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Anatomically based classification of medial clavicle fractures

(2018) ACTA ORTHOPAEDICA BELGICA. 84(1). p.62-67
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Organization
Abstract
Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to other classification systems and to evaluate the clinical outcome of nonoperative treated fractures. 55 acute medial clavicle fractures (55 patients) were 3D reconstructed and evaluated using the Edinburgh (ED), Throckmorton (TR) and new AB classification. The AB classification classified the fracture as medial (Type 1) or lateral (Type 2) to the costoclavicular ligament and no or minimal displaced (Type A) or displaced (Type B). Next, a consecutive Retrospective clinical evaluation of 38 of these patients was performed using the Oxford Shoulder and Constant Score. An anatomically based classification shows the highest inter- and intra-observer reliability. In case the fracture line originate medial to the costoclavicular ligament and is displaced the Constant and Oxford scores are significantly less.
Keywords
Medial Clavicle fracture, EPIDEMIOLOGY, SCORE

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Citation

Please use this url to cite or link to this publication:

MLA
Van Tongel, Alexander, et al. “Anatomically Based Classification of Medial Clavicle Fractures.” ACTA ORTHOPAEDICA BELGICA, vol. 84, no. 1, 2018, pp. 62–67.
APA
Van Tongel, A., TOUSSAINT, A., Herregods, S., VAN DAMME, S., Marrannes, J., & De Wilde, L. (2018). Anatomically based classification of medial clavicle fractures. ACTA ORTHOPAEDICA BELGICA, 84(1), 62–67.
Chicago author-date
Van Tongel, Alexander, ARNAUD TOUSSAINT, Sofie Herregods, STIJN VAN DAMME, Jesse Marrannes, and Lieven De Wilde. 2018. “Anatomically Based Classification of Medial Clavicle Fractures.” ACTA ORTHOPAEDICA BELGICA 84 (1): 62–67.
Chicago author-date (all authors)
Van Tongel, Alexander, ARNAUD TOUSSAINT, Sofie Herregods, STIJN VAN DAMME, Jesse Marrannes, and Lieven De Wilde. 2018. “Anatomically Based Classification of Medial Clavicle Fractures.” ACTA ORTHOPAEDICA BELGICA 84 (1): 62–67.
Vancouver
1.
Van Tongel A, TOUSSAINT A, Herregods S, VAN DAMME S, Marrannes J, De Wilde L. Anatomically based classification of medial clavicle fractures. ACTA ORTHOPAEDICA BELGICA. 2018;84(1):62–7.
IEEE
[1]
A. Van Tongel, A. TOUSSAINT, S. Herregods, S. VAN DAMME, J. Marrannes, and L. De Wilde, “Anatomically based classification of medial clavicle fractures,” ACTA ORTHOPAEDICA BELGICA, vol. 84, no. 1, pp. 62–67, 2018.
@article{8601302,
  abstract     = {Medial clavicle fractures represent less than 5% of all clavicle injuries. The purpose of this study was to evaluate reliability of a new anatomically based (AB) classification system compared to other classification systems and to evaluate the clinical outcome of nonoperative treated fractures. 
55 acute medial clavicle fractures (55 patients) were 3D reconstructed and evaluated using the Edinburgh (ED), Throckmorton (TR) and new AB classification. The AB classification classified the fracture as medial (Type 1) or lateral (Type 2) to the costoclavicular ligament and no or minimal displaced (Type A) or displaced (Type B). Next, a consecutive Retrospective clinical evaluation of 38 of these patients was performed using the Oxford Shoulder and Constant Score. 
An anatomically based classification shows the highest inter- and intra-observer reliability. In case the fracture line originate medial to the costoclavicular ligament and is displaced the Constant and Oxford scores are significantly less.},
  author       = {Van Tongel, Alexander and TOUSSAINT, ARNAUD and Herregods, Sofie and VAN DAMME, STIJN and Marrannes, Jesse and De Wilde, Lieven},
  issn         = {0001-6462},
  journal      = {ACTA ORTHOPAEDICA BELGICA},
  keywords     = {Medial Clavicle fracture,EPIDEMIOLOGY,SCORE},
  language     = {eng},
  number       = {1},
  pages        = {62--67},
  title        = {Anatomically based classification of medial clavicle fractures},
  volume       = {84},
  year         = {2018},
}

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