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J Shoulder Elbow Surg. 2008 May-Jun;17(3):395-8. doi: 10.1016/j.jse.2007.08.011. Epub 2008 Mar 4.

Treatment of distal clavicle fractures using an arthroscopic technique.

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Shoulder and Elbow Group, Department of Orthopedics, Santa Casa Hospitals and School of Medicine of São Paulo, Sao Paulo, Brazil.


Whenever indicated, distal clavicle fractures can be treated with a double loop of a nonabsorbable, #5 suture around the clavicle and under the coracoid. We developed an all arthroscopic technique to perform this procedure. From January to September 2004, 7 patients were treated. The mean age was 46 years. The coracoid is identified through the rotator interval. Using a special needle, a double #5 suture is passed around the coracoid. A hole is created at the clavicle and, through another guide wire, is sent to the anterior portal. The double #5 suture is transported to the clavicle. After the reduction of the fracture the sutures are tightened. All 7 cases have healed. The surgical treatment of these fractures is well established, and with the aid of arthroscopy, the morbidity can be decreased. The technique has been shown to be safe with no complications.

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