AOSSM 2022 Annual Meeting Recordings - no CME-Surgical Management of Distal Clavicle Fractures in Skeletally Immature Athletes

Surgical Management of Distal Clavicle Fractures in Skeletally Immature Athletes

Video Transcription

Video Summary

In this video, the speaker discusses distal clavicle fractures and AC joint injuries in pediatric and adolescent patients. They explain that these types of fractures are less common than mid-shaft fractures but more common than SC joint injuries. The speaker emphasizes the need for surgical decision-making specific to this age group, as their clinical considerations and healing potential differ from adults. They mention limited literature on this topic, but reference studies by Nanopoulos et al. and Liebs et al. to support their research. The speaker describes their own study which included 52 patients, predominantly males, with simple fracture patterns resulting from sports-related injuries. They discuss various surgical techniques, including plate fixation and suture-based techniques. The study found similar healing times for both techniques, but shorter time to return to sports with sutures. The speaker also highlights the high rate of hardware removal with plate fixation and suggests that suture-based fixation may be a more favorable option. They conclude by stating the need for further research in this area. The credits mentioned in the beginning are for Naveen Jasti, Peter Waters, and Don Bay.

Asset Caption

Benton Heyworth, MD

Keywords

distal clavicle fractures

AC joint injuries

pediatric patients

surgical decision-making

suture-based fixation