Hu WT, Zhang ZY, Qu J, Piao CD. New surgical approach for distal clavicle fractures: A case report. World J Clin Cases 2025; 13(18): 103777 [DOI: 10.12998/wjcc.v13.i18.103777]
Corresponding Author of This Article
Cheng-Dong Piao, Department of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang Road, Nanguan Street, Changchun 130041, Jilin Province, China. pucd@jlu.edu.cn
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 26, 2025; 13(18): 103777 Published online Jun 26, 2025. doi: 10.12998/wjcc.v13.i18.103777
New surgical approach for distal clavicle fractures: A case report
Wen-Tao Hu, Zi-Yan Zhang, Ji Qu, Cheng-Dong Piao
Wen-Tao Hu, Zi-Yan Zhang, Ji Qu, Cheng-Dong Piao, Department of Orthopedics, The Second Hospital of Jilin University, Changchun 130041, Jilin Province, China
Author contributions: Hu WT collect cases and write papers; Zhang ZY, Qu J, Piao CD performed the research.
Informed consent statement: Consent was obtained by all participants in this study. Informed consent was obtained from the patient for publication of this case report details.
Conflict-of-interest statement: The authors declare that they have no affiliations with or involvement in any organization or entity with any financial interest in the subject matter or materials discussed in this manuscript.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Cheng-Dong Piao, Department of Orthopedics, The Second Hospital of Jilin University, No. 218 Ziqiang Road, Nanguan Street, Changchun 130041, Jilin Province, China. pucd@jlu.edu.cn
Received: December 2, 2024 Revised: December 29, 2024 Accepted: February 6, 2025 Published online: June 26, 2025 Processing time: 89 Days and 1.3 Hours
Abstract
BACKGROUND
Clavicle fractures are a common type of fracture that often occurs after high-energy trauma. The treatment methods for clavicle fractures remain controversial. Both locking compression and hook plates are recommended.
CASE SUMMARY
A 44-year-old male suffered an injury during skiing. Radiography revealed a right-sided distal clavicular fracture. The fracture was treated using a hook plate due to its small size. During the surgical procedure, Kirschner wires were used to drill holes in the acromion. The end of the hook plate was inserted into the hole rather than below the edge of the acromion.
CONCLUSION
One year later, imaging revealed complete healing of the fracture, and the hook plate was removed. The patient was satisfied with the course and treatment results. Additionally, a new classification system was proposed based on the degree of injury to the distal clavicle joint surface. The incidence of postoperative complications associated with the use of hook plates for clavicular fracture treatment is relatively high. Complications can be reduced by changing the hook plate placement.
Core Tip: Based on the original Operation Method, the new operation method drilled the acromion to reduce the complications of hook plate. We present a classification of distal clavicular fractures based on the distal clavicular articular surface.
