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Surgery is employed in 5–10% of cases. However, a meta-analysis of 2 144 midshaft clavicle fractures supports primary plate fixation of completely displaced midshaft clavicular fractures in active adult patients. [9] If the fracture is at the lateral end, the risk of nonunion is greater than if the fracture is of the shaft. [10]
Once diagnosed and located, surgery is the most common treatment for a malunion. The surgery consists of the surgeon re-breaking the bone and realigning it to the anatomically correct position. There are different types and levels of severity for malunions which helps determine the treatment.
The distal clavicle is found in 2 orientations, either subacromial or subcoracoid. With the subcoracoid dislocation, the clavicle becomes lodged behind the intact conjoined tendon. The posterior superior AC ligaments, which often remain attached to the acromion, get displaced into the AC interval, making anatomic reduction difficult.
Some fractures, however, cannot be held in a satisfactory position by this method, and require some additional form of fixation. This is the usual situation with all displaced fractures of the first metacarpal and of the proximal phalanges of the hand, and of about two thirds of fractures of the distal end of the radius. Percutaneous pinning is ...
Medical history (the patient tells the doctor about an injury). For shoulder problems the medical history includes the patient's age, dominant hand, if injury affects normal work/activities as well as details on the actual shoulder problem including acute versus chronic and the presence of shoulder catching, instability, locking, pain, paresthesias (burning sensation), stiffness, swelling, and ...
The Vancouver classification is a grading system used in orthopaedics to determine management of post-operative periprosthetic femoral fractures following a hip arthroplasty. It is named for the city Vancouver , home to the University of British Columbia where the authors of the 1995 paper worked.
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Fracture with a dorsal tilt. Dorsal is left, and volar is right in the image. There are a number of ways to classify distal radius fractures.Classifications systems are devised to describe patterns of injury which will behave in predictable ways, to distinguish between conditions which have different outcomes or which need different treatments.