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Developing a Risk Score for Predicting Multiple Revision Surgeries in Patients With Fracture-Related Infections.

J Am Acad Orthop Surg

January 2025

From the Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL (Yeager, Rutz, Strother, Spitler, and Johnson), and the Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, AL (Gross, Benson, and Carter).

Introduction: Postoperative infections are a leading cause of morbidity following fracture repair. The purpose of this study is to develop a risk score predicting fracture-related infection (FRI) that will require one versus multiple revision surgeries related to infection eradication and bone healing.

Methods: This is a retrospective cohort study conducted at a single level I trauma center from 2013 to 2020.

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Subacromial Distal Clavicle Dislocation with Associated Scapular Spine Fracture: A Case Report.

J Orthop Case Rep

January 2025

Vanderbilt University Medical Center, Department of Orthopaedic Surgery, 1215 21st Ave S, Suites 3200 and 4200, Nashville, TN, 37232, 2John Hopkins University.

Introduction: Inferior or subacromial dislocation of the distal clavicle is a rare entity. Previous reports of this injury pattern have largely been limited to Rockwood VI acromioclavicular joint (AC) dislocations, with the distal clavicle located in the subcoracoid position. Few case reports have been described with the inferior clavicle being located in the subacromial space, and these have all been previously associated with clavicle fractures.

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A 66-year-old woman presented with 9 days of left clavicle pain, with no history of recent trauma. CT images showed a left clavicle fracture with a surrounding soft tissue mass. An 18F-FDG PET/CT scan revealed increased FDG uptake in the tonsils, multiple lymph nodes, and the pathologically fractured clavicle, initially suggesting malignancy.

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Distal augmentation in unstable distal clavicle fractures: a retrospective cohort study of 101 cases.

Arch Orthop Trauma Surg

January 2025

The Department of Orthopaedic Surgery, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, 123, Ta Pei Road, Niao Sung Dist, Kaohsiung, Taiwan.

Introduction: The optimal management strategy for unstable distal clavicular fractures remains controversial. Recent studies on plate techniques have reported good-to-excellent outcomes with no serious complications. The questions are that: (1) Does the use of wire augmentation with locking plate in distal part (distal wire augmentation) reduce radiographic loss of reduction (RLOR) and get earlier bony union in distal clavicular fractures? (2) Which fixation methods are associated with a higher incidence of acromioclavicular (AC) joints arthritis or subluxation? We collected and analyzed clinical studies on different plate fixation methods for unstable fractures to identify the best surgical modality.

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[Clavicular fractures : Diagnostics, treatment and management].

Orthopadie (Heidelb)

January 2025

Deutsches Schulterzentrum, Atos Klinik München, Effnerstr. 38, 81925, München, Deutschland.

Fractures of the clavicle (Latin clavicula, little key), which mainly occur in young men, account for 2.6-4% of all fractures in adults [1]. Above the age of 65 years more clavicular fractures occur in women [1].

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