PURPOSE: To detect concomitant intra-articular glenohumeral injuries, in acute displaced fractures of the lateral clavicle, initially missed due to unfeasible clinical evaluation of the acutely injured shoulder. METHODS: All patients suffering from an acute displaced lateral clavicle fracture with indication to surgical treatment underwent diagnostic shoulder arthroscopy prior to open reduction and internal fixation. In case of therapy-relevant intra-articular glenohumeral injuries, subsequent surgical treatment was performed. RESULTS: Intra-articular injuries were found in 13 of 28 patients (46.4 %) with initially suspected isolated lateral clavicle fracture. Additional surgical treatment was performed in 8 of 28 cases (28.6 %). Superior labral anterior-posterior (SLAP) lesions were observed in 4 of 28 patients (14.3 %; SLAP II a: 1; II b: 1; III: 1; and IV: 1). Lesions of the pulley system were found in 3 of 28 patients (10.7 %; Habermeyer III°). One partial articular supraspinatus tendon avulsion lesion (3.6 %) and one lesion of the subscapularis tendon (3.6 %; Fox and Romeo II°) were observed. CONCLUSIONS: Traumatic concomitant glenohumeral injuries in lateral clavicle fractures seem to be more frequent than expected in general. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce complication rate. LEVEL OF EVIDENCE: IV.
PURPOSE: To detect concomitant intra-articular glenohumeral injuries, in acute displaced fractures of the lateral clavicle, initially missed due to unfeasible clinical evaluation of the acutely injured shoulder. METHODS: All patients suffering from an acute displaced lateral clavicle fracture with indication to surgical treatment underwent diagnostic shoulder arthroscopy prior to open reduction and internal fixation. In case of therapy-relevant intra-articular glenohumeral injuries, subsequent surgical treatment was performed. RESULTS:Intra-articular injuries were found in 13 of 28 patients (46.4 %) with initially suspected isolated lateral clavicle fracture. Additional surgical treatment was performed in 8 of 28 cases (28.6 %). Superior labral anterior-posterior (SLAP) lesions were observed in 4 of 28 patients (14.3 %; SLAP II a: 1; II b: 1; III: 1; and IV: 1). Lesions of the pulley system were found in 3 of 28 patients (10.7 %; Habermeyer III°). One partial articular supraspinatus tendon avulsion lesion (3.6 %) and one lesion of the subscapularis tendon (3.6 %; Fox and Romeo II°) were observed. CONCLUSIONS:Traumatic concomitant glenohumeral injuries in lateral clavicle fractures seem to be more frequent than expected in general. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce complication rate. LEVEL OF EVIDENCE: IV.
Authors: Paul C Brady; Pablo Narbona; Christopher R Adams; David Huberty; Peter Parten; Robert U Hartzler; Paolo Arrigoni; Stephen S Burkhart Journal: Arthroscopy Date: 2014-10-16 Impact factor: 4.772
Authors: Alan L Zhang; Christopher Kreulen; Stephanie S Ngo; Sharon L Hame; Jeffrey C Wang; Seth C Gamradt Journal: Am J Sports Med Date: 2012-02-09 Impact factor: 6.202
Authors: Alessandro Castagna; Giacomo Delle Rose; Marco Conti; Stephen J Snyder; Mario Borroni; Raffaele Garofalo Journal: Am J Sports Med Date: 2008-12-04 Impact factor: 6.202
Authors: Peter Habermeyer; Petra Magosch; Maria Pritsch; Markus Thomas Scheibel; Sven Lichtenberg Journal: J Shoulder Elbow Surg Date: 2004 Jan-Feb Impact factor: 3.019
Authors: Michael Zyskowski; Sebastian Pesch; Frederik Greve; Markus Wurm; Francesca von Matthey; Daniela Pfeiffer; Sophie Felix; Arne Buchholz; Chlodwig Kirchhoff Journal: J Clin Med Date: 2020-03-30 Impact factor: 4.241