• Pierre Sautet, Alexandre Galland, Stéphane Airaudi, Jean-Noël Argenson, and Renaud Gravier.
• Aix-Marseille université, institut du mouvement et de l'appareil locomoteur, hôpital Sainte-Marguerite, 270, boulevard de Sainte-Marguerite, 13009 Marseille, France. Electronic address: pierre.sautet@ap-hm.fr.
• Orthop Traumatol Sur. 2018 Dec 1; 104 (8): 1237-1240.

IntroductionNeer IIB displaced fracture of the distal part of the clavicle is often treated surgically. Arthroscopy-assisted surgery was recently developed. The aim of the present study was to present an original technique of subcoracoid suture under arthroscopy, with clinical and radiological results.HypothesisArthroscopy-assisted subcoracoid suture in Neer IIB clavicle fracture provides satisfactory results.Material And MethodsFourteen patients, with a mean age of 34.6 years (range, 24-51 years) with Neer IIB displaced clavicle fracture treated by subcoracoid suture between January 2013 and January 2017 were included. Clinical assessment comprised demographic data, weighted Constant score and Subjective Shoulder Value (SSV). Radiologic assessment comprised AP shoulder view.ResultsBone healing was systematic within 3 months, except in 1 case of delayed healing. Mean follow-up was 20 months (range, 6-55 months). At last follow-up, mean weighted Constant score was 91% (range, 85-95%) and mean SSV 95% (range, 85-100%). 4 patients reported clavicle button irritation, 2 of whom asked for hardware removal.DiscussionArthroscopy-assisted subcoracoid suture provided satisfactory clinical results. There were no cases of implant failure, probably because the technique caused no iatrogenic coracoid trauma. Clavicle button irritation sometimes required hardware removal.Level Of EvidenceIV.Copyright © 2018 Elsevier Masson SAS. All rights reserved.

33 keywords...

hide…