Operative Treatment of Neer Type-II Distal Clavicular Fractures: An Overview of Contemporary Techniques.

Abstract

» Deforming forces make it difficult to reduce and maintain reduction of Neer type-II distal clavicular fractures.» Contemporary surgical techniques are associated with high rates of union and good and excellent outcomes.» Plate fixation of distal clavicular fractures does not address horizontal and vertical instability.» Hook-plate fixation has the highest complication rate.» Augmentation of the coracoclavicular ligament is recommended to neutralize the opposing forces.