Treatment of Neer’s type 2 distal end clavicle fracture: a systemic review of treatment modalities in 35 fractures

Introduction:- For Neer’s type 2 distal clavicle fracture, ideal treatment is still unclear. The purpose of this study was to review the outcomes of 35 such cases. Materials and methods: Amongst 35 patients, 10 were treated non-surgically and 25 surgically. Among which 10 were managed with locked plate fixation , 5 hook plates,10 by K-wire plus tension band. At a mean follow-up of 16 months, data were assessed by DASH questionnaires, Constant–Murley score. Results:- Non-surgical treatment resulted in 30% nonunion and 20% other complications while surgical treatment resulted in 8% nonunion and 24% other complication, lowest complication(1%) found in patient receiving locked plate fixation. The complication rate other than non union was significantly higher in cases of the hook plates(40%) and the K-wire plus tension band wiring(30%) . Conclusion:- Surgical treatment of these fractures is more appropriate to prevent non-union and functional disability. Locked plates being the most preferable implants.