Abstract:
Fractures of lateral end of clavicle account for 15% of all clavicle fractures
(1) whereas 9% of shoulder girdle injuries involve acromioclavicular joint damage
(2). These fractures are associated with disruption of the coracoclavicular
ligaments and are unstable due to four displacing forces that retard union. The
nonunion rate is approximately 30%, causing pain and impaired function of
shoulder girdle and upper limb and hence surgery is recommended for unstable
distal clavicular fractures (3). A variety of surgical treatment options have been
developed with varying success over the years. Currently clavicle hook plate is
accepted as a surgical option for these injuries. This study is 2 pronged- analyzes
the results of clavicle hook plate compared with the literature and also evaluates
the need for repair of soft tissue structures around the acromioclavicular joint. We
will be analyzing the results based on clinical outcomes and radiological
assessment so as to ascertain the efficacy of this procedure.
