Evidence map›Paper›PMID 41815671›Full record

ArticleJournal of orthopaedic case reports2026

Distal Clavicle Refracture after All-Suture Double Coracoclavicular and Acromioclavicular Stabilization: A Case Report.

Jan Leonard Brauer, Elisabeth Forsthuber, Jens Gütler, Joel Locher

Abstract readCase Reports
In one paragraph

Article in Journal of orthopaedic case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jan Leonard BrauerDepartment of Orthopaedic and Trauma Surgery, Zuger Kantonsspital, Switzerland.
Elisabeth ForsthuberDepartment of Orthopaedic and Trauma Surgery, Zuger Kantonsspital, Switzerland.
Jens GütlerDepartment of Orthopaedic and Trauma Surgery, Zuger Kantonsspital, Switzerland.
Joel LocherDepartment of Orthopaedic and Trauma Surgery, Zuger Kantonsspital, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Distal clavicle fractures account for 10-30% of all clavicle fractures, with a considerable proportion being displaced. Although both conservative and various surgical approaches can lead to favorable outcomes and functional results, the optimal treatment strategy remains a subject of debate. All-suture techniques are becoming increasingly popular due to advantages such as enhanced torsional and axial stability and reduced implant-associated morbidity. Nonetheless, potential consequences, such as the effects of bone remodeling issues and refracture predisposition, remain inadequately investigated. Case Report: We report the case of a 25-year-old athletic male who sustained a displaced, very distal clavicle fracture with poor bone stock. This case highlights a previously unreported complication of all-suture osteosynthesis: the development of a bone groove, likely caused by the recurrent "sawing" motion of the sutures. Although the initial fracture healed appropriately, a subsequent injury - a fall while skiing - resulted in a new fracture at the site of the bone groove. Nonetheless, as the initial fracture had consolidated well and bone stock in the lateral fragment was adequate, plate osteosynthesis was successfully performed for the second fracture, with no complications observed. Conclusion: All-suture stabilization is a viable option for dislocated distal clavicle fractures with poor bone stock, offering good stability and fewer implant-related issues. However, this case highlights a potential complication, bone groove formation at the augmentation site, possibly predisposing to refracture. Suture material choice may influence this risk, warranting further investigation.

Indexed as

All suturebone groovelateral clavicle fractureosteosynthesisrefracture

Identifiers

PMID41815671
PMCPMC12973049

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