Mongolia Autonomous Region, China
Author contributions: Zhao XL and Zhang YJ contributed to manuscript writing and editing, and data collection; Zhang YJ was responsible for the case report's overall organization; Liu YQ, Wang JG, and Liu YC were involved in helping to critically revise the manuscript for important intellectual content and have given final approval of the version to be published; Zhou JX and Wang BY procured the radiograph images, and labeled them; all authors have read and approved the final manuscript.
Supported byScience Foundation Project of Baotou Medical College, No. BYJJ-YF-2018006.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors declare that there are no competing interests in this study.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yi-Jun Zhang, MM, Chief Doctor, Full Professor, Department of Orthopaedic Surgery, The First Affiliated Hospital of Baotou Medical College, Inner Mongolia University of Science and Technology, No. 41 Linyin Road, Kundulun District, Baotou 014010, Inner Mongolia Autonomous Region, China. 18047211187@189.cn
Received: September 17, 2023 Peer-review started: September 17, 2023 First decision: September 28, 2023 Revised: October 8, 2023 Accepted: October 11, 2023 Article in press: October 11, 2023 Published online: October 26, 2023 Processing time: 37 Days and 14.5 Hours
Abstract
BACKGROUND
For the treatment of distal clavicle fractures, each treatment method has its own advantages and disadvantages, and there is no optimal surgical solution.
CASE SUMMARY
Based on this, we report 2 cases of distal clavicle fractures treated utilizing an anterior inferior plate with a single screw placed in the distal, in anticipation of providing a better surgical approach to distal clavicle fracture treatment. Two patients were admitted to the hospital after trauma with a diagnosis of distal clavicle fracture, and were admitted to the hospital for internal fixation of clavicle fracture by incision and reduction, with good postoperative functional recovery.
CONCLUSION
With solid postoperative fixation and satisfactory prognostic functional recovery, this technique has been shown to be simple, easy to perform and effective.
Core Tip: Distal clavicle fractures account for about 12%-21% of all clavicular fractures and about 25% of distal clavicle fractures are unstable. For conservative treatment of distal clavicle fractures, complications including high incidence of nonunion, abnormal appearance and dysfunction are likely to ensue. Thus, surgical treatment is recommended by scholars. So far, none of the treatment methods has been proven to be the best. Here, we report 2 cases of distal clavicular fractures successfully treated by anteroinferior plating with a single screw placed at the distal fragment. This technique has been shown to be simple, easy to operate and effective, which has not been reported previously as far as we are aware.
