Latarjet fracture treated with a single endobutton: A case presentation.
Clavicle
Coracoclavicular ligament avulsion
Distal clavicular fracture
Endobutton
Fracture
Latarjet fracture
Journal
Trauma case reports
ISSN: 2352-6440
Titre abrégé: Trauma Case Rep
Pays: Netherlands
ID NLM: 101711730
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
accepted:
28
12
2020
entrez:
25
1
2021
pubmed:
26
1
2021
medline:
26
1
2021
Statut:
epublish
Résumé
Avulsion fracture of the coracoclavicular ligament accompanied by upward displacement of the medial fragment of the clavicle represents a unique fracture pattern, first described by Latarjet and colleagues in 1975. Due to the function of the underlying articulations and the ligaments found in the area, this fracture pattern results in a combination of horizontal and vertical instability that must be taken into consideration when treating. Several surgical techniques have been proposed but none has been proven superior. Herein, we present a Latarjet fracture of the distal clavicle treated with a single endobutton. A 45-year-old male underwent open surgical stabilization of distal clavicular fracture 15 days after trauma. After stabilization of the fracture, we applied a single endobutton, passing through the medial fragment, inferior fragment and coracoid process. The patient was observed for 14 mo postoperative, during which time he achieved union in all three fragments of the fracture and an excellent functional clinical score. In Latarjet fracture treatment, augmentation of the coracoclavicular ligament is the most important parameter for a favorable result.
Sections du résumé
BACKGROUND
BACKGROUND
Avulsion fracture of the coracoclavicular ligament accompanied by upward displacement of the medial fragment of the clavicle represents a unique fracture pattern, first described by Latarjet and colleagues in 1975. Due to the function of the underlying articulations and the ligaments found in the area, this fracture pattern results in a combination of horizontal and vertical instability that must be taken into consideration when treating. Several surgical techniques have been proposed but none has been proven superior.
CASE SUMMARY
METHODS
Herein, we present a Latarjet fracture of the distal clavicle treated with a single endobutton. A 45-year-old male underwent open surgical stabilization of distal clavicular fracture 15 days after trauma. After stabilization of the fracture, we applied a single endobutton, passing through the medial fragment, inferior fragment and coracoid process. The patient was observed for 14 mo postoperative, during which time he achieved union in all three fragments of the fracture and an excellent functional clinical score.
CONCLUSION
CONCLUSIONS
In Latarjet fracture treatment, augmentation of the coracoclavicular ligament is the most important parameter for a favorable result.
Identifiants
pubmed: 33490357
doi: 10.1016/j.tcr.2020.100394
pii: S2352-6440(20)30118-7
pmc: PMC7811053
doi:
Types de publication
Case Reports
Langues
eng
Pagination
100394Commentaires et corrections
Type : ErratumIn
Type : ErratumIn
Informations de copyright
© 2021 The Author(s).
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