Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw.
OBJECTIVE
The aim of this study was to assess the outcome of coracoclavicular screw fixation in displaced distal clavicular fractures.


METHODS
Sixteen patients with Neer Type 2 displaced distal clavicle fractures were treated with open reduction and internal fixation. Fixation was performed using a coracoclavicular screw with washer application. After union the screw was removed under local anesthesia. Radiographic evaluation was performed and the clinical outcome was assessed using the Constant score.


RESULTS
All patients achieved painless osseous unions. However, one patient showed significant displacement of the fracture due to loosening of the screw one month after surgery. The screw was removed and the fracture was healed with some deformity. All patients returned to their preinjury level in 3 months. The mean Constant score was 98.


CONCLUSIONS
Coracoclavicular screw fixation in the treatment of distal clavicular fractures is a reliable, simple and cost effective technique.
Department of Orthopedics and Traumatology, Okmeydanı Training and Research Hospital, İstanbul, Turkey. esenyel@yahoo.com
Cem Zeki
CZ
Esenyel
Hasan Hüseyin
HH
Ceylan
Semih
S
Ayanoğlu
Alper
A
Kebudi
Oktay
O
Adanir
Murat
M
Bülbül
D000058:Accidental Falls; D000173:Acromioclavicular Joint / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D000328:Adult; D001863:Bone Screws; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult