Distal Clavicle Fracture as a Complication of Arthroscopic Distal Clavicle Resection

被引:9
作者
Ghodadra, Neil [1 ]
Lee, Gregory H. [2 ]
Kung, Peter [2 ]
Busfield, Benjamin T. [2 ]
Kharazzi, F. Daniel [2 ]
机构
[1] Rush Presbyterian St Lukes Med Ctr, Dept Orthoped Surg, Chicago, IL USA
[2] Kerlan Jobe Orthopaed Clin, Los Angeles, CA USA
关键词
Clavicle fracture; Adhesive capsulitis; Shoulder; Mumford; ACROMIOCLAVICULAR JOINT; OSTEOLYSIS; EXCISION;
D O I
10.1016/j.arthro.2009.02.008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Arthroscopic resection of the distal clavicle has been advocated as a surgical treatment option for acromioclavicular (AC) joint pathology. To our knowledge, iatrogenic fracture of the distal clavicle during distal clavicle resection has never been reported. This report describes distal clavicle fracture as a complication of misidentification of the AC joint and subsequent aggressive burring of the distal clavicle during shoulder arthroscopy. This case is further complicated by the development of symptomatic delayed union and adhesive capsulitis. Ultimately, a revision distal clavicle resection was performed, underscoring the fact that special care must be taken to properly identify the AC joint and rule out pre-existing distal clavicle stress fracture or osteolysis before performing the arthroscopic Mumford procedure.
引用
收藏
页码:929 / 933
页数:5
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