Erschienen in:
21.11.2015 | Shoulder
Concomitant intra-articular glenohumeral injuries in displaced fractures of the lateral clavicle
verfasst von:
Marc Beirer, Michael Zyskowski, Moritz Crönlein, Dominik Pförringer, Marcus Schmitt-Sody, Gunther Sandmann, Stefan Huber-Wagner, Peter Biberthaler, Chlodwig Kirchhoff
Erschienen in:
Knee Surgery, Sports Traumatology, Arthroscopy
|
Ausgabe 10/2017
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Abstract
Purpose
To detect concomitant intra-articular glenohumeral injuries, in acute displaced fractures of the lateral clavicle, initially missed due to unfeasible clinical evaluation of the acutely injured shoulder.
Methods
All patients suffering from an acute displaced lateral clavicle fracture with indication to surgical treatment underwent diagnostic shoulder arthroscopy prior to open reduction and internal fixation. In case of therapy-relevant intra-articular glenohumeral injuries, subsequent surgical treatment was performed.
Results
Intra-articular injuries were found in 13 of 28 patients (46.4 %) with initially suspected isolated lateral clavicle fracture. Additional surgical treatment was performed in 8 of 28 cases (28.6 %). Superior labral anterior-posterior (SLAP) lesions were observed in 4 of 28 patients (14.3 %; SLAP II a: 1; II b: 1; III: 1; and IV: 1). Lesions of the pulley system were found in 3 of 28 patients (10.7 %; Habermeyer III°). One partial articular supraspinatus tendon avulsion lesion (3.6 %) and one lesion of the subscapularis tendon (3.6 %; Fox and Romeo II°) were observed.
Conclusions
Traumatic concomitant glenohumeral injuries in lateral clavicle fractures seem to be more frequent than expected in general. Subsequent surgical treatment of these formerly missed but therapy-relevant injuries may increase functional outcome and reduce complication rate.