Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures With CC Ligament Injury

Yoshimasa Saigo
ORCID logo ,
Daichi Morikawa
* ,
Yoshiaki Itoigawa
ORCID logo ,
Hirohisa Uehara
,
Takayuki Kawasaki
,
Takefumi Kaketa
,
Kenta Shibuya
,
Hironori Tsurukami
,
Fumitoshi Hatae
,
Yasutaka Yoshimura
,
Kazuki Yoshida
,
Muneaki Ishijima
Version 1 : Received: 5 December 2023 / Approved: 6 December 2023 / Online: 6 December 2023 (10:36:04 CET)

A peer-reviewed article of this Preprint also exists.

Saigo, Y.; Morikawa, D.; Itoigawa, Y.; Uehara, H.; Kawasaki, T.; Kaketa, T.; Shibuya, K.; Tsurukami, H.; Hatae, F.; Yoshimura, Y.; et al. Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury. Journal of Clinical Medicine 2024, 13, 1773, doi:10.3390/jcm13061773. Saigo, Y.; Morikawa, D.; Itoigawa, Y.; Uehara, H.; Kawasaki, T.; Kaketa, T.; Shibuya, K.; Tsurukami, H.; Hatae, F.; Yoshimura, Y.; et al. Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury. Journal of Clinical Medicine 2024, 13, 1773, doi:10.3390/jcm13061773.

Abstract

We performed arthroscopically assisted coracoclavicular (CC) stabilization using a suture button device for modified Neer type IIb lateral clavicle fractures accompanied by CC ligament injury. The purpose of the present study was to evaluate the radiological and clinical outcomes of this procedure. Six consecutive patients with modified Neer type IIb fractures were treated with the technique and followed for 12 months. Postoperative ranges of motion (ROMs) and X-rays were evaluated every 3 months. Shoulder functional scores (University of California Los Angeles score, Japanese Orthopedics Association score), visual analog scale (VAS) scores for pain at rest, at night, and during motion, and VAS score for satisfaction were analyzed at 12 months after surgery. For the clinical outcomes, early ROM recovery and excellent outcomes were achieved. For the radiological outcomes, all patients accomplished bone union, slight superior displacement was noted in the CC distance and Dog Bone distance, and bone hole dilation was observed in the superior coracoid and inferior clavicle, but there were no critical complications. The present findings indicate that arthroscopically assisted CC stabilization with a suture button device for unstable lateral clavicle fractures can produce satisfactory radiological and clinical results.

Keywords

lateral clavicle fracture; coracoclavicular ligament; modified Neer classification; arthroscopic surgery

Subject

Medicine and Pharmacology, Orthopedics and Sports Medicine

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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