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Acromioclavicular and Sternoclavicular Injuries and Clavicular, Glenoid, and Scapular Fractures by Michael S. Bahk, John E. Kuhn, Leesa M. Galatz, Patrick.

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Presentation on theme: "Acromioclavicular and Sternoclavicular Injuries and Clavicular, Glenoid, and Scapular Fractures by Michael S. Bahk, John E. Kuhn, Leesa M. Galatz, Patrick."— Presentation transcript:

1 Acromioclavicular and Sternoclavicular Injuries and Clavicular, Glenoid, and Scapular Fractures by Michael S. Bahk, John E. Kuhn, Leesa M. Galatz, Patrick M. Connor, and Gerald R. Williams J Bone Joint Surg Am Volume 91(10):2492-2510 October 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

2 Classification of medial clavicular fractures. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

3 Figure-of-eight reconstruction of the sternoclavicular joint. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

4 Left: Markedly displaced midshaft clavicular fracture with comminution. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

5 Left: Markedly displaced midshaft clavicular fracture with a vertical comminuted fragment (a “zed” fracture). Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

6 A distal clavicular plate was used to treat this Type-II distal clavicular fracture. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

7 Left: A displaced Type-II distal clavicular fracture with comminution of the distal fracture fragment. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

8 Frequency of scapular fractures. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

9 Scapular neck fractures most commonly occur medial to the coracoid (line B) and uncommonly lateral to the coracoid (line A). Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

10 Fig. 9-A Radiographs of a distal clavicular fracture and a displaced scapular neck fracture. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

11 Types I through VI glenoid fossa fractures. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

12 Fig. 11-A A Type-Ia glenoid rim fracture. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

13 Fig. 12-A A Type-Ib glenoid rim fracture. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

14 An extended posterior approach is utilized to expose the glenoid, glenoid neck, and lateral border of the scapula. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.

15 Fig. 14-A A Type-Va glenoid fossa fracture with an associated midshaft clavicular fracture. Michael S. Bahk et al. J Bone Joint Surg Am 2009;91:2492- 2510 ©2009 by The Journal of Bone and Joint Surgery, Inc.


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