Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures

Abstract

Objective

To analyze the sequelae of Neer type 2 distal end clavicle fractures treated with superior anterior locking plate.

Methods

From June 2012 to February 2015 a study was conducted with 14 male patients; 12 with unilateral and two with bilateral distal clavicle fractures treated with superior anterior plate. They were evaluated at intervals, with mean follow up of 16 months (14–18 months). All patients were evaluated clinically by both the Oxford Shoulder Score and the QuickDASH score.

Results

Union was seen in all fractures within 7–9 weeks (mean time: 8.2 weeks). All patients had good shoulder range-of-motion. The average Oxford Shoulder Score and QuickDASH score were 45.6 and 7.1, respectively. All patients returned to work within 3–4 months of the postoperative period.

Conclusion

Displaced distal clavicle fractures treated with superior anterior plates accomplished superlative results in terms of bony union, with rarely any complications.