PMC6942742_01
Standard radiograph of the right clavicle. It shows distal clavicle fracture classified as a Neer type IIA fracture pattern. Screws from the Latarjet procedure are in a good position without signs of loosening. The remnant of the coracoid process is also shown.
CRIOR2019-6506951.001.jpg
PMC6942742_01_CRIOR2019-6506951.001.jpg
fig1
They also showed the remnant of the coracoid process, according to surgical history (Figure 1).
CT scan showing the coracoid process remnant's measure. (a) Scapula superior view, measure from the base to the distal end of the previous osteotomy; total length and width was 7.5 mm. (b) Scapula medial view. (c) Scapula anterior view.
CRIOR2019-6506951.002.jpg
PMC6942742_01_CRIOR2019-6506951.002.jpg
fig2
We measured it from the base to the distal end of the previous osteotomy (Figure 2).
Arthroscopic views and postoperative radiography. (a) Coracoid bone graft of the previous Latarjet procedure found in the correct position and healed. (b) Remnant of the base of the coracoid process carefully cleaned using a radiofrequency ablator. (c) Drill introduced in the anterior portal and centered on the under face of the remnant of the base of the coracoid process. (d) The FLOOP system (South American Implants) inserted through the tunnels using the wire. (e, f) The button flipped under the surface of the coracoid process. (g) Postoperative radiography confirms an accurate reduction in the fracture and position of the buttons. (h) Schematic view of surgical planning. (Image contributed by De Cicco FL, MD.)
CRIOR2019-6506951.003.jpg
PMC6942742_01_CRIOR2019-6506951.003.jpg
fig3
The patient was discharged the same day after surgery with our usual standard of antibiotic prophylaxis (500 milligrams of cephalexin every 6 hours for two days), without antithrombotic prophylaxis (Figure 3).
10 weeks after the procedure, radiographic union, and clinical assay. Full shoulder range of motion had been achieved, and shoulder strength was near 100%.
CRIOR2019-6506951.004.jpg
PMC6942742_01_CRIOR2019-6506951.004.jpg
fig4
The patient was allowed to return to sports when radiographic and clinical fracture union had occurred (10 weeks after procedure), full shoulder range of motion had been achieved, and shoulder strength was near 100%. (Figure 4).