title: Arthroscopic fixation of the clavicle shaft fracture.
abstract: This article describes an arthroscopic technique for the fixation of clavicle shaft fractures. A viewing portal is made 2 cm anterior to the fracture site, and a working portal is made 2 cm lateral to the fracture site. The guide wire for a 4.0-mm cannulated screw is inserted through the fracture site to the medial fracture fragment under arthroscopic guidance. Through the medial fragment, the guide wire is delivered through the skin anteriorly. The fracture is reduced, and then, the guide wire is drilled back across the fracture site to the lateral fracture fragment. After confirming the reduction under arthroscopy, the appropriately sized cannulated screw is inserted after reaming. This arthroscopic technique would be useful for the precise reduction and minimal invasive fixation of clavicle shaft fractures. Preliminary results are encouraging, and further studies with long-term follow-up are needed to determine the precise indications and limitations of the procedure.
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Yang-Soo
authors.initials: YS
authors.lastname: Kim
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hyo-Jin
authors.initials: HJ
authors.lastname: Lee
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jong-Ick
authors.initials: JI
authors.lastname: Kim
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hyo
authors.initials: H
authors.lastname: Yang
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hong-Ki
authors.initials: HK
authors.lastname: Jin
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Hiren Kirtibhai
authors.initials: HK
authors.lastname: Patel
authors.affiliation: 1 Department of Orthopedic Surgery, Seoul St Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
authors.forename: Jong-Ho
authors.initials: JH
authors.lastname: Kim
authors.affiliation: 2 Department of Orthopedic Surgery, Armed Forces Capital Hospital, Bundang-gu, Gyeonggi-do, Korea.
authors.forename: In
authors.initials: I
authors.lastname: Park
mesh_terms: D000328:Adult; D001182:Arthroscopy / Q000379:methods*; D001863:Bone Screws; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged
keywords: arthroscopy; cannulated screw; clavicle fracture; minimal invasive; viewing portal; working portal