Cargando…
The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing?
OBJECTIVE: Middle to distal-third clavicular shaft fractures are commonly treated with precontoured anterior plating. Some surgeons use mini-fragment plate fixation and position these plates on the anterior clavicle. Recent studies demonstrated the advantages of anterior clavicle plating, including...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580048/ https://www.ncbi.nlm.nih.gov/pubmed/36425092 http://dx.doi.org/10.1097/OI9.0000000000000166 |
_version_ | 1784812308296368128 |
---|---|
author | Black, Sarah Snoap, Tyler Christiansen, Eric Roberts, Jason Stehlík, Kevin A. |
author_facet | Black, Sarah Snoap, Tyler Christiansen, Eric Roberts, Jason Stehlík, Kevin A. |
author_sort | Black, Sarah |
collection | PubMed |
description | OBJECTIVE: Middle to distal-third clavicular shaft fractures are commonly treated with precontoured anterior plating. Some surgeons use mini-fragment plate fixation and position these plates on the anterior clavicle. Recent studies demonstrated the advantages of anterior clavicle plating, including a possible biomechanical advantage with cantilever bending forces and less subsequent implant removal. The insertion and positioning of anteriorly based clavicle plates requires the release of a portion of the anterior deltoid origin from the lateral clavicle. The purpose of this study is to evaluate the anatomy of the deltoid in relation to the clavicle and to determine the percentage of the deltoid origin released to place modern anterior precontoured plates. METHODS: Six right and 4 left cadaver shoulders were dissected, each from separate cadaveric specimens (6 male and 4 female). All measurements were made with digital calipers. The length of the clavicle was measured from the acromioclavicular joint to the sternoclavicular joint. The length of deltoid origin on the lateral clavicle was measured from the acromioclavicular joint to the most medial attachment of the deltoid on the clavicle. Percentage of clavicle with deltoid origin was subsequently calculated. RESULTS: The average length of the cadaveric clavicles was 164.4 mm with a range from 134.3 to 178.1 mm. The average amount of deltoid origin on the clavicle was 58.7 mm with a range from 43.4 to 69 mm. On average 35.5% of the clavicle had deltoid origin, with a range from 30.2% to 38.8%. CONCLUSION: On average, 35.5% of the clavicular osseous anatomy contains deltoid origin. This should be taken into consideration when performing anterior plating for clavicle fractures. With a significant portion of deltoid origin elevated, surgeons may consider altering postoperative protocols until some interval healing has occurred to this anterior head of the deltoid. |
format | Online Article Text |
id | pubmed-9580048 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-95800482022-11-23 The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? Black, Sarah Snoap, Tyler Christiansen, Eric Roberts, Jason Stehlík, Kevin A. OTA Int Clinical/Basic Science Research Article OBJECTIVE: Middle to distal-third clavicular shaft fractures are commonly treated with precontoured anterior plating. Some surgeons use mini-fragment plate fixation and position these plates on the anterior clavicle. Recent studies demonstrated the advantages of anterior clavicle plating, including a possible biomechanical advantage with cantilever bending forces and less subsequent implant removal. The insertion and positioning of anteriorly based clavicle plates requires the release of a portion of the anterior deltoid origin from the lateral clavicle. The purpose of this study is to evaluate the anatomy of the deltoid in relation to the clavicle and to determine the percentage of the deltoid origin released to place modern anterior precontoured plates. METHODS: Six right and 4 left cadaver shoulders were dissected, each from separate cadaveric specimens (6 male and 4 female). All measurements were made with digital calipers. The length of the clavicle was measured from the acromioclavicular joint to the sternoclavicular joint. The length of deltoid origin on the lateral clavicle was measured from the acromioclavicular joint to the most medial attachment of the deltoid on the clavicle. Percentage of clavicle with deltoid origin was subsequently calculated. RESULTS: The average length of the cadaveric clavicles was 164.4 mm with a range from 134.3 to 178.1 mm. The average amount of deltoid origin on the clavicle was 58.7 mm with a range from 43.4 to 69 mm. On average 35.5% of the clavicle had deltoid origin, with a range from 30.2% to 38.8%. CONCLUSION: On average, 35.5% of the clavicular osseous anatomy contains deltoid origin. This should be taken into consideration when performing anterior plating for clavicle fractures. With a significant portion of deltoid origin elevated, surgeons may consider altering postoperative protocols until some interval healing has occurred to this anterior head of the deltoid. Lippincott Williams & Wilkins 2022-06-16 /pmc/articles/PMC9580048/ /pubmed/36425092 http://dx.doi.org/10.1097/OI9.0000000000000166 Text en Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Orthopaedic Trauma Association. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Clinical/Basic Science Research Article Black, Sarah Snoap, Tyler Christiansen, Eric Roberts, Jason Stehlík, Kevin A. The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title | The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title_full | The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title_fullStr | The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title_full_unstemmed | The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title_short | The anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
title_sort | anterior head of deltoid in relation to anterior clavicle plating: how much are we releasing? |
topic | Clinical/Basic Science Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9580048/ https://www.ncbi.nlm.nih.gov/pubmed/36425092 http://dx.doi.org/10.1097/OI9.0000000000000166 |
work_keys_str_mv | AT blacksarah theanteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT snoaptyler theanteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT christianseneric theanteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT robertsjason theanteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT stehlikkevina theanteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT blacksarah anteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT snoaptyler anteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT christianseneric anteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT robertsjason anteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing AT stehlikkevina anteriorheadofdeltoidinrelationtoanteriorclavicleplatinghowmucharewereleasing |