Abstract

The Outcome of Hook Plate for Lateral Third Clavicle Fractures

Highlights

  • The lateral third clavicle fractures in adults are unstable fractures requiring operative treatment and are prone to non-union and delayed union

  • Literature suggests good results with many studies reporting union rates of up to 100%

  • Surgical fixation of lateral-third clavicle fractures with a hook plate is an effective technique resulting in excellent rate of union and relatively good functional outcome

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Summary

Introduction

The lateral third clavicle fractures in adults are unstable fractures requiring operative treatment and are prone to non-union and delayed union. The clavicle hook plate is one of the many operating techniques that can achieve a high rate of union and relatively low rate of complications for this type of fracture, as evident from its extensive use in the last decade or so. Majority of the clavicle fractures are due to mechanisms involving highspeed falls or those that involve violent collisions. Such mechanisms cause a direct blow to the shoulder. The lateral third clavicle fractures have been classified by Neer according to the ligamentous injury and degree of displacement. Type I is the least severe injury in which the coracoclavicular ligaments are intact. Type III is a distal clavicular fracture that extends into the Acromioclavicular joint [1,4]

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