The value of the shape of the arrangement of the articular surfaces of the clavicle and acromion for the mechanism: both the dislocation of the acromial end of the clavicle and its fracture

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Abstract

Objective. To prove the dependence of a fracture or dislocation of the acromial end of the clavicle on the features of the shape of the arrangement of the articular surfaces of the clavicle and acromion.

Materials and methods. We conducted anatomical studies on 50 unfixed and unopened corpses of people of both sexes and aged 20 to 60 years. Among them, there were 35 men and 15 women. At the same time, we observed three forms of variability in the arrangement of the articular surfaces of the acromion and clavicle.

Results. We studied the radiological forms of the location of the articular surfaces of the clavicle and acromion in 50 patients with a collarbone fracture and in 50 patients with dislocation of the acromial end of the clavicle from 20 to 55 years old, among them 30 were men, 20 women. In all cases, the trauma mechanism was indirect. A certain relationship was revealed between the frequency of a fracture or dislocation and the form of arrangement of the articular surfaces of the acromion and clavicle. Clavicle fracture more often (78.0%) occurred with a vertical arrangement of the articular surfaces of aroma and clavicle.

Conclusion. Anatomical and clinical-radiological studies have shown the dependence of the fracture or dislocation of the acromial end of the clavicle on the peculiarities of the arrangement of the articular surfaces of the clavicle and acromion.

About the authors

Ismail A. Miziev

Kabardino-Balkarian State University named after H.М. Berbekov

Author for correspondence.
Email: kfeh@yandex.ru

Professor, Dean of the Faculty of Medicine, Head of the Department of Faculty and Endoscopic Surgery

Russian Federation, Nalchik, Kabardino-Balkarian Republic

Hamada D. Baksanov

Kabardino-Balkarian State University named after H.М. Berbekov

Email: kfeh@yandex.ru

Associate Professor, Department of Faculty and Endoscopic Surgery

Russian Federation, Nalchik, Kabardino-Balkarian Republic

Rustam A. Akhkubekov

Kabardino-Balkarian State University named after H.М. Berbekov

Email: kfeh2009@gmail.com

MD, associate professor of the department of faculty and endoscopic surgery

Russian Federation, Nalchik, Kabardino-Balkarian Republic

Bella R. Bifova

Kabardino-Balkarian State University named after H.М. Berbekov

Email: bifovabella22@gmail.com
Russian Federation, Nalchik, Kabardino-Balkarian Republic

References

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  2. Larsen E, Bierg-Nielsen A, Christensen P. Conservative or surgical treatment randomized study. J Bone Joint Surg Am. 1986;68(4):552-555.
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