Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report
Distal clavicle nonunion is a relatively common complication of unstable, displaced distal clavicle fractures; however, its standard surgical procedure has not been fully established. We describe a case of symptomatic nonunion of a distal clavicle fracture with a very small distal bone fragment that...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644023002005 |
| _version_ | 1797405358500610048 |
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| author | Yuya Yokoyama Ryogo Furuhata Atsuhi Tanji Shota Fujita |
| author_facet | Yuya Yokoyama Ryogo Furuhata Atsuhi Tanji Shota Fujita |
| author_sort | Yuya Yokoyama |
| collection | DOAJ |
| description | Distal clavicle nonunion is a relatively common complication of unstable, displaced distal clavicle fractures; however, its standard surgical procedure has not been fully established. We describe a case of symptomatic nonunion of a distal clavicle fracture with a very small distal bone fragment that was treated with a scorpion plate. A 63-year-old man presented with left shoulder pain after a bicycle fall 5 months earlier. Plain radiographs and computed tomography revealed atrophic nonunion of the distal clavicle with a small distal bone fragment measuring 12 mm in length. Shoulder pain interfered with his work and daily life; therefore, we scheduled surgery. After releasing the nonunion site, cancellous bone was grafted from the iliac crest. We placed a scorpion plate with two grasping arms that fixed the distal clavicular fragment without straddling the acromioclavicular joint. One year postoperatively, his pain subsided, and bone union was confirmed. Our case presents a surgical procedure for treating the nonunion of distal clavicle fractures using a scorpion plate and an autologous bone graft. This procedure is especially beneficial for cases with small distal bone fragments, because the grasping arms of the scorpion plate allow secure fixation of the distal bone fragment and bone graft without further fragmentation. |
| first_indexed | 2024-03-09T03:08:49Z |
| format | Article |
| id | doaj.art-3393f5806e0445ac8f280ef291a1fcd7 |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-03-09T03:08:49Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-3393f5806e0445ac8f280ef291a1fcd72023-12-04T05:23:18ZengElsevierTrauma Case Reports2352-64402023-12-0148100953Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case reportYuya Yokoyama0Ryogo Furuhata1Atsuhi Tanji2Shota Fujita3Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi, JapanCorresponding author at: Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital, 284-1 Yobe-cho, Ashikaga 326-0843, Tochigi, Japan.; Department of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi, JapanDepartment of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi, JapanDepartment of Orthopaedic Surgery, Ashikaga Red Cross Hospital, Ashikaga-shi, Tochigi, JapanDistal clavicle nonunion is a relatively common complication of unstable, displaced distal clavicle fractures; however, its standard surgical procedure has not been fully established. We describe a case of symptomatic nonunion of a distal clavicle fracture with a very small distal bone fragment that was treated with a scorpion plate. A 63-year-old man presented with left shoulder pain after a bicycle fall 5 months earlier. Plain radiographs and computed tomography revealed atrophic nonunion of the distal clavicle with a small distal bone fragment measuring 12 mm in length. Shoulder pain interfered with his work and daily life; therefore, we scheduled surgery. After releasing the nonunion site, cancellous bone was grafted from the iliac crest. We placed a scorpion plate with two grasping arms that fixed the distal clavicular fragment without straddling the acromioclavicular joint. One year postoperatively, his pain subsided, and bone union was confirmed. Our case presents a surgical procedure for treating the nonunion of distal clavicle fractures using a scorpion plate and an autologous bone graft. This procedure is especially beneficial for cases with small distal bone fragments, because the grasping arms of the scorpion plate allow secure fixation of the distal bone fragment and bone graft without further fragmentation.http://www.sciencedirect.com/science/article/pii/S2352644023002005NonunionDistal clavicle fractureScorpion plateBone graft |
| spellingShingle | Yuya Yokoyama Ryogo Furuhata Atsuhi Tanji Shota Fujita Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report Trauma Case Reports Nonunion Distal clavicle fracture Scorpion plate Bone graft |
| title | Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report |
| title_full | Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report |
| title_fullStr | Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report |
| title_full_unstemmed | Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report |
| title_short | Osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment: A case report |
| title_sort | osteosynthesis using scorpion plate for nonunion of distal clavicle fracture with small distal bone fragment a case report |
| topic | Nonunion Distal clavicle fracture Scorpion plate Bone graft |
| url | http://www.sciencedirect.com/science/article/pii/S2352644023002005 |
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