Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process
Background. Displaced distal clavicular fractures are generally operated on because of the high nonunion rate after nonoperative treatment. Several surgical techniques have been developed to reduce the nonunion rate and improve functional outcomes. One of them is closed reduction and minimally invas...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2019/6506951 |
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| author | Rodrigo Nicolás Brandariz Maria Guillermina Bruchmann Franco Luis De Cicco Luciano Andres Rossi Ignacio Tanoira Maximiliano Ranalletta |
| author_facet | Rodrigo Nicolás Brandariz Maria Guillermina Bruchmann Franco Luis De Cicco Luciano Andres Rossi Ignacio Tanoira Maximiliano Ranalletta |
| author_sort | Rodrigo Nicolás Brandariz |
| collection | DOAJ |
| description | Background. Displaced distal clavicular fractures are generally operated on because of the high nonunion rate after nonoperative treatment. Several surgical techniques have been developed to reduce the nonunion rate and improve functional outcomes. One of them is closed reduction and minimally invasive coracoclavicular double-button fixation, which requires the integrity of the coracoid process to be performed. Case Summary. We present a 35-year-old male patient who had been successfully subjected to a modified Latarjet procedure for glenohumeral instability with bony defect treatment, and 7 months later suffered a distal clavicle fracture in his ipsilateral shoulder. With a CT scan, we analyzed the coracoid remnant size (7 mm), and we consider it enough to perform a minimally invasive double-button technique, using this remnant as a distal fixation. Postoperative and Follow-Up. Radiographic and clinical fracture union occurred 10 weeks after the procedure. The patient returned to sports at the same level he had before surgery and achieved full strength and range of motion. Conclusion. Closed reduction and minimally invasive double-button fixation of displaced distal clavicular fractures is a safe, reproducible, and versatile technique, which can even be performed without an intact coracoid process. |
| format | Article |
| id | doaj-art-0b2a5181ea6b4baa9b67b8987030fbf7 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-0b2a5181ea6b4baa9b67b8987030fbf72025-08-20T03:54:28ZengWileyCase Reports in Orthopedics2090-67492090-67572019-01-01201910.1155/2019/65069516506951Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid ProcessRodrigo Nicolás Brandariz0Maria Guillermina Bruchmann1Franco Luis De Cicco2Luciano Andres Rossi3Ignacio Tanoira4Maximiliano Ranalletta5Department of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaDepartment of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaDepartment of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaDepartment of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaDepartment of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaDepartment of Trauma and Orthopaedics, “Carlos E. Ottolenghi” Institute, Hospital Italiano de Buenos Aires, Juan D. Perón 4190 (C1181ACH), Buenos Aires, ArgentinaBackground. Displaced distal clavicular fractures are generally operated on because of the high nonunion rate after nonoperative treatment. Several surgical techniques have been developed to reduce the nonunion rate and improve functional outcomes. One of them is closed reduction and minimally invasive coracoclavicular double-button fixation, which requires the integrity of the coracoid process to be performed. Case Summary. We present a 35-year-old male patient who had been successfully subjected to a modified Latarjet procedure for glenohumeral instability with bony defect treatment, and 7 months later suffered a distal clavicle fracture in his ipsilateral shoulder. With a CT scan, we analyzed the coracoid remnant size (7 mm), and we consider it enough to perform a minimally invasive double-button technique, using this remnant as a distal fixation. Postoperative and Follow-Up. Radiographic and clinical fracture union occurred 10 weeks after the procedure. The patient returned to sports at the same level he had before surgery and achieved full strength and range of motion. Conclusion. Closed reduction and minimally invasive double-button fixation of displaced distal clavicular fractures is a safe, reproducible, and versatile technique, which can even be performed without an intact coracoid process.http://dx.doi.org/10.1155/2019/6506951 |
| spellingShingle | Rodrigo Nicolás Brandariz Maria Guillermina Bruchmann Franco Luis De Cicco Luciano Andres Rossi Ignacio Tanoira Maximiliano Ranalletta Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process Case Reports in Orthopedics |
| title | Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process |
| title_full | Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process |
| title_fullStr | Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process |
| title_full_unstemmed | Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process |
| title_short | Coracoclavicular Double-Button Fixation of Displaced Lateral Clavicular Fracture in a Patient without Coracoid Process |
| title_sort | coracoclavicular double button fixation of displaced lateral clavicular fracture in a patient without coracoid process |
| url | http://dx.doi.org/10.1155/2019/6506951 |
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