The plate that was installed to help fix my clavicle fracture was a mixed blessing. [ 12 ] found that the placement of the clavicular hook plate would inevitably narrow the subacromial clearance, which may be related to the occurrence of sis.
If you have taken surgical treatment for shoulder dislocation, then your therapist may ask you to perform exercises like shoulder flexion, shoulder blade squeeze, internal rotator strengthening exercise, and isometric shoulder abduction, etc.
Hook plate shoulder surgery. This plate and screw construct allows early rotational mobility of the shoulder. By doing this, pressure is relieved from the labrum significantly reducing pain. Clavicle hook plate fixation changes the scapular kinematics and scapulohumeral rhythm;
There are many surgical options for the treatment of type v ac separation, and each has pros and cons. Surgical fixation can involve the use of a hook plate which is placed under the acromion bone and levers the displaced clavicle down. [ 12 ] found that the placement of the clavicular hook plate would inevitably narrow the subacromial clearance, which may be related to the occurrence of sis.
The ligaments will also need to be repaired. 8 depuy synthes lcp clavicle hook plate surgical technique 4 determine hook size and plate length required instruments 329.930 trial implant for lcp clavicle hook plate, hook depth 12 mm, left 329.931 trial implant for lcp clavicle hook plate, hook depth 12 mm, right 329.932 trial implant for lcp clavicle hook plate, hook depth 15 mm, left Acute cases using hook plate what does that entail?
This, it did quite perfectly. Your enquiry will be forwarded to up to 3 private healthcare providers. Surgery was performed under general anaesthesia in beach chair position.
Acromioclavicular joint (acj) dislocation is a relatively common shoulder injury. Osteoarthritis and osteolysis are the two common complications. The surgical treatment of ac dislocations include ac joint fixation (with pin, screw, suture wire, and hook.
However, the hook plate may irritate the rotator cuff, and postoperative stiffness may be inevitable. Rounded shaft profile helps minimize the risk of soft tissue irritation between the plate and surrounding soft tissue, the acromioclavicular joint and the rotator cuff. Exercises for shoulder dislocation surgery.
Hook plate fixation generally requires a second surgery for plate removal, but it allows for firm fixation and early shoulder mobility. The surgery was successfully completed without A superior approach to the ac joint was used, and the hook of the hook plate and a reduction clamp were used to achieve reduction.
The procedure requires an anaesthetic, takes about 1 hour and requires an overnight hospital stay. • lateral clavicle fractures • dislocations of the acromioclavicular joint Synthes hook plate to help hold down the clavicle where the ligament healed.
Hook plates provide better stability than other fixation methods for small fragments but have been related to multiple complications. If you have taken surgical treatment for shoulder dislocation, then your therapist may ask you to perform exercises like shoulder flexion, shoulder blade squeeze, internal rotator strengthening exercise, and isometric shoulder abduction, etc. We have provided an indication of the cost of private shoulder surgery based on the prices published by several of the major providers of private surgery.
Hook plate fixation has been reported as a safe and effective option to treat ac separation [3,4,5,6,7,8,9,10,11,12,13,14,15]. Over stress on the acromion following hook plate fixation often leads to acromial complications such as. They will respond directly with further.
Acromioclavicular (ac) joint dislocation is a common injury and accounts for 9% of shoulder girdle injuries. The hook plate will need to be removed around the 3 month mark. This was placed on the acromion and over the grafts on the clavicle and the ac joint was anatomically reduced.
The hook has two different depths (15 and 18 mm) to accommodate different thicknesses of the acromion process. 1 although there is a high prevalence of ac dislocation, the best management for acute ac dislocation remains controversial. The use of hook plate on open reduction and internal fixation of the acromioclavicular joint dislocation had little adverse effect on shoulder function and is an effective method for the treatment of acromioclavicular joint dislocation.
The clavicle hook plate provides a single solution for fixation of both lateral clavicle fractures and acromioclavicular joint injuries. The major disadvantages of hook plate cited in earlier series have been repeat surgery, persistent shoulder pain, incomplete shoulder function, acromial osteolysis and acromioclavicular subluxation. The pain after surgery needs to be controlled on oral medications before discharge.
At the time of the study, we performed functional (ucla and constant scales) and radiographic (coracoclavicular distance ccd) evaluation and. Submit a request for further information, a quotation or indicative cost. On one hand, the plate served an important purpose—to fix my broken clavicle in the correct position for proper healing.
Thus, when clavicle hook plate fixation is complete, the implant should be. The plate facilitates optimal implant placement and surgery to provide an improved outcome. The arthroscopic technique though requires a familiarity with arthroscopic shoulder surgery, as well as the availability of the associated arthroscopic equipment, and this may limit its use in a general trauma setting.
The surgery is performed through an incision over the front of the shoulder taking down one of the shoulder muscles. Unlike some other devices, such as a hook plate, routine implant removal is not required using an arthrex tightrope. Smooth hook design and posterior hook offset.
Open reduction and internal fixation of the coracoid fragment can be performed depending on the displacement and size of the distal fragment. Several studies [2, 9, 11] have shown that older patients who underwent hook plate surgery have increased risk of sis, which may be related to shoulder tissue degeneration. The hook of the plate runs behind the ac joint and holds the shoulder blade up to the collarbone.
A 3.5 fully threaded cortical screw was placed through one of the medial holes in the plate into the shaft after drilling and. Undercuts in shaft reduce impairment of. Two different plate lengths with six or eight holes are available.
Indications the clavicle hook plate is indicated for: This surgery is performed to alleviate biceps inflammation and can be implemented in correspondence to a slap lesion surgery. The plate that was installed to help fix my clavicle fracture was a mixed blessing.
Following surgery the arm rests in a collar and cuff. Therefore, second surgery for implant removal is necessary after bone union is achieved.