ArticleBMC musculoskeletal disorders2024
Osteosynthesis using Scorpion plate for neer type V distal clavicle fracture.
Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Scapular open reduction internal fixation using a distal clavicle plate: a surgical technique.JSES reviews, reports, and techniques · 2026Article
- Novel Lag Screw Application In The Reduction Of Neer Type V Distal Clavicle Fracture: A Case Report And Technical Note.Journal of orthopaedic case reports · 2025Article
- Osteosynthesis using a scorpion plate and a shaped bone graft for distal clavicle nonunion with bone defect: a case report.Journal of surgical case reports · 2025Article
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4 authors.
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Abstract
backgroundNeer type V distal clavicle fractures are considered the most unstable fracture type and are characterized by the disruption of continuity between the coracoclavicular (C-C) ligaments and proximal or distal bone fragments. However, owing to the rarity of such fractures, there is currently no universally accepted surgical procedure for their treatment. Recently, the scorpion plate, an anatomical, non-locking, pre-contoured plate with two grasping arms to fix the distal or inferior clavicular fragments, was introduced. This study aimed to investigate the postoperative functional and radiological outcomes of osteosynthesis using only scorpion plates in Neer type V fractures.
methodsWe retrospectively identified 23 patients who underwent scorpion plate fixation for Neer type V fractures at two general hospitals. All patients underwent only plate fixation without C-C ligament augmentation. Subsequently, we investigated their postoperative functional outcomes, complication rates, and modified C-C distance ratio at 1 year.
resultsThe mean postoperative Constant score was 96 ± 5, with all cases achieving bone union. Complications within 1 year postoperatively included plate loosening in one patient (4.3%) and plate irritation in two patients (8.7%). Additionally, the modified C-C distance ratio averaged 114 ± 15%.
conclusionsThis study offers novel insights into the management of Neer type V distal clavicle fractures. Our findings indicate that osteosynthesis using only scorpion plates can lead to satisfactory functional outcomes with minimal complications.
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