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Arthroscopic Fixation of The Clavicle Shaft Fracture

March 01, 2017

Contributors: Ahmed Abdullah Alzeyadi, MD; Jinhong Kim; Hyo-Jin Lee, MD; Sung-Ryeoll Park, MD; Dong Hyuk Sun; Yang-Soo Kim, MD; Yang-Soo Kim, MD

This video describes an arthroscopic technique for the fixation of clavicle shaft fractures. A viewing portal is made 2 cm anterior to the fracture site, and a working portal is made 2 cm distal to the fracture site. The guidewire for a 4.0-mm cannulated screw is inserted through the fracture site to the medial fracture fragment under arthroscopic guidance. Through the medial fragment, the guidewire is delivered through the skin anteriorly. The fracture is reduced, after which the guidewire is drilled back across the fracture site to the lateral fracture fragment. After confirming reduction under arthroscopic guidance, the appropriately-sized cannulated screw is inserted after reaming. This arthroscopic technique is useful for precise reduction and minimally invasive fixation of clavicle shaft fractures. Preliminary results of the technique are encouraging; however, additional studies with long-term follow-up are necessary to determine the precise indications and limitations of the procedure.

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