Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate

Simple item page
dc.contributor.authorWu, Kailun
dc.contributor.authorSu, Xinlin
dc.contributor.authorRoche, Stephen J L
dc.contributor.authorHeld, Michael F G
dc.contributor.authorYang, Huilin
dc.contributor.authorDunn, Robert N
dc.contributor.authorGuo, Jiong J
dc.date.accessioned2020-06-25T09:29:18Z
dc.date.available2020-06-25T09:29:18Z
dc.date.issued2020-06-11
dc.date.updated2020-06-14T03:16:30Z
dc.description.abstractBackground The clavicular hook plate is an accepted surgical procedure for distal clavicle fractures. The relationship of the characteristics of the hook plate, acromioclavicular joint and acromion morphology, and clinical outcome has remained poorly understood. We reviewed the clinical records of patients who had distal clavicle fractures with different lateral acromion angles treated using a clavicle hook plate and evaluated their clinical outcomes with respect to shoulder pain and acromial morphology. Methods We retrospectively reviewed 102 patients with distal clavicle fractures treated with hook plates at our institution from 2010 to 2017. They were divided into four groups according to lateral acromion angle on shoulder AP view X-rays. The angle was defined as the incline angle between the superior surface of distal clavicle and the inferior facet of acromion on coronal plane. We reviewed their clinical features, including Neer’s impingement sign, MRI findings, and outcomes using Japanese Orthopaedic Association Scores. The mean follow-up was 25.5 months (range, 24 to 28 months). Results All patients in group D (large lateral acromion angle (α) > 40°, acromion coronal angle (β) < 60°) complained of postoperative symptoms. Compared to those with common lateral acromion angle, the incidence of postoperative impingement in group D was undoubtedly much higher (100%). Japanese Orthopaedic Association (JOA) scores in group D were worse at 3 months post-surgery, 3 months post plate removal, and at the last follow-up despite a slightly earlier removal in this group. Conclusion Lateral acromion angle appears to be an important factor in the development of postoperative pain and worse outcomes (JOA scores) in patients treated with the hook plate. The incidence of subacromial impingement and rotator cuff lesion (RCL) increased with the α angle. Early limited mobility and removal of the implant may improve the prognosis and resolve the postoperative shoulder pain. Study design Retrospective review, level of evidence IV.en_US
dc.identifier.apacitationWu, K., Su, X., Roche, S. J. L., Held, M. F. G., Yang, H., Dunn, R. N., & Guo, J. J. (2020). Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate. <i>BMC Infectious Diseases</i>, 15(1), 217. en_ZA
dc.identifier.chicagocitationWu, Kailun, Xinlin Su, Stephen J L Roche, Michael F G Held, Huilin Yang, Robert N Dunn, and Jiong J Guo "Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate." <i>BMC Infectious Diseases</i> 15, 1. (2020): 217. en_ZA
dc.identifier.citationWu, K., Su, X., Roche, S.J.L., Held, M.F.G., Yang, H., Dunn, R.N. & Guo, J.J. 2020. Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate. <i>BMC Infectious Diseases.</i> 15(1):217. en_ZA
dc.identifier.ris TY - Journal Article AU - Wu, Kailun AU - Su, Xinlin AU - Roche, Stephen J L AU - Held, Michael F G AU - Yang, Huilin AU - Dunn, Robert N AU - Guo, Jiong J AB - Background The clavicular hook plate is an accepted surgical procedure for distal clavicle fractures. The relationship of the characteristics of the hook plate, acromioclavicular joint and acromion morphology, and clinical outcome has remained poorly understood. We reviewed the clinical records of patients who had distal clavicle fractures with different lateral acromion angles treated using a clavicle hook plate and evaluated their clinical outcomes with respect to shoulder pain and acromial morphology. Methods We retrospectively reviewed 102 patients with distal clavicle fractures treated with hook plates at our institution from 2010 to 2017. They were divided into four groups according to lateral acromion angle on shoulder AP view X-rays. The angle was defined as the incline angle between the superior surface of distal clavicle and the inferior facet of acromion on coronal plane. We reviewed their clinical features, including Neer’s impingement sign, MRI findings, and outcomes using Japanese Orthopaedic Association Scores. The mean follow-up was 25.5 months (range, 24 to 28 months). Results All patients in group D (large lateral acromion angle (α) > 40°, acromion coronal angle (β) < 60°) complained of postoperative symptoms. Compared to those with common lateral acromion angle, the incidence of postoperative impingement in group D was undoubtedly much higher (100%). Japanese Orthopaedic Association (JOA) scores in group D were worse at 3 months post-surgery, 3 months post plate removal, and at the last follow-up despite a slightly earlier removal in this group. Conclusion Lateral acromion angle appears to be an important factor in the development of postoperative pain and worse outcomes (JOA scores) in patients treated with the hook plate. The incidence of subacromial impingement and rotator cuff lesion (RCL) increased with the α angle. Early limited mobility and removal of the implant may improve the prognosis and resolve the postoperative shoulder pain. Study design Retrospective review, level of evidence IV. DA - 2020-06-11 DB - OpenUCT DP - University of Cape Town IS - 1 J1 - BMC Infectious Diseases KW - Distal clavicle fractures KW - Clavicle hook plate KW - Lateral acromion angle KW - Distal clavicle–acromion coronal angle KW - Subacromial impingement KW - Rotator cuff lesion LK - https://open.uct.ac.za PY - 2020 T1 - Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate TI - Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate UR - ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s13018-020-01737-z
dc.identifier.urihttps://hdl.handle.net/11427/32083
dc.identifier.vancouvercitationWu K, Su X, Roche SJL, Held MFG, Yang H, Dunn RN, et al. Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate. BMC Infectious Diseases. 2020;15(1):217. .en_ZA
dc.language.isoenen_US
dc.language.rfc3066en
dc.publisher.departmentDivision of Orthopaedic Surgeryen_US
dc.publisher.facultyFaculty of Health Sciencesen_US
dc.rights.holderThe Author(s)
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en_US
dc.sourceBMC Infectious Diseasesen_US
dc.source.journalissue1en_US
dc.source.journalvolume15en_US
dc.source.pagination217en_US
dc.source.urihttps://josr-online.biomedcentral.com/
dc.subjectDistal clavicle fracturesen_US
dc.subjectClavicle hook plateen_US
dc.subjectLateral acromion angleen_US
dc.subjectDistal clavicle–acromion coronal angleen_US
dc.subjectSubacromial impingementen_US
dc.subjectRotator cuff lesionen_US
dc.titleRelationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plateen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
13018_2020_Article_1737.pdf
Size:
3.78 MB
Format:
Adobe Portable Document Format
Description:
Download
License bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
license.txt
Size:
0 B
Format:
Item-specific license agreed upon to submission
Description:
Download
Collections
Journal Articles