title: [Bony injuries of the shoulder girdle in snowboarding].
abstract: BACKGROUND
  The fracture of the clavicle is the second most common fracture in snowboarding after the distal radius fracture. Nonsurgical treatment is frequently the treatment of first choice. For displaced fractures, surgical treatment is recommended.
  
  
  METHODS
  In general, internal fixation can be performed with a plate osteosynthesis or an intramedullary nail. Clinical studies were able to show similar and even slightly better functional results of the intramedullary nail in comparison to plate osteosynthesis. Because of less surgical trauma and better cosmetic results, intramedullary systems are increasingly preferred.
  
  
  RESULTS
  Lateral clavicular fractures are more complex regarding surgical treatment due to their potential for concomitant ligamentous injuries. The hooked plate shows good clinical results with the advantage of addressing the fracture as well as the ligament injury in one step. The limitation of mobility during the first few postoperative weeks is the technique's main disadvantage.
  
  
  CONCLUSIONS
  Ligament reconstruction with suture pulley systems as a stand-alone treatment or in combination with a locking plate osteosythesis are increasingly used due to their excellent clinical results with early postoperative mobilization.
authors: Klinik für Unfallchirurgie, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinikum Ulm, Albert-Einstein Allee 23, 89081, Ulm, Deutschland, christian.ehrnthaller@uniklinik-ulm.de.
authors: C
authors: C
authors: Ehrnthaller
authors: F
authors: F
authors: Gebhard
authors: A B
authors: AB
authors: Imhoff
authors: S
authors: S
authors: Braun
mesh_terms: D001265:Athletic Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001860:Bone Plates; D001863:Bone Screws; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D011859:Radiography; D012540:Scapula / Q000000981:diagnostic imaging / Q000293:injuries*; D038161:Snow Sports / Q000293:injuries*