European Journal of Molecular & Clinical Medicine

Clavicle fractures contribute approximately 2.6% among other fractures of the body and account for approximately 44% to 66% of all fractures around shoulder.Middle 1/3rd of the clavicle is most prone for fracture because this area is weakest.Many studies which has been done till now has stated the effectiveness of open reduction internal fixation with plating for displaced clavicle fractures and it was noted to have high union rate and lower risks of complication.Usually locking compression plate are used to get a satisfactory results with low risks of complication in cases of majority of complex clavicle fracture.

Background: To compare Rockwood pins and dynamic compression plating in management of displaced and shortened mid-clavicle fractures.
Materials and Methods: Clavicular fractures patients were divided into two groups of 35 each. Group I patients were treated with Rockwood clavicle pins and group II patients were treated with dynamic compression plate. Parameters such as mode of injury, and the functional outcome was evaluated using the American Shoulder and Elbow Surgeons (ASES) score and Constant score.
Results: There were 20 male and 15 females in group I and 22 male and 13 females in group II. The mode of injury was fall seen in 7 in group I and 5 in group II followed by road traffic accident seen in 20 in group I and 21 in group II and physical violence in 8 in group I and 9 in group II. A significant difference in both groups was observed (P< 0.05). ASES score subjective pain value was 9.7 in group I and 8.7 in group II, activity score was 28.4 in group I and 27.3 in group II. A significant difference was seen in both groups (P< 0.05). ASES score objective range of motion was 41.9 degree in group I and 40.2 degree in group II, strength was 20.9 in group I and 20.1 in group II. A significant difference was seen in both groups (P< 0.05).
Conclusion: Rockwood clavicle pins were superior as compared to dynamic compression plate in patients with displaced and shortened mid-clavicle fractures.

Most clavicle fractures are treated conservatively. Treatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures.
Methods: Patients who presented with a displaced fracture of the medial clavicle between March 2021 and December 2022 were prospectively enrolled in this study. All patients were operatively treated with open reduction and internal fixation (ORIF) using an anatomically precontoured locking compression plate (LCP) originally designed for the lateral clavicle. Functional outcome was recorded using the Disability of the Arm, Shoulder, and Hand (DASH) score; Constant–Murley score; visual analog scale (VAS) score; and complications.
Results: The patients were regularly followed up after the operation, and functional parameters were assessed over time. At a mean follow-up of 28.1±2.0 months, each fracture had solid bone union. The mean shoulder forward fexion was 159.3°±7.9°, and the mean DASH score was 8.8±5.1. The mean Constant–Murley score was 88.9±7.9, with six cases assessed as excellent and one case assessed as good. The mean VAS score was 1.0±1.5, and the mean patient satisfaction score was 9.3±0.8. No complications occurred, and each patient was able to resume their preinjury daily activity and was highly satisfed with their treatment.
Conclusion: Surgical treatment of displaced medial clavicle fractures using an anatomically precontoured locking plate originally designed for the lateral clavicle led to very good to excellent clinical and functional results

Background: The nutrient foramina of the clavicle have extensive clinical importance as these are involved in the repair of clavicular fracture. Therefore, the aim of the present study was to evaluate the morphometry and topography of nutrient foramen in clavicle.
Material and Methods: This study was conducted in department of Anatomy. In this study we were included total 60 dried human clavicle bones. The duration of study was over a period of one year.
Results: The result of this study was revealed that one foramen was present in 65% bone. While, two nutrient foramen present in 26.7% clavicle bones & three nutrient foramen present in 8.4% clavicle bone. Which were found macroscopically.
Conclusion: This study concludes that from all the findings that the nutrient artery should be preserved carefully while doing surgical procedure like internal fixation and vascularised bone graft.

Background: A Clavicle fracture is a common traumatic injury as it positions
directly under the skin. Both conservative and operative methods are used for the
treatment of this fracture. But there is no uniform agreement on the best choice of
treatment. So, this study aims to assess the outcome of the conservative treatment
and operative treatment by using plate and screw of midshaft fracture of clavicle
and comparing the two treatment methods. Patients and methods: This study was
done at the Department of Orthopedic Surgery of Zagazig University Hospital from
April 2020 to December 2020 on 18 patients are involved then these patients were
subdivided into two groups, Group A (9 patients) for conservative treatment and
Group B (9 patients) for operative treatment by using a plate and screw fixation.
Assessment of the outcome using the constant shoulder score. Results: The time of
union was 5.33±0.70 months in the conservative group and 4.66±0.86 months in the
operative group. Constant shoulder score was in Conservative group 4 patients had
excellent score (44.4%), 2 patients had good score (22.2%), 3 patients had poor
score (33.3%) While in Operative group 6 patients had excellent score (66.6%), 1
patient had good score (11.1%), 2 patients had poor score (22.2%). Conclusion: The
non-surgical methods still the best treatment of simple nondisplaced mid-shaft
clavicular fractures. The operative methods donate a good result in active athlete's
patient with displaced or comminuted fracture.

Summary. In the department of pediatric orthopedics of the RSSPMCTO over the past 15 years 82 children with a congenital high scapula at the age from 3 to 14 years have been treated. The osteoarticular and neuromuscular systems, X-ray, MSCT and electroneuromyographic studies were performed to assess the general condition of the patient. Surgical treatment was carried out in 34 children without reconstruction and in 40 with reconstruction of the shape of the scapula. Of all 74 patients examined in the long-term period after treatment, we obtained good results in 75.7% of cases, satisfactory in 21.6%, and unsatisfactory anatomical and cosmetic treatment results in 2.7%.