Background: The treatment of AC dislocation is based upon the classification scheme, Type I and II injuries can be treated symptomatically, The treatment of type III injuries remains somewhat controversial, While operative intervention is often reserved for types IV, V and VI. Although there are more than 60 surgical techniques reported for repair and reconstruction of Acromio-clavicular and Co...

STUDY DESIGN Controlled laboratory study. OBJECTIVES To describe and compare scapular and clavicular kinematics and muscle activity during 6 retraction exercises in young healthy adults (mean +/- SD age, 23.2 +/- 2.4 years). BACKGROUND Based on the association between shoulder injuries and scapular/clavicular movement, muscle activity during various exercises that target muscles surrounding...

A 52-year-old motorbike driver was struck by a trailer. His left shoulder was swollen and no pulse was evident at his left wrist. In the emergency room, a scapulothoracic dissociation with subclavian artery dissection and a complex fracture of the humerus were evident (Fig. 1). Carotido-subclavian bypass restored blood flow with preservation of the arm in follow-up (Fig. 2). Fig. 1. 3D-computer...

BACKGROUND AND PURPOSE Shoulder function may be changed after healing of a nonoperatively treated clavicular fracture, especially in cases of clavicular shortening or mal-union. We investigated scapular orientations and functional outcome in healed clavicular fractures with and without clavicular shortening. PATIENTS AND METHODS 32 participants with a healed nonoperatively treated midshaft cl...

OBJECTIVE To determine whether training on shoulder and elbow surgery influences the orthopedist surgeons' preferred technique to address acute acromioclavicular joint dislocation (ACD). METHODS A survey was conducted with shoulder and elbow specialists and general orthopedists on their preferred technique to address acute ACD. RESULTS Thirty specialists and forty-five general orthopedists ...

Case Study A 16-year-old male developed chest pain immediately after he was tackled in a football game one hour before he presented to the Emergency Department. Examination of the chest wall revealed tenderness to palpation of the right proximal clavicle with a depression of the clavicular head (Figure 1). The patient had equal distal pulses and was neurovascularly intact with no airway comprom...

BACKGROUND A clavicular fracture accounts for 2.6%-5% of adult fractures. Fractures in the middle-third (OTA 15-B) represent 69%-82% of all clavicular fractures. There is no consensus among orthopedic surgeons regarding treatment for these fractures: many support conservative treatment even for displaced middle-third clavicular fractures, while others choose operative treatment. OBJECTIVES To...

Objective: To present the case of surgical treatment and rehabilitation of a midshaft clavicular fracture in a National Collegiate Athletic Association Division I football athlete. Background: While attempting to catch a pass during practice, the athlete jumped up and then landed on the tip of his shoulder. On-the-field evaluation was inconclusive, with a sideline evaluation diagnosis of clavic...