Surgical treatment for displaced clavicle fracture combined with coracoid process: 9 cases report.
- Author:
Bao-bing YAO
;
Liang ZHA
;
Cheng-guo YIN
;
Tong-li WANG
;
Wen-de WANG
;
Ye-ben WANG
;
De-fu WU
- Publication Type:Journal Article
- MeSH: Adult; Clavicle; injuries; Female; Fracture Fixation, Internal; methods; Fractures, Bone; surgery; Humans; Male; Middle Aged; Recovery of Function; Scapula; injuries; Shoulder Joint; injuries
- From: China Journal of Orthopaedics and Traumatology 2014;27(12):1043-1046
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore clinical effects of internal fixation in treating displaced clavicle fracture combined with coracoid process.
METHODSFrom January 2005 to July 2012, 9 patients with displaced clavicle fracture combined with coracoid process were treated by internal fixation. Among them, there were 6 males and 3 females with an average age of 40.1 (ranged from 20 to 57) years old. According to Eyres classification: 3 cases were type II B, 1 case was type II A, 3 cases were type III B, and 2 cases were type V A. All patients had history of injury, and diagnosed as coracoid fracture X-ray and CT before operation. Herscovici criteria was used to evaluate function of shoulders joint after operation.
RESULTSSeven of 9 patients were followed up from 6 to 18 (averaged 11) months. The incisions were healed at stage I, coracoid process obtained bony healing, and reduction of acromioclavicular joint well. According to Herscovici criteria, 6 patients got excellent results and 1 in good.
CONCLUSIONInternal fixation for the treatment of displaced clavicle fracture combined with coracoid process could restore physiological anatomical position of coracoid process, and benefit for recovery of limb function.