Using a Nice knot to simplify and strengthen closed reduction in displaced distal clavicle fracture: a technical note.

A displaced distal clavicle fracture often necessitates surgical intervention, with various open and closed reduction options. Open reduction is easier but raises blood supply concerns, while closed reduction can involve complex deforming forces with differing displacement vectors. Herein, we demonstrate how a Nice knot with its sliding and self-locking qualities can be used to make closed reduction easier and the alignment more secure.

Looping a suture under the coracoid process using a modified pelvic suture needle in coracoclavicular stabilization.

Unlabelled: A distal clavicle fracture is a common shoulder injury. Coracoclavicular (CC) stabilization is a popular procedure for treating this injury. However, with this method, there is a technical difficulty in looping the suture under the coracoid base with instruments normally available in the operating room (OR).

Using a right-angle forceps clamp to pass a suture under the coracoid base in coracoclavicular stabilization: a technical note.

Unlabelled: A distal clavicle fracture is a common injury of the shoulder joint. Coracoclavicular (CC) stabilization is one of the recommended procedures for treating the distal clavicle fracture. However, it is difficult to pass the suture under the coracoid process with instruments normally available in the operating room (OR).

Displaced varus proximal humerus fracture with conservative treatment: a case report.

Unlabelled: The authors report a case of an elderly female with a displaced varus misalignment of a proximal humerus fracture which met the indications for surgery, but the patient was treated conservatively with an arm sling due to the wishes of the patient and her relatives. The clinical outcome was nearly full function compared with the right shoulder.

Presentation Of Case: A 65-year-old Thai female presented with right shoulder pain 1 h after a fall during which her right shoulder hit the floor.

Using a modified recycled corkscrew suture anchor to pass a suture under the coracoid base.

Introduction: A common shoulder injury is a distal clavicle fracture which can be treated with various methods such as coracoclavicular (CC) stabilization, fixation with a distal clavicular locking plate, hook plate or tension band wiring. In CC stabilization, the most difficult step is passing a suture under the coracoid base because there is no standard instrument matched to the shape of the coracoid process. We propose a technique using a modified recycled corkscrew suture anchor to pass a suture under the coracoid base.

A simple way to deal with an inadvertently cut suture while inserting the screw in the tibial tunnel during ACL reconstruction.

Introduction: There are many complications that can occur during or after ACL reconstruction, including a suture inadvertently cut by the screw threads while inserting the interference screw in the tibial tunnel. No fixes for this small but annoying problem have been proposed to date in the literature, and herein we propose a simple way to deal with this situation by bringing the tibial side of the ACL graft through the anterolateral portal and re-suturing with a stronger suture material.

Case Presentation: A 48-year-old Thai female was undergoing an ACL reconstruction with a hamstring graft following a standard technique when the holding suture and distal part of the ACL graft were accidentally cut by the screw.

Shoulder Injury Related to COVID-19 Vaccine Administration: A Case Series.

Background: A shoulder injury related to vaccine administration (SIRVA) is a vaccination complication that can affect daily life activities. To date, there have been no case series of patients diagnosed as SIRVA following a COVID-19 vaccination. We offer a series of seven SIRVA cases including clinical presentations, investigations and treatment outcomes.

Using a modified J-shaped Y-knot all-suture anchor to pass a suture under the coracoid process in coracoclavicular stabilization.

Introduction: The distal clavicle fracture is a common shoulder injury. There are several treatment methods which can achieve good outcomes, of which coracoclavicular (CC) stabilization is one of the most popular surgical options. In CC stabilization, the step of passing a suture under the coracoid base is the most difficult step because the standard surgical tool is not designed for passing a suture under the coracoid process.

Simulated weightbearing computed tomography for verification of radiographic staging of varus ankle osteoarthritis: a cross-sectional study.

Background: Varus ankle osteoarthritis is classified using only weightbearing anteroposterior ankle radiographs; however, sagittal ankle alignment may also affect the position and extent of joint space obliteration. We hypothesized that the sagittal alignment of the ankle may also affect the position and extent of joint space obliteration visible on the coronal section; therefore, we identified the sites of joint space obliteration in patients with stage 3 varus ankle osteoarthritis for comparison with the sites observed on simulated weightbearing computed tomography and investigated the effects of anterior and posterior ankle subluxation.

Methods: Simulated weightbearing computed tomography scans of 83 ft with varus ankle osteoarthritis (26 stage 3a, 57 stage 3b) were performed to check for joint space obliteration in the ankle.

Using a Modified Kirschner Wire to Pass the First Suture Under the Coracoid Base in Coracoclavicular Stabilization.

The acromioclavicular (AC) joint injury is a common shoulder injury in sports medicine. Combined coracoclavicular stabilization with AC capsule repair is 1 of 2 preferred treatments in acute high-grade AC joint injury. In East-Asian populations, the surgeon prefers to pass the first suture under the coracoid base, which is difficult using only basic surgical tools.

Shoulder injury related to Sinovac COVID-19 vaccine: A case report.

Introduction: After a vaccination, patients frequently have clinical symptoms of pain and swelling over the injection area which usually resolve 2-3 days after the injection. If the symptoms do not improve, a shoulder injury related to vaccine administration (SIRVA) will be considered, perhaps related to an improper injection technique. Herein we report our first case of a SIRVA after a Sinovac COVID-19 vaccination which occurred due to deep penetration and direction of the needle.

Suturing the Anterior Cruciate Ligament Using a No. 16 Intravenous Catheter Needle in Avulsion Anterior Cruciate Ligament Injury.

Avulsion anterior cruciate ligament injuries are more common in pediatric patients. There are several methods of fixation available for these injuries (tibial intercondylar eminence fractures), such as the pullout suture technique, screw fixation, and suture anchor fixation. Currently, a pullout technique is widely used for fixation.

Patient Position Is Related to the Risk of Neurovascular Injury in Clavicular Plating: A Cadaveric Study.

Background: Fixation of clavicle shaft fractures with a plate and screws can endanger the neurovascular structures if proper care is not taken. Although prior studies have looked at the risk of clavicular plates and screws (for example, length and positions) to vulnerable neurovascular structures (such as the subclavian vein, subclavian artery, and brachial plexus) in the supine position, no studies to our knowledge have compared these distances in the beach chair position.

Questions/purposes: (1) In superior and anteroinferior plating of midclavicle fractures, which screw tips in a typical clavicular plating approach place the neurovascular structures at risk of injury? (2) How does patient positioning (supine or beach chair) affect the distance between the screws and the neurovascular structures?

Methods: The clavicles of 15 fresh-frozen cadavers were dissected.