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Primer caso, en un estado brasileño, de tratamiento quirúrgico de una fractura distal de clavícula con placa bloqueada con un botón pegado asociado a otro botón subcoracoideo asistido por artroscopía / First case, in a Brazilian state, of surgical treatment of a distal clavicle fracture with a plate locked with a glued button associated with another subcoracoid button assisted by arthroscopy
Passos, Leandro Marcio; Bastos Leite, Luiz Marcelo; Ejnisman, Benno.
  • Passos, Leandro Marcio; Sociedade Brasileira de Cirurgia do Ombro e Cotobelo. San Pablo. BR
  • Bastos Leite, Luiz Marcelo; Universidade Federal de São Paulo. San Pablo. BR
  • Ejnisman, Benno; Hospital Aliança. Salvador de Bahía. BR
Artrosc. (B. Aires) ; 30(1): 21-23, 2023.
Article in Spanish | LILACS, BINACIS | ID: biblio-1427238
RESUMEN
El tratamiento de las fracturas de clavícula distal se puede lograr a través de varias opciones. Las placas de bloqueo asociadas con los botones coracoclaviculares son una alternativa para estabilizar las lesiones de ligamentos asociadas con las fracturas de tipo IIB de Craig. La artroscopía puede ayudar a colocar el botón subcoracoideo. Presentamos el caso de una mujer de treinta y cinco años quien, al caer de una bicicleta, resultó con traumatismo directo en el hombro izquierdo. Las radiografías mostraron fractura conminuta de la clavícula distal asociada con lesiones de ligamentos (tipo IIB de Craig). Se optó por tratamiento quirúrgico con placa bloqueada con un botón pegado asociado a otro botón subcoracoideo asistido por artroscopía. A través de una vía de acceso directo sobre la clavícula mediolateral, se redujeron anatómicamente los fragmentos de fractura y se fijaron con una placa bloqueada para la clavícula distal y siete tornillos. Se realizó portal artroscópico posterior para visualizar la articulación. Mediante portal anterior se expusieron el espacio rotador y la región subcoracoidea. Con la ayuda de guías especiales se instalaron dos botones (uno subcoracoideo y otro pegado a la placa) conectados por cables especiales. Tres meses después de la cirugía, la paciente estaba sin dolor y volvió a practicar deportes al nivel previo a la lesión. Se logró un ROM normal y radiografías con la fractura anatómicamente consolidada y distancia coracoclavicular normal. Nivel de Evidencia IV
ABSTRACT
The treatment of distal clavicle fractures can be accomplished through several options. Locking plates associated with coracoclavicular buttons are an alternative to stabilize ligament injuries associated with Craig's type IIB fractures. Arthroscopy can assist in positioning the subcoracoid dog button.We present the case of a thirty-five-year-old female fell from a bicycle with direct trauma to her left shoulder. Radiographs showed comminuted fracture of the distal clavicle associated with ligament injuries (Craig's type IIB). We opted for surgical treatment with a locked plate with a coupled button associated with a subcoracoid dog bone, assisted by arthroscopy. Through a direct region route over the mediolateral clavicle, the fracture fragments were anatomically reduced and fixed with a locked plate for the distal clavicle and seven screws. Posterior arthroscopic portal was performed to visualize the joint. Anterior portal was performed and the rotator space and subcoracoid region was exposed. With the aid of special guides, two buttons were installed (one sub-coracoid button and other attached to the plate) connected by special wires ("tapes"). Three months after the surgery, the patient was pain-free and returned to sports at the level prior to the injury. Normal ROM was achieved and radiographs with the anatomically consolidated fracture and normal coracoclavicular distance. Level of Evidence IV
Subject(s)
Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Clavicle / Fractures, Bone Type of study: Practice guideline / Risk factors Limits: Adult Country/Region as subject: South America / Brazil Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Aliança/BR / Sociedade Brasileira de Cirurgia do Ombro e Cotobelo/BR / Universidade Federal de São Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Arthroscopy / Clavicle / Fractures, Bone Type of study: Practice guideline / Risk factors Limits: Adult Country/Region as subject: South America / Brazil Language: Spanish Journal: Artrosc. (B. Aires) Journal subject: Orthopedics Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Aliança/BR / Sociedade Brasileira de Cirurgia do Ombro e Cotobelo/BR / Universidade Federal de São Paulo/BR