Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review

Abstract Background Os acromiale can be potentially missed or misdiagnosed as acromion fracture, and this can affect treatment determination if it is complicated with an ipsilateral shoulder injury. The clavicle hook plate is a widely used technique for distal clavicle injuries, leading to transacro...

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Autores principales:	Qi Sun, Ming Cai, Xiaoming Wu
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Os acromiale Clavicle hook plate Distal clavicle fractures Acromioclavicular joint dislocation Case report Diseases of the musculoskeletal system RC925-935
Acceso en línea:	https://doaj.org/article/e223c1e2289d48da9826ea10c92b94c2
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spelling	oai:doaj.org-article:e223c1e2289d48da9826ea10c92b94c22021-11-28T12:24:36ZOs acromiale may be a contraindication of the clavicle hook plate: case reports and literature review10.1186/s12891-021-04841-11471-2474https://doaj.org/article/e223c1e2289d48da9826ea10c92b94c22021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04841-1https://doaj.org/toc/1471-2474Abstract Background Os acromiale can be potentially missed or misdiagnosed as acromion fracture, and this can affect treatment determination if it is complicated with an ipsilateral shoulder injury. The clavicle hook plate is a widely used technique for distal clavicle injuries, leading to transacromial erosion, particularly when in the presence of os acromiale. Case presentation A 70-year-old man and a 78-year-old man who had limited mobility and severe pain in their right shoulders following falls attended the emergency center. Both patients were diagnosed with os acromiale with CT or MRI and acute distal clavicle fracture or acromioclavicular joint dislocation. Following a comprehensive evaluation, os acromiale may limit the application of a clavicle hook plate due to potential transacromial erosion. The distal clavicle fracture with ipsilateral os acromiale received treatment with a volar radius locking T plate, and the acromioclavicular joint dislocation with ipsilateral os acromiale was reconstructed using suture anchors. Both yielded satisfactory outcomes and voided transacromial erosion. Conclusions Ipsilateral os acromiale may be a relative contraindication to the clavicle hook plate. An axillary lateral radiograph is recommended to detect potential os acromiale in patients using a hook plate.Qi SunMing CaiXiaoming WuBMCarticleOs acromialeClavicle hook plateDistal clavicle fracturesAcromioclavicular joint dislocationCase reportDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-6 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Os acromiale Clavicle hook plate Distal clavicle fractures Acromioclavicular joint dislocation Case report Diseases of the musculoskeletal system RC925-935
spellingShingle	Os acromiale Clavicle hook plate Distal clavicle fractures Acromioclavicular joint dislocation Case report Diseases of the musculoskeletal system RC925-935 Qi Sun Ming Cai Xiaoming Wu Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
description	Abstract Background Os acromiale can be potentially missed or misdiagnosed as acromion fracture, and this can affect treatment determination if it is complicated with an ipsilateral shoulder injury. The clavicle hook plate is a widely used technique for distal clavicle injuries, leading to transacromial erosion, particularly when in the presence of os acromiale. Case presentation A 70-year-old man and a 78-year-old man who had limited mobility and severe pain in their right shoulders following falls attended the emergency center. Both patients were diagnosed with os acromiale with CT or MRI and acute distal clavicle fracture or acromioclavicular joint dislocation. Following a comprehensive evaluation, os acromiale may limit the application of a clavicle hook plate due to potential transacromial erosion. The distal clavicle fracture with ipsilateral os acromiale received treatment with a volar radius locking T plate, and the acromioclavicular joint dislocation with ipsilateral os acromiale was reconstructed using suture anchors. Both yielded satisfactory outcomes and voided transacromial erosion. Conclusions Ipsilateral os acromiale may be a relative contraindication to the clavicle hook plate. An axillary lateral radiograph is recommended to detect potential os acromiale in patients using a hook plate.
format	article
author	Qi Sun Ming Cai Xiaoming Wu
author_facet	Qi Sun Ming Cai Xiaoming Wu
author_sort	Qi Sun
title	Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
title_short	Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
title_full	Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
title_fullStr	Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
title_full_unstemmed	Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
title_sort	os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e223c1e2289d48da9826ea10c92b94c2
work_keys_str_mv	AT qisun osacromialemaybeacontraindicationoftheclaviclehookplatecasereportsandliteraturereview AT mingcai osacromialemaybeacontraindicationoftheclaviclehookplatecasereportsandliteraturereview AT xiaomingwu osacromialemaybeacontraindicationoftheclaviclehookplatecasereportsandliteraturereview
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Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review

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