Article
Medicine, General & Internal
Markus Wurm, Michael Zyskowski, Sebastian Pesch, Peter Biberthaler, Chlodwig Kirchhoff, Marc Beirer
Summary: Surgical treatment of unstable lateral clavicle fractures with locking compression plating and coracoclavicular fixation using a knotless Dogbone (TM) technique results in good to excellent functional outcomes, high and fast return to sport rate, and lower irritation rates when compared to the knotted DogBone (TM) technique.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Orthopedics
Stephen Fahy, Tiarnan Doinn, Nina Peters, Jennifer Pugh, Ciara Fox, Patrick Kenny
Summary: This study reports on the time lost from injury and functional recovery after surgical fixation of midshaft clavicle fractures in professional jockeys. The findings suggest that plate fixation is effective and safe in the setting of professional horse racing, with 95% of patients able to return to competition within 14 weeks. The study also suggests the potential for more aggressive rehabilitation postoperatively to facilitate a quicker return to competition.
CLINICAL JOURNAL OF SPORT MEDICINE
(2023)
Article
Medicine, General & Internal
Peter Harimtepathip, George Puneky, Justin Lomax, Cory Bryan
Summary: A 12-year-old Caucasian boy suffered a displaced, segmental left clavicle fracture after falling from a zip line. He was treated conservatively and achieved a good outcome with no limitations in shoulder function after one year. Though there are no established guidelines for surgical treatment of segmental clavicle fractures in adolescents, this case demonstrates successful conservative therapy.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2023)
Article
Orthopedics
Dafang Zhang, Benton E. Heyworth, Elizabeth S. Liotta, Katelyn A. Hergott, Brandon E. Earp
Summary: The study aimed to identify differences in treatment approaches between adult and pediatric hospitals for isolated, displaced midshaft clavicle fractures in adolescents aged 15-18. Factors associated with surgical treatment in this age group were also examined. Results revealed that superior-inferior fracture displacement, dominant upper extremity injury, and treatment at an adult hospital were independently associated with surgical treatment for adolescent patients with displaced midshaft clavicle fractures.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Review
Orthopedics
Evan W. James, Brody J. Dawkins, Jonathan M. Schachne, Theodore J. Ganley, Mininder S. Kocher, Peter D. Fabricant
Summary: For pediatric and adolescent ACL injuries, early reconstruction reduces the risk of meniscal tears, while any operative management decreases the risk of meniscal tears and cartilage injuries, improves knee stability, and enhances return-to-sport rates. Nonoperative management leads to high rates of residual knee instability, increased risk of meniscal tears, and lower return to sports rates.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2021)
Article
Critical Care Medicine
Anthony M. Padgett, Timothy W. Torrez, Ezan A. Kothari, Michael J. Conklin, Kevin A. Williams, Shawn R. Gilbert, Philip Ashley
Summary: This study aimed to investigate whether Gustilo-Anderson type I tibia fractures can be safely treated nonoperatively. A retrospective review found that in a small group of children treated with bedside debridement and antibiotics, no infections occurred, and similar rates of non-infectious complications were observed compared to operative debridement.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Pediatrics
Lisa van der Water, Arno A. Macken, Denise Eygendaal, Christiaan J. A. van Bergen
Summary: Clavicle fractures and congenital pseudarthrosis are two common conditions affecting the clavicle. Although they may present with similar symptoms, there are clear differences. Clavicle fractures are often caused by trauma, while pseudarthrosis typically presents as a painless protuberance. Plain radiography can be used to diagnose both conditions. Conservative treatment is generally successful for both clavicle fractures and congenital pseudarthrosis.
Article
Orthopedics
Susan L. Keays, Daniel B. Mellifont, Anthony C. Keays, Max C. Stuelcken, Dale I. Lovell, Mark G. L. Sayers
Summary: This study aims to compare long-term sports participation after ACL reconstruction and nonreconstruction. The results show that patients who underwent reconstruction returned to competitive pivoting sports at a higher rate compared to those who were treated nonoperatively. Regardless of the treatment received, the level of sports participation correlated with modifiable factors such as strength and stability.
AMERICAN JOURNAL OF SPORTS MEDICINE
(2022)
Article
Orthopedics
Zoe Brown, Michael Perry, Amy W. Wozniak, Teresa Cappello
Summary: By utilizing a standardized protocol, the study achieved a reduction in radiation exposure in pediatric patients with nonoperatively managed clavicle and metatarsal fractures. This not only protects individuals from adverse side effects but also offers various public health benefits in terms of reduction in expenditures.
JOURNAL OF PEDIATRIC ORTHOPAEDICS
(2021)
Article
Orthopedics
Saygin Kamaci, Laura Bess, Georgina Glogovac, Angelo J. Colosimo
Summary: Surgical treatment with anatomical plates for mid-shaft clavicle fractures in adolescent contact sport athletes provides excellent functional and cosmetic outcomes, allowing for a rapid return to sports.
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
(2022)
Article
Medicine, Research & Experimental
Sebastian Pesch, Frederik Greve, Michael Zyskowski, Michael Mueller, Moritz Croenlein, Peter Biberthaler, Chlodwig Kirchhoff, Markus Wurm
Summary: This retrospective study examined the functional outcomes and time to return to sports in 39 patients who underwent ORIF for patella fractures. The results showed a high return to sports rate of 90.3%, but only 51.6% of patients were able to perform sports at their pre-injury level or above.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2023)
Article
Medicine, General & Internal
Wojciech Pepke, Abhilash Madathinakam, Tom Bruckner, Tobias Renkawitz, Stefan Hemmer, Michael Akbar
Summary: This study examined when adolescent idiopathic scoliosis patients return to athletic activities after surgical spinal correction and if they change their activities. The results showed that on average, it took 8 months of postoperative rest for patients to return to sport activities. Furthermore, there was an increase in the proportion of patients participating in sport activities postoperatively, with a shift from contact sports to non-contact sports.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Sport Sciences
Adam Kwapisz, Ellen Shanley, Amit M. Momaya, Chris Young, Michael J. Kissenberth, Stefan J. Tolan, Keith T. Lonergan, Douglas J. Wyland, Richard J. Hawkins, Stephan G. Pill, John M. Tokish
Summary: This study aimed to evaluate the effect of functional bracing on the success rate of nonoperative treatment in adolescent athletes with in-season shoulder instability. The results indicated that functional bracing did not lead to increased success rates compared to no bracing in nonoperatively treated athletes.
SPORTS HEALTH-A MULTIDISCIPLINARY APPROACH
(2021)
Article
Orthopedics
Elina Sassi, Juuli Hannonen, Willy Serlo, Juha-Jaakko Sinikumpu
Summary: There has been an increasing trend in the surgical fixation of pediatric middle shaft clavicle fractures since 2008. However, the available literature does not support this trend.
BMC MUSCULOSKELETAL DISORDERS
(2022)
Article
Orthopedics
Jeremy A. Hall, Christine E. Schemitsch, Milena R. Vicente, Niloofar Dehghan, Aaron Nauth, Lauren L. Nowak, Emil H. Schemitsch, Michael D. McKee
Summary: The study found no difference in functional outcomes between operative and nonoperative treatment of Neer type II distal clavicle fractures. However, nonoperative management led to more complications including a higher rate of nonunion and dissatisfaction with shoulder appearance. Operative management, while a safe and reliable treatment option, often required secondary surgery for implant removal.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)