New surgical approach for distal clavicle fractures: A case report

Abstract

BACKGROUND

Clavicle fractures are a common type of fracture that often occurs after high-energy trauma. The treatment methods for clavicle fractures remain controversial. Both locking compression and hook plates are recommended.

CASE SUMMARY

A 44-year-old male suffered an injury during skiing. Radiography revealed a right-sided distal clavicular fracture. The fracture was treated using a hook plate due to its small size. During the surgical procedure, Kirschner wires were used to drill holes in the acromion. The end of the hook plate was inserted into the hole rather than below the edge of the acromion.

CONCLUSION

One year later, imaging revealed complete healing of the fracture, and the hook plate was removed. The patient was satisfied with the course and treatment results. Additionally, a new classification system was proposed based on the degree of injury to the distal clavicle joint surface. The incidence of postoperative complications associated with the use of hook plates for clavicular fracture treatment is relatively high. Complications can be reduced by changing the hook plate placement.

Keywords: Clavicle; Distal clavicle fracture; Hook plate; Complications; Classification; Classification system; Case report

Core Tip: Based on the original Operation Method, the new operation method drilled the acromion to reduce the complications of hook plate. We present a classification of distal clavicular fractures based on the distal clavicular articular surface.